HomeMy WebLinkAboutRental Application2025 Rental Registration Application
TOWN OF YARNIOTJTH
Health Department
I l,16 ROITTE 28, SOUTH YARMOITTH
MASSACHUSETTS 02664
Telephone (508) 398-2231, ext. 1240
Fax (5O8) 760-3472
E-mail: mdaley@yarmouth.nrr.us
Important Notice (PLEASE READ CAREFULLY):
lfyou do not receive your rental certificate within 30 days of sending in your application, please contact our
ftice 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 dgg!!gl! complete the process or guarantee the automatic issuance of
rental certificate. Your application will undergo a +review process, which includes verification of assessors'
ords, 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.
Ia
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: t have ensured the batteries are changed, have tested ALL Smoke Detectorsf.Qarbon
Monoxide Detectors and verified that they are less than 10 years old'. Please inltial Y fv\
Contactth€ Building Departmen! regard ing q uestions on type and location priorto Purchasing
hrtris://'www.vannouth.nrr-u\/ irocur entCenter noke{lete.tor-lo.atron122
A mrrefundable application feeof $8O per unit/rental is required.
Rental Certificates expire on December 31,"r,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 checkto the address above.
If N0T registering online, please make checks payable to: Town of Yarmouth and mail
completed application (on reverse side) & payment to: Town ofYarmouth Health Department.
See Reverse Side )
you prefer to pay by check, yor.r may beginarmouth.ma.us / 127 /Healrh lfwebsite: https://www.y
Please Print Clearly
R(]ntal Propolty Inlolnration
Rental Property Address
'12
tD-
td,.<,\.ng!o"'. Ave
y'a,rc or,.\\^ 64 ozblz
Rental Period:
Year-Round/Long t.r^ -/-
Weekly/Short Term (less than 31 days)
-Trash Removal by:
Owner_ Tenan
Paid Pick UD:
uourelDuplex- Condo- Apartment- Room-
Property Owner Full Name
?e\"r Ld fr)o^t*o'-''
(requi red) Entire Mailing Address:
fno.^\ lo.r co..glrua\'.c "r O ce14c4
\1 (rce",,l""t^l O<
6. D<nn',: fnr o"65O
*, n*
(required) Primary Phone Number
Sos, 231 togS
Alternate Phone Number:
,os 395 4"\8
(required) E-mail Add ress:;:..iH;si.'.+ i "''' "Jcomcast, oet
Owner's Representative/RentalAgent/ VRBO, Del Mar, Vacasa, We
Need a Vacation, Other
Representative's Primary Phone
Number:Representative's E-mail Address
I hereby acknowledge that I have reviewed and am fully familiar with the Town of Yarmouth's Chapter 108
Rental Housing Bylaw, Chapter 104 Anti-Noise Bylaw, the Town ofYarmouth Short-Term Rental Bylaw (where
applicableJ, and the Massachusetts State Sanitary Code, Chapter II (Minimum Standards of Fitness for Human
Habitation). These documents are available for reference on the Town's website and may also be obtained upon
request from the Yarmouth Health Department.
Furthermore, I understand I must notify the Health Department in writing when I am no longer renting the
property, or I may be subject to fines & fees.
Si QA c, r,h^rtt-I q-25IJate:
Revised 11/26 /2024
Rental of: