HomeMy WebLinkAbout248 Camp Street C2 paper applicationApplication for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETT
Telephone (508) 398-2231 , ext. 1240
Fax (508) 760-3472
E-mail: epolite@yarmouth.ma.uswT fne Town of Yarmouth is excited to announce that we've streamlined the online registration process to
make it more user-friendly than ever before! Simply visit https://varmouthma. portal.openqov.com/ to get
started. There, you can effortlessly create your account and conveniently pay the registration fee.
Using this upgraded system, you'll have the power to engage with us throughout the entire process. Not only
can you securely conrmunicate with our team, but you'll also gain access to your important documents, the
ability to upload photos, and much more! This improved platform is designed to make your registration
experience smooth and efficient.
HtlFrvEn
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectors/Carbon
Monoxide Detectors and verified that they are leis than '10 years old: P/ease initial tlS
Contaci the Building Depadment regarding queslions on type and location prior lo purchasing.
httos://www varmoulh.ma. us/DocumentCenlerly'iew/1 1221lSmoke-detector-location
A non-refundabte application fee of $80 pef UniUfgntal is required.
Rental Certificates expire on December 31"r, 2024.
lf NOT registering online, please make checks payable to: Town of YarnDuth and rnail completed applicalion &
payment to: Town of Yarmouth Health Deparlment.
The Health Department willcallto schedule an inspection if required, upon receipt of your application and fee.
Rental Property I nformation
All fields are re utred! lncom lete forms without a valid one # or email cannot be rocessed
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Rental Property Address: tA43 CaatVfh'et f CA Rental Period:
AnnualVSeasonal Short Term (less than 31 davs)
Trash Removal by: fla2cciafr'o4.
Owner Tenant
Rental of:
Duplex Condo t/ *oo,House Apartment
Property Owner Name:lk/riil szrz,ey.//u Mailino Address.Ci^7:;uar, 4"'4p"" /t/y' a
(required)Primary Phone No
fo? 7?5 9e ? o
Alternate Phone No.(reouired)E-mail Address:
t.-/-^rru eag l'l^
Owner's Representative/RentalAgenUAgency Primary Phone No (reqdired)E-mail Address
I have read and larr familiar with the To' n of YanrDUh Chapter 108 Rental Fbusng Bylaw. Chapter 'lM Antr-lkise Byla\,!. Tom of
Yarmouth Short Term Rental Bylaw (if applicable) and lhe [.4A State Sanitary Code. Chapter ll (lvlrnimum Standards of Fitness
forHumanHabitation)allofwhichareaVailableonourwebSite.
t notify the Health Department in writing when I am no longer renting the property, or I may be
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subject to
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Revised: 10/2312023
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