HomeMy WebLinkAboutRental Application2OZS Rental Registration Application)o
Smoke Detectors and Carbon Monoxide Detectors are Requiredl
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectort/glyO"
Monoxide Detectors and verified that they are less than 10 years old: Please ini.tial},$-
Conlactthe BuildlnS Department regarding questions on type and location pnor lo purchasing:
. A rrrrrefundable application fee of $80 per unit/rental is required.
. Rental Certificates expire on December 31st, 2025.
. To register online and pay via credit card, visit the Town of Yarmouth Health Department
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 sideJ & payment to: Town ofYarmouth Health Department.
See Reverse Side
website: https://you prefer to pay by check, you may beginwwrv.yarmouth.ma.us/L27 /Health lf
)
TOWN OF YARMOUTH
Health Departmert
I I46 ROTITE 28. SOTITH YARMOT'TH
MASSA('H LISETTS 02664
Telephone (508) 398-223 l, ext. 1240
Fax (508) 760-3172
E-mail : mdaleya-'.-armouth.ma. uS
Important Notice (PLEASE READ CAREFULLY):
fyou do not receive your rental certificate within 30 days ofsending in your application, please contact our
ffice immediately! Please be aware that untilyou receive a rental certificate from the Health Department, your
roperty is being rented without a valid certificate, which may result in fines and other penalties.
ubmitting the registration application 4ES!!! complete the process or guarantee the automatic issuance of
rental certificate. Your application will undergo a *review process, which includes verification ofassessors'
ecords, septic system, the number of bedrooms 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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Rental pro perty Information
moil address will not processed
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Rental Property Add ress,/)f
eekly/Short Term (less than 31 daysJ _
Rental Period
ear- Round/Long Term
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Address
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requ ire nmary one um ternate Phone NumberAI (requ ired) E-mail Address
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Representativei s Primary Phone
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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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