HomeMy WebLinkAbout8 Maine Ave paper application**INSPECTION OFALL NIT ARE RE UIRED!**
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 IIEAIJTH
1146 ROUTE 28, SOUTH YARMOUTH MA 02664
510(E ALARN 5
,\@/ sAvE I Nr<
-]fi-,.,,t
ATTENTION LANDLORDS of Houses, Apartments, Duplexes, Condominiums, Room Rentals. (in owner
occupied dwetlings) 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 not inferred, nor intended.
RENTAL/LEASE Registrations EXPIRE on DECEMBER 3l of each year. FEE IS $80 PER RENTAL/
LEASE UNIT. Comptete this form and return to the Health Oflice. Checks payable to: "TOWN OF
YARMOUTH". For additional FORMS AND/OR QUESTIONS, contact the HEALTH OFFICE AT
508-39E-2231' xl24l,
7 lil n,,tt ftie
Rental Property Address
rl t+€(t,ftw e 4at /s/g
Owner N me I Email and Phone #
bqq fonsltrlrlls lwt 0 7-h
Rental Agent
Rental Perio
Rental of: H
ty ,b
easonal Short Term
s /Town State ZIP uf
Email and Phone #
Condo
-Ap
artment Room
(occupancy less than 3l dr
Smoke
08-398-12 l:
-Smoke Detectors and Carbon Monoxide Detectors Required-
Owners: I have ensured the batteries are changed, and have tested ALL
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. 5
PENALTIES - Late registration of more than 30 DAYS after receipt or violations of any part of Chapter 108.
moy be subject to non-criminal citations issued as follows. Each day's violation deemed a separate offense.
1'r Offense $100.00 / 2nd Offense $100,00 (and each additional) 5200.00. This applies to any OWNER or
Representative.
Trash Removal by: Owner-
(Once a week minimum)
Paid Pickup_ Name of ComPanY
Note: Please remove trash & recycle bins from road after pick up day.
Tenant Disposal w/Sticker at Landfill _
online: https://yarmouth.ma.us$80.00 Annual fee: Owner may also register
(follow online services icon, then Permits & Li
Signature
(Require)Rev. l0/1722
censesl ^zu,-
I
I
I
BEATTY ARTHUR J
699 COTUIT RD
MARSTONS MILLS, MA 02648-1532
I
-
YARMOUTH HEALTH DEPARTMENT
1145 Route 28
South Yarmouth, MA 02664