Fillable Rental Operating License Application PDF (City of Annapolis)

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Rental Operating License Application PDF (City of Annapolis)

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BROWSE CITY OF ANNAPOLIS (MD) FORMS

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Revised Feb. 14, 2020 Standard Rental Operating License Application 1
Standard Rental Operating License Application
A property owner must obtain a license prior to operating a rental facility within the City of Annapolis. License application and rental
operating license are non-transferable. Application must include fee of $100.00 per unit. Property must be inspected for compliance
of the City’s Code and International Property Maintenance Code before the license will be issued.
Rental Property Address Unit #
Property Tax ID # ________________________ Complex Name __________________________________ Year Built_____________
Property Owner Information
Property Management or Authorized Agent* Information
Name Name
Company Company
Address Address
City State Zip City State Zip
Day phone Cell Day phone Cell
E-mail E-mail
*The Property Management or authorized agent will be the person that we contact regarding renewals, inspections, complaints and any
violations.
Single Family Two Family Multi Family Above commercial/maritime Room Rental (incl. efficiencies)
Total # of dwelling units in the entire building_______ Total # of units requested on this application_______
Does the unit have AC electric power supplied smoke alarms? (City Code Section 17.40.440) Yes No
***Must have smoke alarms installed on each ceiling or wall outside of each separate sleeping area in the immediate vicinity of
bedrooms, in each sleeping room, and each story of the dwelling unit (International Property Maintenance Code 704.2)*** Must
install carbon monoxide alarms on each level of a rental unit. The alarm may be battery powered with long life batteries or A/C
powered. Alarms may be combination smoke and carbon monoxide alarms.
All owners of residential rental properties in Maryland constructed prior to 1978 must comply with the State’s lead law (Title 6, Subtitle 8
of the Environmental Article). Properties built prior to 1978 must provide a copy of the Maryland Department of the Environment
(MDE) lead certificate. Properties built between 1950 and 1978 must provide a copy of MDE lead certificate if new tenant as of
January 1, 2015. We cannot process your application until this section is completed and lead requirements are met. If you have
questions call MDE at 410-537-4199.
MDE Tracking Number Lead Certificate Number
Tenant Move in Date Copy of Certificate Included Yes No
Owner is required to provide the Customer Information Booklet for Rental Operating License and Property Maintenance prepared by
the Department of Planning and Zoning to new tenants. (City Code Section 18.04) Copies are available on our website
www.annapolis.gov or by visiting our office.
FOR CITY USE ONLY
Zoning
Approved by
Date:
Rental License #
Rental District
1 2 3 4
City of Annapolis
Department of Planning and Zoning
145 Gorman Street Fl 3
Annapolis, MD 21401-2529
Permitting@annapolis.gov • 410-260-2200 • Fax 410-263-9158 • TDD use MD Relay or 711 • www.annapolis.gov
Description of Property (Please check only one)
Maryland Lead Certification Requirements
Required Customer Information Booklet
Revised Feb. 14, 2020 Standard Rental Operating License Application 2
Rental Property Address _______________________________________________________ # of Units/Rooms
The applicant hereby certifies and agrees that: (1) they are the owner or the duly authorized agent of the owner to make this application; (2) they have
read all of the information above set forth and declare under penalty of perjury that the foregoing is true and correct; (3) the license, if issued, may be
declared void should said information be false; (4) they will comply with the ICC Code and the Charter and Code of the City of Annapolis, which are
applicable hereto; (5) they agree to inspections by the Department of Planning and Zoning and the Fire Department to determine if the property is in
compliance with the provisions of the ICC Code and the Charter and Code of the City of Annapolis; (6) they will notify the Department of Planning and
Zoning within 24 hours if there is a change of ownership or in the agents who are listed above.
Applicant Signature Date
Fee Submitted $ . Checks should be made payable to City of Annapolis and mailed to the address above.
Owner/Agent Certification
City of Annapolis Checklist
MA
RYLAND DEPARTMENT OF ENVIRONMENT (MDE)
STATE LEAD LAW COMPLIANCE
All ow
ners of residential rental properties in Maryland constructed prior to 1978 (“Affected Properties”) must comply with the
State’s lead laws (Title 6, Subtitle 8 of the Environment Article). Compliance includes annual registration with MDE, distribution
of educational materials, and obtaining an MDE Lead Inspection Certificate to verify that the property meets the required risk
reduction standard if 1) the property is built prior to 1950 or 2) the property is built between 1950 and 1978 with change of
occupancy after January 1, 2015. You must supply the information on this checklist before your properties may be registered
or renewed for renting or leasing. If you have any questions regarding your compliance with Maryland lead laws, contact MDE
at 410-537-4199 or visit
www.mde.state.md.us.
* Co
mplete for each separate dwelling unit or submit spreadsheet or other list detailing cert. numbers for multiple
dwelling units.
1. Is
the residential property an “affected property” i.e., residential rental property built before 1978? Yes No
2. Property owner
Address
City ST Zip
3. Property address
City ST Zip
4. If the answer to #1 above is “No”, give reason (e.g. post 1949, rent for less then 3 months at a time, Lead free). If the
residence is certified “lead free”, please provide a copy of your certificate.
If
answer to #1 is “NO,” proceed to line 10.
5. If “Yes” to #1 above, has the property been registered with The Maryland Department of the Environment (“MDE”)?
Yes No
6. If “Yes” to #1 above, is the property registration renewal current for this year? Yes No
7. Provide the tracking number (formerly the owner registration number)
8. When did the current tenant(s) move in?
9. If applicable, provide the Lead Inspection Certificate Number for the current tenancy as required under §6-815(c), 6-817(b)
or 6-819(e) of the Environment Article.
Copy of Certificate attached Yes No
10. I hereby certify under the penalties of perjury that the above information is true and accurate.
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Rental Operating License Application PDF (City of Annapolis)

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Completed 14 July 2020

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