HomeMy WebLinkAboutRental Applicationio 2025 Rental Registration Application
T OWN OF YARMOUTH
Health Department
1146 ROUTE 28, SOUTH YARMOUTH
MASSACHUSETTS 02664 Telephone
(508) 398-2231, ext. l24O
Fax (5O8) 760-3472
E-mail: mdaley@yarmouth.ma.us
Important Notice (PLEASE READ CAREFUTLY):
Ifyou do not receive your rental certificate within 30 days ofsending in your application, please contact our
office immediatelyl 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.
Submitting the registration application does not complete the process or guarantee the automatic issuance of
a rental certificate. Your application will undergo a *review process, which includes verification of assessors'
records, 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.
Ia
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectors bon
Monoxide Detectors and verified that they are less than 10 years old: Pleose initiol
Contact the Building Department regarding questions on type and location priorto purchasing.
hftDs: / /www.yarm o Lrth.ma. u s/ Docu mentce nter/view/ 1 t 2 2 1/S m oke-detector-locatio!
A rurrefundable application fee of $8O per unit/rental is required.
Rental Certificates expire on December 37st,2025.
To register online and payvia credit card, visit the Town ofYarmouth Health Department
website: https: //www.yarmouth.ma.us,/ 727 /Heahh lfyou 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 ofYarmouth Health Department.
See Reverse Side )
Please Print Clearly
Rental Property Inforrnation
Rental Property Address:
/68 Lo^5 Po^/
Se- rr/ar C"'o "rt\
Q(
f^a ozbLq
Rental Period:
Year-Round/Long f "r^ /
Weekly/Shoft Te r-m (less than 31 days) _
Trash Removal bv
Owner_ Tenan
Paid Pick UD: Oqrl.5cf P\sgo:a.)
Rental of:
Hnr.e(,pl.r-Condo Apartment Room-
Property Owner Full Name:
Pe\.. (J ffro^ l{o,-'.
(required) Entire Mailing Address:
11 4reeov , er.o O (
4. Dcno'S f'.^ oZLbO
(r..quired ) Primary Phone Number
Sos - z3) -1o85
Alternate Phone Number:
sos za, 3339
(required)E-mail Address:
(Y'ro .^lto...co n s\qaJt t ocr @
Co w.caslr, net
Owner's Representative/Rental
Agent/ VRBO, Del Mar, Vacasa, We
Need a Vacation, Other-
Representative's Primary Phone
Number:Representative's E-mail Address
I hereby acknowledge that t have reviewed and am fully familiar with the Town of Yarmouth's Chapter l,0B
Rental Housing Bylaw, Chapter 104 Anti-Noise Bylaw, the Town ofYarmouth Shoft-Term Rental Bylaw (where
applicable), and the Massachusetts State Sanitary Code, Chapter Il (Minimum Standards of Fitness for Human
Habitation). These documents are available for reference on the Town's wetlsite and may also be obtained upon
request from the Yarmouth Health Department.
Furthermore, I understand I must notii, the Health Department in writing when I am no longer renting the
property, or I may be subject to fines & fees.
A,/^ Lt M,,(^I q 25
Revised; 7L/26/2024
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