Department of Inspection and Standards
Jorge O. Elorza, Mayor
Joseph M. Atchue, Director/Building Official
Kevin Mahoney, Deputy Director
Remit Check to: Department of Inspection and Standards / Payable to Providence City Collector
Attn: Maria
401-680-5356
444 Westminster Street Providence, Rhode Island 02903
Notification of Vacant and/or Abandoned Property
In accordance with Rhode Island General Law § 44-5.1-1 et seq and pursuant to the Code of Ordinances for the
City of Providence Ordinance Article XV, Sec. 21-253(b):
Any person or entity who, through foreclosure or otherwise, vacates or maintain vacant property shall notify
the Department of Inspection and Standards.
Registration Fee: First Year $100.00, Second Year $200.00, Third Year $300.00
As such, I hereby notify the Department of Inspection and Standards that the following property is vacant:
Name of person or entity:
Plat: Lot:
Street Address:
Reason of vacancy: ___________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Current Owner Name and Address: Registered Agent Name and Address:
____________________________ _____________________________
____________________________ _________
____________________
____________________________ _________
____________________
Telephone
: __________________ Telephone: ___________________
Designated Property Management Company responsible for security and maintenance of the property:
Company Name: _____________________________________________________________________
Address: ___________________________________________________________________________
Phone Number: ______________________________________________________________________
Email: ______________________________________________________________________
___________________________________
Signature Date
___________________________________
Email: ___________________
Email: ____________________
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Department of Inspection and Standards
Jorge O. Elorza, Mayor
Joseph M. Atchue, Director/Building Official
Kevin Mahoney, Deputy Director
Remit Check to: Department of Inspection and Standards / Payable to Providence City Collector
Attn:
Maria 401-680-5356
444 Westminster Street Providence, Rhode Island 02903
TO BE FILLED OUT BY THE OWNER OR THE PROPERTY MANAGER
# of Stories: __________ Garage(s): __________ Neighborhood: _____________
Type
of Construction: Wood ______ Brick_____ Block______ Other_________
Sta
tus: O/A______ B/S_____ Reno_____ Secure_____
RECOM
MENDATION:
No Ac
tion_____ Board_____ Possible Raze_____ Immediate Raze_____
CUT TAPS NEEDED: Yes_____ No_____
FEE PAID: Yes_____ No_____ Amount:
REMARKS: ______
______________________________________________________
_____________________
___________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_____________________
___________________________________________________
_____________________
___________________________________________________
_____________________
___________________________________________________
Inspe
ctors Signature: ______________________________________________________
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