HomeMy WebLinkAbout31 Pond Street Unit R paper application<{e ?ttt&ote'kJJ,a",@?4n**INSPE ION OFALL UNITSARE
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 I{EALIH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
IffiE ALARNS
ffiffi,
r#,;:::
ATTENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding Hotel,Motel, Inn, Lodging House or Bed and Breakfast
operations. (CHAPTER 108 - OCCUPANCY OF BUILDINGS BYLAW).
Note: Compliance with Zoning regulations is not inferred, nor intended.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 31 of each year. FEE IS $80 PER RENTAL/
LEASE UNIT. Complete this form and return to the Health Office. Checks payable to: "TOWN OF
YARMOUTH". For additional FORMS AND/OR QUESTIONS, contact the HEAIITH OFFICE AT
508-398-2231' x1240
Js L (i", - tow o o rirn e ot
I Sobp lla M Arino lZ2rrnor ih o nff rcr ol (i g.no,l.com 508-2+b - 8t{51
Owner Name (Required Info)Email and Phone #
ozvvlP0 Eox r\l{S ourth Vq r ms!^th
Mailing Address City/Town State ZIP
Rental Agent (if any) mail and pnonf^
ff l[liili]l;,fl^-*"".Ul='*Xffi ;*oRoom-***rE'-W
--Smoke Detectors and Carbon Monoxide Detectors Required- ry€q,,
Owners: I have ensured the batteries are changed, and have tested ALL SmoR64On^
,,,"u.733T"",,111S.?f,i"xr"t',%.ilj.3;:::',0";'ilr,*"0
-"|
Call fire department regarding questions on new type and location prior to purchasing. 508-398-2212
Trash Removal by: Owner _
(Once a week minimum)
Paid Pickup_ Name of Company
Tenantj__ Disposal dSticker at Landfill _
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register online: h
(follow online services icon, then Permits & License
Signature
(Require)
Rev.l0ll7D2
tt s://yarmouth.ma.us
N@
Rental Property Address
PENALTIES - Late registration of more than 30 DAYS after receipt or violations ofany part of Chapter 108,
raay be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
lst Offense $100.00 / 2nd Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Represenlative.