HomeMy WebLinkAbout31 Melville Road paper application**INSPECTION F ALL UNITS ARE REOUIRED!**
Please call to schedule 508-398-2231 ,ext. 1240
MON-FRl, 8:30 AM-4:30 PM
Annual Registration is an Owner Responsibility
2023 RENTAL/LEASE REGISTRATION
TOWN OF YARMOUTH - BOARD OF HEATTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
frle€ ALlRtlS\.8,s*-$rcr
s x\ iL ?
rl
AfIENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiruns, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding HoteVMotel, Inn, Lodging House or Bed and Breakfast
operations. (CIIAPTER 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: f'EE IS $80 PER RENTAL/
LEASE UMT. Complete this form and return to the Health Office. Checks payable to: *TOWN OF
YARMOUTH'. For additional FORMSAND/OR QUf,STIONS, contact the HEALTH OFFICEAT
50E-398-2231, x1240
Y.DO*Yh c b q
Rental Pro
M
Owner ame (Req
Mailing Address
*L
City/Town
5 4
Info)I and Phone #
oJ6
ZIPState
Rental Agent (ifany) / Email and Phone #
Rental Period: Annual f Seasonal_ Short Term_
Rental of: House_Duplex_1' Condo_Rpartment_Room_
-Smoke Detectors and Carbon Monoxide Detectors Required- | I "
Owners: I have ensured the tratteries 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 purchasin g. 508-398-2212
PENAXTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
ra4y be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
lst Offense $100.00 / 2"d 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
Tenant Disposal dSticker at Landfill
Note: Please remove trash & recycle bins from rcad after pick up day.
$80.00 Annual fee: Owner may also register online: https://yarmouth.ma.us
(follow online services icon, then Permits & Licenses).
Signatwe
(Require)
Rev.10/17122 "/r-,e
,-@
Address