HomeMy WebLinkAboutRegistration / Certificate THE COMMONWEALTH OF MASSACHUSETTS
TOWN OF YARMOUTH
BOARD OF HEALTH
RENTAL OCCUPANCY CERTIFICATE
Compliance with Zoning regulations is neither inferred nor intended.
Permission is hereby granted to: EXPIRES ON:December 31,2024
DONALD MERINO MAP-LOT: 133.10
9 ELLIS CIRCLE MAXIMUM OCCUPANCY:6
YARMOUTH PORT, MA 02675
TO RENT/LEASE THE PROPERTY AT:
14 CAMELOT RD,YARMOUTH PORT,MA 02675
2024 Renewal
RESTRICTIONS:
TOWN OF YARMOUTH HOUSING AND SPACE-USE BYLAW,CHAPTER 108
108.2 No person shall rent or lease, or offer to rent or lease,any building or any portion of a building to be used for human
habitation without first registering with the Board of Health,which shall determine the number of persons such building or portion
of a building may lawfully accommodate under the provisions of the Massachusetts State Sanitary Code,and without first
also conspicuously posting within such building or portion of a building a certificate of registration provided by the Board of
Health specifying the number of persons such a building or portion of a building may lawfully accommodate.
108.4 There shall be a fee to procure a certificate of registration,which shall be valid for one(1)year or to December 31 of each
year,whichever is sooner.Thereafter the permit shall be annually renewed.
108.5 A permit issued under this chapter shall be revoked if,at any time,the licensing authorities are satisfied that the licensee is
unfit to hold the license. They may suspend and make inoperative, for such period of time as they may deem proper,the
permit mentioned herein for any cause deemed satisfactory to them. The revocation and suspension shall not be made
until after investigation and a hearing or after giving the licensee an opportunity to be heard. Notice of the hearing shall
be delivered to the permittee not less than three (3) days before the time of the said hearing.
108.6 Any person or tenant violating any provision of this chapter shall be punished by a fine of not more than two hundred dollars
(S200.00). Each day's violation constitutes a separate offense.
108.8 The owners of all rental units, as defined in 108.2, shall be required to certify annually that operating smoke
detectors have been placed in the rental unit. The smoke detectors and locations thereof shall be satisfactory to
the Yarmouth Fire Department.
NOTE: Carbon Monoxide Detectors are required in any dwellingwith Oil,Gas, Coal,or wood-burning equipment and/or
a structurally enclosed or attached garage in accordance with MGL 148,sec.26F12 and 527CMR3 1.00
MUST BE POSTED ON PREMISES
Certificate Number: BHR-24-424
7.# Application for 2024 Rental Registration
TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231, ext. 1240
C2i=:�i�pMCD
Fax (508) 760-3472
E-mail: epolite@yarmouth.ma.us FEB 0 ? 2024
Nevi
N5 HEALTH DEPT.
The 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.opengov.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 to 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 10 years old: Please initial g Fit,/
Contact the Building Department regarding questions on type and location prior to purchasing.
httios://www.va rmouth.ma.us/DocumentCenter/View/1 1221/Smoke-detector-location
• Anon-refundable application fee of$80 per unit/rental is required.
• Rental Certificates expire on December 31st, 2024.
• If NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application &
payment to: Town of Yarmouth Health Department.
• The Health Department will call to schedule an inspection if required, upon receipt of yourapplication and fee.
Rental Property Information
All fields are required!Incomplete forms without a valid phone#or email cannot be processed.
Rental Property
Address:' Rental Period:
Lt �1iei�'(Cr PG(. *eyipoti fe_rod-1 PH-Annual Seasona� Short Term (less than 31 days)
Trash Removal by: "ntal of:
Owner )C Tenant Housc_Duplex_Condo_Apartrnent_Room_
Property Owner Name: Mailing Address:
PoAJ tD tt/, >' c l�o `I E� 1s C� rYC/� Y�l�-wtc1� 1 t /1�-
(requirec)Pnmary Phone o. Alternate Phone No. (re6luired)E-mail Address:
Owner's Representative/Rental Primary Phone No (required)E-mail A dress:
A t/Agency
Ti5SPb laYles kelA;. 014 -C—Og-2-6`1 � i?✓/1-NE—P oo, wutL
I have read and lam familiar with he Town of Yarmouth Chapter 108 Rental Housing Bylaw, Chapter 104 Anti-Nois'e Bylaw, Town of
Yarmouth Short Term Rental Bylaw(if applicable)and the MA. State Sanitary Code, Chapter II (Minimum Standards of Fitness
for Human Habitation)all of which are available on our website. https://www.varmouth.ma.us/423/RentalHousinq-Program
Furthermore, I understand I must notify the Health Department in writing when I am no longer renting the property, or I may be
subject to fines and fees.
Sign: TidcealabLi iteSit\t-ei0 Date: di 419103
Revised: 10/23/2023