HomeMy WebLinkAbout32 Fenway paper applicationApplication for 2024 Rental Registration
TOWN OF YARMOUTH
Health Oepartment
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (so8) 398-2231 , ext. 1240 nge EI\/EDFax (508) 760-3472
E-mail: epolite@yarmouth.ma.us JAN tJ4 2024
The Town of Yarmouth is excited to announce that we've streamlined the ontine .g,"i;E$,f HP"E3?;make it more user-friendly than ever beforel Simply visit hftps://varmouthma. portal.ooenqov.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 platform is designed lo make your registration
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 1O years old; P/ease initial alt--
Conlacl the Building Department regarding queslions on type and location prior to purch6sing.
hltps //www varn, oulh ma us/DocumenlCellter/Vlew/1 1221lSmoke detector locat on
A non-refundable application fee of $80 pef UniUfgntal is required
Rental Certificates expire on December 31"', 2024.
lf NOT registering online, please make checks payable to Town of Yarmouth and mail completed application &
payment lo: Town of Yarmouth Health Department.
The Health Depaftment will callto schedule an iDspection if rcquired. upotl receipt of your application and fee.
Rental Property lnformation
All fields are re uired! lncom lete forms wilhoul a valid hone # or email cannot be rocessed
)t-t +
7A
Rental Property Address
Jy' PenD61
Rental Period:
Annual v/Seasonal Short Term (less than 31 davs)
Trash Removal by:
owner-! Tenant
Rental of:
House y' Duplex Condo Apartment Room
Mailing Address:
2o t..lc,Lh tn aJ4G. { .'lnr -,*Lot, mzDnven pr,,l Q"d\Arsf
Property Owner Name
(requ ired )E mail Address(required)Primary Phone No
I9331572
Alternate Phone No
(required )E mail Address:Owner's Representative/Rental
AoenVAoencvD,r",n"l',:t K" ll1- r w;l 508.'7 b0- q e1 I
Primary Phone No
I have read and lam familiar with the Town of Yarmouth
Yarmouth Short Term Renlal Bylaw (rf applrcable) and
tor Human Habrtation) all of which are avarlable on ou
Chapter 108 Rental Housrnq Bylaw Chapter 104 Antr-Noise Bylaw Town of
the MA State Sanitary Code, Chapter ll (Mrnrmum Standards of Fitness
r websrte
d I must notify the Health Department in writing when I am no longer renting the property, or I may be
o;-7'k*Sign Dater /
Furthermore. I understan
subject to fines and tses.
Revised: 10/2312023