HomeMy WebLinkAboutRegistration & Email Corespondence 614-R - a(-/ -.55d
.,,,,O Application for 2024 Rental Registration
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TOWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH, MASSACHUSETTS 02664
Telephone (508) 398-2231, ext. 1240 ;y IENID
Fax (508) 760-3472
E-mail: epolite@yarmouth.ma.us APR 2 5 2024
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The Town of Yarmouth is excited to announce that we've streamlined the online"r"egistratron process#o
make it more user-friendly than ever before! Simply visit https://varmouthma.portal.opengov.corn/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! r� ;rbon
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detect
Monoxide Detectors and verified that they are less than 10 years old: Please initi I �. :
Contact the Building Department regarding questions on type and location prior to pur sin .
https://www.Yarmouth.ma.us/DocumentCenterNiew/11221/Smoke dete locati
• 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. and fee.
• The Health Department will call to schedule an inspection if required, upon receipt of your application
Rental Property Information
A!!fields are required!Incomplete forms without a valid phone #or email cannot be processed.
Rental Property Address: Rental Period:
4205 Heatherwood Yarmouth Port MA 02675 Annual X Seasonal Short Term (less than 31 days)
Trash Removal by: Rental of:
Owner Tenant X House Duplex Condo_ApartmentX Room
Property Owner Name: Mailing Address:
Gerald S May Jr, Trustee of Heatherwood 4205 Trust PO Box 910 Dennis MA 02638
(required)Primary Phone No. Alternate Phone No. (required)E-mail Address:
401-742-5710 508-385-9009 peggymmay@gmail.com
Owner's Representative/Rental Primary Phone No (required)E-mail Address:
Agent/Agency
I have read and lam familiar with the Town of Yarmouth Chapter 108 Rental Housing Bylaw, ChapterI 104 Anti-Noise Bylaw, Town of
tness
Yarmouth Short
Habit Habitation)all ofwich are availableif l on our webs e.https://and the MA. State www.varmouth.ma.us/423/RentalHousina-ProcMinimum Standards of iram
for Human )
Furthermore, I derstand I must notify the Health Department in writing when I am no longer renting the property, or I may be
subject(o nes -iy-
,,
Sign: Date:
Revised: 10/23/2023
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&mail Margaret May <peggymmay@gmail.com>
Message received about 4205 HEATHERWOOD
1 message
Town of Yarmouth, MA<noreply@opengov.com> Wed, Mar 27, 2024 at 8:17 AM
To: Gerald S May Jr<peggymmay@gmail.com>
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Town of Yarmouth, MA APR 2 5 2024
HEALTH DEPT.
Debra Bruinooge commented on Certificate Fee:
"Good morning, Gerald, you can mail a check,Attention: Yarmouth
Health Department, 1146 Route 28, South Yarmouth, MA. 02664. In
Message:
the memo line you can write BHR-24-552 and the property address.
Thank You! -Debra Bruinooge"
Where: 4205 HEATHERWOOD
Type: Rental Registration
Number: BHR-24-552
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