HomeMy WebLinkAbout21 Cottage Drive paper application*INSPECTION OFALL UNI%lrefl,L\a o a.PuIRED!**=/ r
TS AR.ER
Please call to schedule 508-398-2231 ,ext. 1240
MON-FRI, 8:30 AM-4:-10 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH _ BOARD OF HEAIJIH
1146 ROUTE 28, SOUTH YARMOUTI{ MA 02664
rr10€ AL,AR^S=W*--Y { resrl
t
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 $80 PER RENTAL/
LEASE UNIT. Complete this form and return to the Health Oflice. Checks payable to: "TOWII OF
YARMOUTH". For additional FORMS ANDiOR QUESTIONS, contact the HEALTH
508-398-223I, x1240 @
I Property t:"'I
1_55
Email and Phone #l*l-',7bs-S\o'.,Owner Name (Required lnfo)J] tCI+tz-, D'. U.r.tJor*r.$h TfiW
^>.b7 7
Mattt"tAddffi Citv/Town State ZIP
Rental Agent (if any) / Email and Phone f^Rental Period: ArnVal: Seasonal-' Short Term_ t-q$-
Rental of: Houser/ Duplex Condo Apartment_Room_ q". '%
--Smoke Detectors and Carbon Monoxide Detectors Required- <4
Owners: I have ensured the batteries are changed, and have tested ALL SmoUUq%,
,*"0.73t3'o':;:":,:#.Xr^",',',Ji:;*t::T"':]or*,
Call fire department regarding questions on new type and location prior to purchasing. 508-398-2212
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
raay be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
lslOffense $100.00 / 2nd Offense $100.00 (and each additional) 5200.00. This applies to any OWNER or
Representative.
Trash Removalby: Owner v/
(Once a week minimum)
Paid Pickup_ Name of Company
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register online:
(follow online services icon, then Permits & Licenses).
Signature
(Require)
Disposal dsticker at Landfill L-./Tenant
https://yarmouth.ma. us
Rev.l0/17D2