HomeMy WebLinkAbout63 Pondview Ave paper application**INSPECTION OFALL U NITSARE REOUIRED!**
Please call to schedule 508-398-2231, oxt. 1240
\/ lllON-FRI,8:30 AM-{:30 PM
$/ annrrt Registration is an Owner Responsibili(v. 2023 RENTAL/LEASE REGISTRATION
$1OG ALARNS
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OWN OF YARMOUTH BOARD OF HEALTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
ON LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwellings) and Short Term Rentals. Excluding HoteVMotel, Inn, Lodging House or Bed and Breakfast
operations. (CHAPTER 108 - OCCUPANCY OF BUILDINGS BYLAW).
Note: Compliance with Zoning regulations is no1 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 additional FORMS AND/OR QUESTIONS, contact the HEALTH OFFICE AT
508-398-2231, x1240
63 Po.,dview Ave.
t
Rental Property AddressCya4on
Email and Pho
Cralq6lYoY\w)a-.y.@Yn CsoB) +s+ - 3"gSne#Owner Name (Reouired [nfo)
Lyonmark Property
P.O.Box 4't l
West Hyannisport,MA.
02672
/Town State ZIP
Rental Agent (if any)
Rental Period:
Rental of: House
Xs Email and Phone #
easonal_ Short Term_
Condo_Aparfrnent 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/CodetectorSoIderthanl0yearsmustbereplaced.
Call fire department regarding questions on new tvpe and location prior to purchasing. 508-398-2212
\-o
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108,
may be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
lstOffense $100.00 / 2nd Offense $100.00 (and each additional) $200.00. This applies to any OWNER or
Representative.
Trash Removal by: Owner_Disposal ilSticker at Landflll _
mlnlmum
br"+h*sd Picku Name of Company
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 & Licen
Signature
(Require)
Rev. l0/17122
)