HomeMy WebLinkAboutRental Application2025 Rental Registration Application
T O \\'N OF }'ARMOUTH
Health Depa rtment
I I46 ROTITE 2t. Sot TH } ARMOUTH
\fAssA( ltt sETTS 02664
Telephone (50E) -198-22Jl. exr. l24O
Fr\ (508 ) 760-3472
E-mail: nrdrle\,fl \'a rmouth.ma. us
Important Notice (PLEASE READ CAREFULLy):
fyou do not receive your rental certificate within 30 days ofsending in your application, please contact ourffice immediately! Please be aware that until you receive a rental certifiiate from the Heaith Depanment, yourropefty is being rented without a valid certificate, which may result in fines and other penalties.
ubm tti n the reglstration app canon CO mp ete th e process or gua rantee the automatiC ISs ua fnCeorentacertiftcateourappcationundergoareviewwhChncludefitifsVEncaonoassessors
ECords,sepric system the number of bed rooms and p revious nspection S
Please note tJrat occrrpancy limits are in place based on septic capacity and the number ofbedrooms. These measures are in place to protect our drinking water and aquifers. AsYarmouth prepares for a future transition to a town sewer sysiem, these steis are crucialfor preserving our water resour€es. previous occupanry detlrminations may be subject toadiustrnent 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 SmokeMonoxide Detectors and verified that they are less than 10 years old: please
Contact the Building D€panment r.garding queslions on type and location priorto
Detectors/Carpon
initiol \-4.: >77-pur.hasrng
ndable application fee of SBO per unit/rental is required
Rental Ccrtificates expire on December 31,rt.2025.
To.register online and payvia credit card, visit the Town ofyarmouth Health Departmentwebsite: https: / /wlr.rv.var.mouth.nr4.us / 1 2.7 r,l It,alt ir If you prefer to pay by check, you may beginvour appllcation online. After completing the initiaisteps, -rk" yori .heit p"y"ii" io it,l ro*n ,rYarmouth, and be sure to include your BHR number 1*ii.h -illte p.orriaed au.ing ti,u ontin"application process) and your rental address. Make a note in the noies section ttrat-you wiit Uesending a check. Mail the check to the address above.
If Nor registering online, prease make checks payable to: Town of yarmouth and mailcompleted application (on reverse side) & paymlnt to: Town ofyarmouth Hearth Department.
)
A rsrrefu
does not
process,
*An inspection may be required as part of this process.
See Reverse Side
Please Print Clearly
Rental Property lnformation
All Jields qre required! lncomplete forms without a volid phone #, address, or e-mqil address will not processed
Rental Property Address:
7 Aan,1s eekly/Shon Term (less than 31 daysJ _
Rental Period:
ear-Round/Long Term
Trash Removal bv
er_ Tenan orXO,.rpt"*- Condo- Apartment- Room-
rPo ep f/2/72 /2required) Entire M
(sa) 52r-tq?
require r mary one um er Alternate Phone Numb€r dress: .//24fubtlareudreE.am Adq)
?bb 'JZ.
Va
Sre netaewn5 ne tatnoAge ecasa,
eN de a aca otin tho re .4a)z.z+60
Representative's Primary
Number:
one
/oratts4tazralTyl
Representative's E-mail Address
am fully familiar with the Town of yarmouth's Chapter 109
Bylaw, the Town ofYarmouth Short-Term Rental Bylaw (where
ry Code, Chapter II (Minimum Standards of Fitness for HumanHabitation). These documents are available for reference on the Town's website and may also be obtained uponrequest from the Yarmouth Health Department.
Furthermore, I understand I must notify the Health Department in writing when I am no longer renting theproperty, or I may be subiect to fines & fees.
I hereby acknowledge that I have reviewed and
Rental Housing Bylaw, Chapter 104 Anti-Noise
applicablel, and the Massachusetts State Sanita
Revised: 11 024
JAN 08 ZoZs
RtrGLsu \y Lid,
,JE{TH ntroF
REGEu!:==
JAN n S 7671
HEALA DEPT
Rental of:
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Del Mar,
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