HomeMy WebLinkAboutRental Application,o
I 2OZS Rental Registration Application
TOWN OF YARMOUTH
Health Department
T I46 ROLITE 28. SOI.ITH YARMOUTH
MASSACHIISETTS 02664
Telephone (50E) 398-22J1. ext. 12.{0
Fax (508) 760-3172
E-mail: mdaley@ya r outh.ma.us
lmportant Notice (PLEASE READ CAREFULLY):
Ifyou do not receive your rental certificate within 30 days ofsending in your application, please contact our
office immediatelyl Please be aware that until you 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.
Submitting the registration application 4@l! complete the process or guarantee the automatic issuance of
a rental certificate. Your application will undergo a *review process, which includes verification ofassessors'
records, sepuc system, the number of bedrooms and previous inspections.
*An inspection may be required as part of this process.
Please note that occupanry 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 subrect to
adiustment based on t}le criteria mentioned above.
Ia
Smoke Detectors and Carbon Monoxide Detectors are Required!
Ownerls: I have ensured the batteries are changed, have tested ALL Smoke Detectorsft$On
Monoxide Detectors and verified that they are less than 10 years old: Please initiol.>4-
Cont:ctthe Building Depanment ragard in8 questio ns on ryp€ and locaEon prio, to pu.chasrnf,' {
yarmo uth.m a.us/ Dodu m e ntCenler/View / I I 2 2 I /Smo ke-detectoriocation
A rsrrefundable application fee of $80 per unit/rental is required.
Rental Certificates expire on December 3l.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 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 -----------)
Please Print Clearly
Rental Property Information
All fields are required! Incomplete forms without o valid phone i, oddress, or e-mail address will notprocessed
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HEATTH DEPT.
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Furthermore, I understand I must notiB/ the Health Department in writing when I am no longer renting theproperty, or I may be subject to fines & fees.
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