HomeMy WebLinkAboutRental Application2O2S Rental Registration Application
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TOWN OF YARMOUTH
Health Department
I I46 ROLITE 28. SOTITH YARMOUTH
MASSACHLISETTS 02664
Telephone (508) 398-223t. ext. 1240
Fax (508) 760-3472
E-mail: mdalev@r'a rmouth. ma.us
Important Notice (PLEASE READ CAREFULLY):
lfyou 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.
Fubmitting the registration application does not complete the process or guarantee the automatic issuance of
p rental cenificate. Your application will undergo a *review process, which includes verification ofassessors'
lrecords, septic system, the number ofbedrooms and previous inspections.
*An 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.
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Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectors/g*on
Monoxide Detectors and verified that they are less than 10 years old: Pleose initiol>#-
Contactthe Suilding Depanment ragarding questions on type and locatron prior lo purchaslnf
httos://www.varm outh.ma.us/ Docu menlcenter/view/ L I 2 2 I /Smoke-detector-lec3!ion
A nr>refundable application fee of $80 per unit/rental is required.
Rental Certificates expire on December 37't,2025.
To register online and pay via credit card, visit the Town of Yarmouth Health Department
website: hnps: //www.varmouth.ma.us/ 12 7/Health If you prefer to pay by check, you may begin
your application online. After completing the initial 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 process) 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 )
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Please Print Clearly
Rental Property lnformation
Allfields are required! lncomplete forms without a valid phone #, oddress, or e-mail address will not processed.
Rental Property Address:
eekly/Short Term (less than 31 days) _
Rental Period:
ear- Round/Long Term
Trash Removal by:
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House_ Duplex_ Cor,fGpr.t-ent_ Room_
Rental oi
roperty Owner Full Name:
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Furthermore, I understand r must notify the Hearth Department in writing when I am no ronger renting theproperty, or I may be subject to fines & fees.
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