HomeMy WebLinkAbout43 Webster Road paper applicationcuIA6U lW)71,4
**INSPE CTION OFA LL UNITS RE REOUI ED!**
Please call to schedule 508-398-2231, ext. 1240
MON-FRI, 8:30 AM-4:30 pM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF HEALTH
I 146 ROUTE 28, SOUTH YARMOUTH MA 02664
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ATTENTION LANDLORDS of Houses, Apartrnents, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding HoteVMotel, Inn, Lodging House or Bed and Breakfast
operations. (CHAPTER 108 - OCCUPANCY OF BLJILDINGS BYLAW).
Note: Compliance with Zoning regulations is not inferred, nor intended.
RENTAI-/LEASE Reglstrations EXPIRE on DECEMBER 3l of each year. FEE IS $t0 pER RENTAL/
LEASE UNIT. Complete this form and return to the Herlth Ollice. Checks psysble to: "TOWN OfYARMoUTH'. For addltionat FoRrvIs AND/oR euEsrloNs, cotrtsct the HEALTH oFFIcE AT
50&39E-2231, x1240
43 Webster Road, West Yarmouth, MA 02673
Rental Prooertv Address
Daniel Girard ,
Owner Neme @equlred Info)
PO Box 679, Millbury, MA 01527
Email and Phone #
Mailing Address City/Town State ZIP
VACASA drea is local supervisor 774-212-1511)
Rental Agent (lf any)Email and Phone
Rental Period: Annual : Seasonalj| Short Terrq_(occupancy lcss
Rental of: House xx Duplex_Condo_Aparffnent Room
-Smoke Detectors and Cerbon Monorlde Detectors Requlred-
Owners: I have ensurcd the betterles are changed, end hsve tested ALL
Detectors/Carbon Monoxide Detectorc?
Smoke/ CO detectors older than l0 years must be replaced.call fire department regarding questions on new 5pe and location prior to purchasing. 5og-3gg-zzl2
PENALTIES - Late registration ofmore than 30 DAYS after receipt or violations ofany part of Chapter 108,
rray be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
I't Offense $100.00 / 2"a Offense $l@.00 (and each additional) 3200.00. This applies to any OWNER or
Representative.
Trash Removal by: Owner _ Tenant Disposal dsticker at Landfill
(Once a week minimum)
Paid Pickup_[X_ Name of Company Garbage GONE garbagegoneinc@gmail.com
Note: Please remove tresh & recycle blns from road after plck up dey.
$80.00 Annual fee: Owner may also register online:https ://yarmouth.nla.us
(follow online services icon, then Permits & Licenses
Signature
(Requlre)
than 3l days)
Smoke
F-E"'
).
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dgirard.dg@gmail.com - 508-864-4996