HomeMy WebLinkAbout33 Courtland Way paper application,q **TNSPECTIO N OFALL UNITSA RE REOUIR ED!**
Please call to schedule 508-398-2231 , ext. 1240
MON-FRI' 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibilitl'
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
ATTENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding Hotel/Motel, Irur, 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 OIIice, Checks payable to: "TOWN OF
YARMOUTH.. For additional FORMS AND/OR QUESTIONS, contact the HEALTH OFFICE AT
508-398-2231, x1240
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Rental Property Address
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HEALTH DEPI
Owner Name (Required Info)Email and Phone #
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Mailing Address City/Town State ZIP
Rental Agent (if any) ^ /
Rental Period: Annual z\Seasonal- Shon Term:
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Email and Phone #
--Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL Smoke
Detectors/Carbon Monoxide Detectors?
Smoke/ CO detectors older than 10 years must be replaced.
Call fire department regarding questions on new type and location prior to purchasing. 508-398-221 2
PENALTIES - Late registration of more than 30 DAYS after receipt or violations ofany part of Chapter 108,
nray be subject to non-criminal citations issued as fotlows. Each day's violation deemed a separate offense.
l Offense $100.00 / 2nd Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Trash Removal by: Owner
-
(Once a week minimum)
Paid Pickup_ Name of Company
Disposal dSticker at Landfill
-
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register
(follow online services icon, then Permits & Li
https ://yarmouth.ma.us
Signature
(Require)
Tenant
GRe\.10/17D2
online
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