HomeMy WebLinkAbout3 Pondview Ave paper applicationlJINSPECTION OFALL UNITS ARE REO UIRED!**
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 IIEALTH
I146ROUTE28, SOUTHYARMOUTH MA 02664 ]
AITENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room
occupied dwellings) and short Term Rentals. Excluding Hotel/Motel, Inn, Lodging House
4 l,.tf
:r10€ ALAP^55,lt[ l J\f .'
Rentals. (in owner
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 yean FEE IS S80 PER RENTAU
LEASE UMT. Complete this form and return to the Health Ofiice. Checks payable to: "TOW\ OFYARMourH". For additional FORMS AND/OR euEsrloNs, contact rhe HEALTH 6FFICE AT
DEC 122022
HEALTH DEP
L;tE d\t Gl-g,
I
%eh/
508-398-2231 ,x
Property A
Owner Name (Required Info)
,(tn
Email and Phone S8-)2-
Mailin
Rental
Rental
Rental
a2tu/
Email and Phone #
Short Term (occupancy less than 3l days)
artm ent 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 purchasing. sog-3gg-2212
-Ap
Tenantl/ Disposal dsticker at Landfill
PENALTIES - Late registration of more than 30 DAYS after receipt or violations ofany part of Chapter 10g,zray be subject to non-criminal citations issued as follows. Each day's violation de"."j u ,"pa1.ut" off"rr".I't 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__ra Name of Company 4"/1..,s
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee:Owner may also register online: https://yarm(follow online servi , then Permits &Lic
Signature
(Require)
Rev.l0ll7n2
ces lcon
th.ma.us
