HomeMy WebLinkAbout11 Hudson Road paper application**INSPECTION OFALL UN ITS 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
TOWN OF YARMOUTH _ BOARD OF
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
occupied d
TION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
wellings) and Short Term Rentals. Excluding HotelMotel, 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. FEE IS $80 PER RENTAL/
LEASE UNIT. Complete this form and return to the Health Office. Checks payable to: "TOWN OF
YARMOUTH". For addirional FoRMs ANDiOR QUESTIONS, contact the HEALTH OFFICE AT
508-398-2231, x1240
510(E ALARN 5
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Rental Prope Address
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Owner Name (Requ Info)
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Mailing Address
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Rental Agent (if any) Email and Phone #
Rental Period: Anlgal / Seasonal- Short Term-
Rental of: HousflDuplex_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 purchasin g. 508-398-2212
Trash Removal by: Owner _
(Once a week minimum)
Paid Pickup_ Name of Company
Disposal ilSticker at Landhll _
Note: Please remove trash & recycle bins from road after pick up day.
$80.00 Annual fee: Owner may also register online: https://yarmouth.ma.us
(follow online services icon, then Permits & Licenses).
Signa
Tenant
PENAI.ITIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
nuy be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
1" Offens€ $100.00 / 2,a Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Ret.10/17D2
(Require)
/G--
YARMOUTH H EALTH DEPARTM ENT
1146 Route 28
South Yarmouth, MA 02664
PERFECT PROPERTY RLry LLC
23 ATHERTON RD
FOXBORO, M402035
RENTAL - 11 HUDSON RD