HomeMy WebLinkAbout17 Ivy Paper application**INSPECTION OFALL UNITSA
V{\s >c{agruV %Ptn
Please call to schedule 508-398-2231 ,ext, 1240
MON-FRt, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility
2023 RENIAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF HEALTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
€r10rc AL,AI 5.Qzro--H-r..,l
AITENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding Hotel/l\4otel, 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 HEALTH OFFICE AT
508-398-2231, x1240
Y f
Rental Pro rty Add
s ) ULI S u lq99
0wn
Mailing Add
uired Infoe)
s
Email and Phone #2 66
City/Town State ZIP5o&)6qq T gtl
Rental Agent (if any)
Rental Period: Annual - Seasonal- Short Term/
Rental of: House_Duplexf Condo Apartm-nr Room7
Trash Removal by: Owner {
(once a week minimumj _-*\-
Paid Pickup_ Name of Company
Email and Phone #
s than 3l davs )-RECIIVED
--Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL guto^ke
Detectors/Carbon Monoxide Detectors? HEALTH DEPT.
Smoke/ CO detectors older than l0 years must be replaced.
call fire depanrnent regarding questions on new type and location prior to purchasin g. 50g-399-2212
Tenant
Note: Please remove trash & recycle bins from road after pick up day.
Signature
(Require)
$80.00 Annual fee: Owner may also register online: https:
(follow online services icon, then Permits & Licenses).
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
nray 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 ro any OWNER or
Representative.
Rev.l0/17D2 ",0-\
rmouth.ma.us
$6d
I
Disposal dSticker at Landfill