HomeMy WebLinkAbout41 Ruby Street paper applicationryion for 2024 Rental RegistratioY
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231, ext. 1 240
Fax (508) 760-3472
E-mail: epolite@ya rmouth. ma. us
EK
'[F 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://va rmouthma. oortal.openoov.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 communicate with our team, but you'll also gain access to your important documents, the
ability to upload photos, and much more! This improved plarorm is designed to n'lake your !'egistration
experience smooth and efficient.
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 less than 10 years old: P/ease initial-
Contact the Building Department regarding questions on type and location prior lo purchasing.
httos //www varmouth ma us/DocumentCenterNiew/1 1221lSmoke-delectol-location
A non-refundabte application feeof $80 per uniUrental is required.
Rental Certificates expire on December 31sr, 2024.
lf NOT registering online, please make checks payable to: Town ofYannouh and rnail completed application &
payment to: Town of Yarmouth Health Department.
The Health Depaftment willcallto schedule an inspection if required. upon receipt of yourapplication and fee
Rental Property lnformation
All fields are re ured! lncom )lete forms without a valid hone # or email cannot be rocessed
an arT tar h
Yarmouth Short Term
for Human Habitation)
Rental Bylaw
all oI which are available on ourwebsite. httD rmouth.ma.us 423/RentalHo sino-Prooram
Health Department in writing when I am no longer renting the property, or I may be
(if applicable) and the A State Sanitarv Co e, Chapter lvlinimum Sta
se Byla\,!
ndards of Fitness
Furthsubje
Sign:
ermore. I understand I must notifo the
ct to fintrl and fres.b'. t 1' J/,/\/*cl- t - t"z]/Lu
Rental Period:
Annual /Seasonal Short Term (less than 31 days)
Rental Property Address,lt Rubl Sh,kt 'Yor,a*f-d osoTs
Trash Removal by:
o*n., / T"nrnt
Rental of:
House 4Duplex Condo
nar/<e+ Sf,, 5t o/ h*n,\t ol42
ADartment Room
Mailing AddressProperty Owner Name:
Rota* V. (rien' RevocoLie'lrasd
(required)E-mail Address
r vbe.s (9 comc-as*ned
Alternate Phone No
(w3- sE, - L/r 81
(required)Primary Phone No
(-t'/ - (?>3- io 5S
(required)E-mail AddressPrimary Phone NoOwner's Representative/Rental
AqenVAqency
NIA
Revised: 10/2312023
Date t f ,vfet