HomeMy WebLinkAbout134 West Yarmouth Road paper application**INSPECTION OFALL UNI TS ARE REOUIRED!**
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
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
ATTENTION LANDLORDS of Houses, Apartrnents, Duplexes, Condominiums,
t,1O(E ALARA5
5AVf Ll!6
TEST
.(m owner
occupied dwellings) and Short Term Rentals. Excluding HoteVMotel, InrL Lodging House or Bed and Breakfast
operations. (CHAPTER 108 - OCCIJPANCY OF BUILDINGS BYLAW)'
Note: Compliance with Zoning regulations is not inferred, nor inGnded.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 31 of each year. FEE IS $80 PER RENTAI/
LEASE [II\[T. Complete this form rnd return to the Health Office. Checks payable to: "TOWlt OF
YARMOUTII". For additional FORMS AI\ID/OR QUESTIONS, contact the HEALTII Off'ICE AT
508-398-2231, x1240
iAN 0 s ?oyF
HEATTH DEPT.
u
Rental Property Address
Ltt
(Required Info)Email and Phone #A*4t-t-,.1-/ +/-Io .2'-t '1 ,/ '->:-\J2 - L.2-> / ,7-
Mailing Ad City/Town Statefia-6>.<<e ZIP
J
Rental Period: Annual Seasonal: ShortTerm:(occLrpancy lcss than 3l da1's)
Rental of: House lex_Condo-Apartment-Room-
--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 l0 years must be replaced'
Call fire department regarding questions on new type and location prior to purthasing. 50E 398-2212
Email and Phone #
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
may be subject to nor-".i-irul citations issued as follows. Each day's violation deemed a separate offense'
t" bfense-$f OO.00 / 2no 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 Com
Note: Please remove trash & recYcle
^/Tenant A Disposal w/Sticker at Landfill --
$30.00 Annual fee: Owner may also register
(follow online services icon, then Permits & Li
pany
bins from road after Pick uP daY.
Signature
(Require)Re\.l0ll7l22
onli
e
https : //yarmouth. ma.us
TOWN OF YARMOUTH - BOARD OF
Owner
Rental Agent (if any)
/
..(--z