HomeMy WebLinkAboutRental application2025 Rental Registration Application
TOWN OF YARMOUTH
Health Departmenl
I I46 ROUTE 28. SOTITH YARMOI,]TH
MASSACHTISETTS 02664
Telephone (508) 39E-2231, ert. 1240
Far (5O8) 760-3172
E-mail: mdalev@varmouth.ma.us
Important Notice (PLEASE READ CAREFULLY):
Ifyou do not receive your rental certificate within 30 days ofsending in your application, please contact our
office immediately! Please be aware that untilyou receive a rental certificate from the Health Department, your
property is being rented without a valid certificate, which may result in fines and other penalties.
pubmitting the registration application 4gg!E! complete the process or guarantee tIe automatic issuance of
I rental certificate. Your application will undergo a *review process, which includes verification ofassessors'
fecords, septic system, the number ofbedroomi and previous inspections.
*Ar) inspection may be required as part of this process.
Please note that occupancy limits are in place based on septic capacity and the number of
bedrooms. These measures are in place to protect our drinking water and aquifers. As
Yarmouth prepares for a future transition to a town sewer system, these steps are crucial
for preserving our water resources. Previous occupancy determinations may be subiect to
adiustment based on the criteria mentioned above.
Io
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectors n
Monoxide Detectors and verified that they are less than 10 years old:
Contact the BuildinS Department r.tard in8 questio ns on type and location prior to purchasi
outh.tua.us Document[enter I a2
. A rsrrefundable application fee of $8O per unit/rental is required.
. Rental Certificates expire on December 31.t, 2025.
. To register online and pay via credit card, visit the Town of Yarmouth Health Department
website: https://www.varmouth.ma.us/ 12 7/ Health If you prefer to pay by checl<, you may begin
your application online. After completing the initiai steps, make your check payable to the Town of
Yarmouth, and be sure to include your BHR number [which will be provided during the online
application processJ and your rental address. Make a note in the notes section that you will be
sending a check. Mail the check to the address above.
. If NOT registering online, please make checks payable to: Town of Yarmouth and mail
completed application (on reverse side) & payment to: Town of Yarmouth Health Department.
See Reverse Side -----------)
All fields are required! lncomplete forms without o volid phone #, oddress, or e-mail address will not
Please Print Clearly
Rental Property Information
REGEO\YED
JAN 08 ?025
HEALIH DEPT,
JAN 0 t 2t1i.1
HEATTH OEPT,
processed.
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5
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Rental Property Address tl/
Rental Period:
ear-Round/Long T .rid
eekly/Short Term (less than 31 days) _
Trash Removal by
ner Tenan HouSQ(Duplex- Condo- Apartment- Room-
Rental oi
Prope Name:,/HA
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Number Representative's E-mail Address:
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Furthermore, I understand I must notify the Health Department in writing when I am no longer renting theproperty, or I may be subject to fines & fees.
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