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2. As of July 1, 2025, all short-term rentals (STRs) are required to undergo an inspection by the Building Department. Please contact the Building Department to schedule your inspection.
4. Short-Term Rental Annual Registration
   *Valid for the year in which the registration is completed and expires on December 31st each year*
6. Property Owner Name:*
8. Property Address:*
   Please provide house number, street name, Florence, Leeds or Northampton, zip code
10. Property Owner Contact #*
11. Property Owner Email Address: *
13. Date property began operating as a short-term rental (month/day/year)*
15. Property Type (Select One)*

    1. Single Family
    2. Two-Family
    3. Three-Family
    4. Larger Multi-Family or Apartment Building
16. Calendar year in which you are registering for*
20. Number of Rental Units:*
21. Does the rental unit(s) have two means of egress?*
    -- Select One --YesNo
23. Is there a 1 hour fire separations (5/8" Type X drywall on both sides of the wall) between the units?*
    -- Select One --YesNo
24. Does the unit(s) have hardwired smoke and carbon monoxide detectors?*
    -- Select One --YesNo

    Detectors must have a date that is no more than 10 years from the manufacturing date printed on the back.

26. Is there one carbon monoxide detector within 10' from each "sleeping area"?*
    -- Select One --YesNo
27. How many planned "sleeping areas", including spaces that you are allowing guests to sleep on a sofa or that contain a couch bed, futon, etc.? *

    (One smoke alarm in each "sleeping area", one smoke/CO detector within 10' of each "sleeping area")

29. Does your unit(s) have one full bathroom for every three guest rooms?*
    -- Select One --YesNo

    Required per State Plumbing Code

30. Are there fire extinguishers in the rental unit(s)?*
    -- Select One --YesNo
32. Is this property served by an on-site septic system?*
    -- Select One --YesNo
33. Is this property served by a private water supply well?*
    -- Select One --YesNo
35. Owner Occupied: *

    1. Yes
    2. No

    (Owner lives at the address at least 6 months of the year?)

36. Is off-street parking available?*

    1. Yes
    2. No
38. How many spaces?*
40. What year was the structure built or last renovated?*
42. Property Manager: *
    Person or entity responsible for the property on a day-to-day basis.
44. Property Manager Address:*
46. Property Manager Contact #:*
47. Property Manager Email Address:*
49. 105 CMR 460.100 (D): Short Term Vacation or Recreational Rental Exemption

    Short Term Vacation or Recreational Rental Exemption from the Obligation to Abate and/or Contain Paint, Plaster or Other Accessible Structural Material Containing Dangerous Levels of Lead

    1. The owner(s) of a dwelling unit, including but not limited to a private residence, condominium, hotel, motel, or bed and breakfast establishment that is leased, rented or occupied for vacation or recreational purposes for a period of 31 days or less shall not be required to abate or contain any paint, plaster or other accessible structural material containing dangerous levels of lead in compliance with 105 CMR 460.110 when a child under six years of age is an occupant, upon meeting and maintaining the following conditions:
       1. The owner or owner’s agent shall visually inspect as least annually all of the interior surfaces and the exterior casing, sash and sill of all windows of the particular dwelling unit, but not interior common areas if present, to ensure that there is no cracked or otherwise deteriorated plaster or putty or peeling, chipping or flaking paint.
       2. Any peeling, chipping or flaking paint, deteriorated plaster or putty shall be made intact according to the procedures of the Protocol for Maintaining Intact Paint issued by the Director.
       3. The owner or owner’s agent shall provide a copy of the Short-Term Vacation Rental Notification (Vacation Rental Notification) issued by the Director to each tenant with a child under six years of age.
       4. The owner or owner’s agent shall date the Vacation Rental Notification to indicate when the visual inspection was conducted and all paint, plaster and putty was intact on relevant surfaces of the dwelling unit, indicated at 105 CMR 460.100(D)(1)(a).
       5. The owner or owner’s agent shall indicate on the Vacation Rental Notification the number of days for which the dwelling unit is rented.
       6. The owner shall write his or her telephone number on the Vacation Rental Notification so that the tenant may contact the owner for prompt repair of any deteriorated paint, plaster or putty on relevant surfaces indicated at 105 CMR 460.100(D)(1)(a).  The owner may substitute the name and telephone number of an agent who is authorized to repair non-intact paint, plaster or putty.
       7. The owner or owner’s agent and tenant shall sign and date the Vacation Rental Notification and retain a copy.  If the owner or owner’s agent has provided the tenant with the Vacation Rental Notification but the tenant refuses to sign the Vacation Rental Notification, the owner or owner’s agent may attach to the Vacation Rental Notification a statement that the tenant has received the Vacation Rental Notification but the tenant has refused to sign it.
       8. If peeling, chipping, flaking paint or deteriorated plaster or putty is present on relevant surfaces of the dwelling unit, indicated at 105 CMR 460.100(D)(1)(a), or the owner fails to provide the Vacation Rental Notification in accordance with 105 CMR 460.100(D)(1)(c) through (g), the owner is not exempt from the requirements for abatement or containment at 105 CMR 460.110 or liability for damages at 105 CMR 460.180.
    2. An owner who complies with 105 CMR 460.100(D)(1)(a) through (g) may rent a dwelling unit under the Short Term Vacation or Recreation Rental Exemption for as many periods of 31 days or less as he or she may choose, provided that the same tenant with a child under six years of age does not occupy the same dwelling unit for a period of more than 31 days in any twelve-month period.
51. Certification of the Commonwealth's Lead Law Exemption

    By signing below, I, being the property owner or property manager of the address indicated above, am aware of and will comply with the Commonwealth's Lead Law exemption for short term vacation or recreational rentals.

53. Signature*
54. Date*
    Date
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56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field