HomeMy WebLinkAboutRental Application2025 Rental Registration Application)o
TOWN OF YARMOUTH
Health Department
I I46 ROLITE 28, SOUTH YARMOUTH
MASSA(]HI-TSETTS 02664
Telephone (508) 398-2231, ext. 1240
Fax (508) 760-3472
E-m!il: md.ler'@!-arnrouth.ma-us
Important Notice (PLEASE READ CAREFULLY):
Ifyou do not receive your rental certificate within 30 days ofsending in your application, please contact our
ffice immediately! Please be aware that until you 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 does not complete the process or guarantee the automatic issuance of
rental certificate. Your application will undergo a *review process, which includes verification ofassessors'
cords, septic system, the number of bedrooms and previous inspections
'An inspection may be required as part ofthis process.
Please note that occupancy limits are in place based on septic caPacity and the number of
bedrooms. These m€asures 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.
Ia
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectors/qa
Monoxide Detectors and verified that they are less than 10 y
contact the Building Deparlment regaad ing questio ns on lype and location prior to purchasl
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ears old:
A nrrrefundable application fee of $80 per unit/rental is required
Rental Certificates expire on December 31'n,2025.
your application online. After completing the initial steps,
Yarmouth, and be sure to include your BHR number (whic
application process) and your rental address Make a note
."nding " check. Mail the check to the address above'
See Reverse Side
To register onlin
website: https://
Town of Yarmouth Health Department
fyou prefer to pay by check, you may begin
e and pa
w,^,.w.yar
y via credit card, visitthe
'mouth.ma.us/ 127lHealth I
make your check payable to the Town of
h will be provided during the online
in the notes section that you will be
)
lf NOT registering online, please make checks payable to: Town of Yarmoutlr and mail
completei applicition (oi reverse side.) & payment to: Town of Yarmouth Health Department.
All fields qre required! lncom
Please Print Clearly
Rental Propert!, Information
-mail address will not processedplete
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////
Rental Property Address Rental period:
ear-Round/Long T "ri{
eekly/Short Term [less than 31 days) _
Trash Removal by
er House- Duplex- CopXoo"*-rn.- *oorn-
Renta I of
Vea,u G*- Rea/ZV '7-nt<7<q4 kt/,0 .brt5'N vY+
roperty Owner Full Name:.
/as ing Address;-Roe- y'lz
5_sEN 3,l'l7A
re u red nE reti aMq
l,//11 46OatLSou
77y'--71-t - /r--r/
requtre onermary um er Alternate Ph one Number:(required)E-mail Address:
fed,'a k Ql c-r*cet a //e/
Tbbaacasa, We
enAge
Nee
ne s resee tan ep
n BR ot/
d a ac tiao n eoth r
presentative's Primary phone
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Re
Number:Representative's E-mail Address
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Furthermore, I understand r must notify the Hearth Department in writing when I am no longer renting theproperty, or I may be subject to fines & fees.
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