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Home My WebLink About417 & 419 Registrations °`YRo Application for 2024 Rental Registration c {� TOWN OF YARMOUTH Health Department 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS,02664 y1-=D' Telephone (508) 398-2231, ext. 1240 Fax (508) 760-3472 AH 2 2 2024 E-mail: epolite@yarmouth.ma.us HEALTH DEPT. TH 5, 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. _ ,icing this upgraded_system_.you'll have_th.e power_ _engage with u, 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 1'' Contact the Building Department regarding questions on type and location prior to purchasing. httas://www.varmouth.ma.us/DocumentCenterNiew/11221/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 your application 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: 4n V J M Annual Seasonal Short Term (less than 31 days) Trash Removal by: Rentalta of: Owner Tenant / House_ Duplex Condo_Apartment_Room_ Property Owner Name: Mailing Address: (required)Primary Phone No. Alternate Phone No. (required)E-mail Address: SD - )� a N i S —77 S 1`l—) -c,{,t k _ se(--,�, rt. c_Av,) c.4 64- Ad- Owner's Representative/Rental Primary Phone No (required)E-mail Address: Agent/Agency I have read and I am familiar with the Town of Yarmouth Chapter 108 Rental Housing Bylaw, Chapter 104 Anti-Noise 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 fineFttrrees. Sign: Date: Revised: 10/23/2023 RENTAL- 15 THATCHER RD SPRINKLE BRADLEY K 199 BARNSTABLE RD HYANNIS, MA 02601 t°tYt. i�`_� Application for 2024 Rental Registration TOWN OF YARMOUTH Health Department 1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664 -- Telephone (508) 398-2231, ext. 1240 - J Fax (508) 760-3472 APR 22 2024 E-mail: epolite@yarmouth.ma.us sElt HEALTH DEPT Ybo' 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:/Ivarmouthma.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 Contact the Building Department regarding questions on type and location prior to purchasing. https://www.yarmouth.ma.us/DocumeritCenterNiew/11221/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 your application and fee. Rental Property Information All fields are required!Incomplete touts to#or email cannot be processed Rental Property Address: Rental Period: q 1v,1,4,1£1 S Annual ✓Seasonal_Short Term (less than 31 days) Trash Removal by: Rental of: Owner Tenant House_ Duplex✓Condo_Apartment_Room_ Property Owner Name: Mailing Address: p d 5 pc•Aa-f. I g°, BU rr k- (0 , )Q-Livi ,i s I rvr� oZl�n (required)Primary Phone No. Alternate Phone No. (required)E-mail Address: Sb\C -)L-4 S�ii 7�S j�7 ��k_Se,i;-?►ck a., C-cm4.A1•4 Owner's Representative/Rental Primary Phone No (required)E-mail Address: Agent/Agency I have read and I am familiar with the Town of Yarmouth Chapter 108 Rental Housing Bylaw, Chapter 104 Anti-Noise 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.usl423lRentalHousinq-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 Sign: Date: Revised. 10/23/2023 • • • • • • • RENTAL - 17 THATCHER RD SPRINKLE BRADLEY K 199 BARNSTABLE RD HYANNIS, MA 02601