HomeMy WebLinkAboutRental Applicationio 2025 Rental Registration Application
Important Notice (PLEASE READ CAREFULLY):
If you do not receive your rental certificate within 30 days ofsending in your application, please contact our
office immediately! 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 ireview process, which includes verification ofassessors'
records, septic system, the number ofbedrooms and previous inspections.
*An inspection nray 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.
Io
Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectors,/Carbon
Monoxide Detectors and verified that they are less than 10 years old: Please initial P9Contact the Building Department regarding q ueslions on type and location prior to purchasing.
httDsr //www.varmouth.ma.us/UocumentCenter /View/1 l22f /Smoke-detector-location
A rryrrefundable application fee of $8O 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.yarmouth.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 fwhich 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.
lf 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 )
TOWN OF YARMOUTH
Health Department
I I46 ROTITE 28, SOT]TH YARMOI.ITH
MASSACHUSETTS 02664
Telephone (508) 398-2231, ext. l24O
Fax (508) 760-3472
E-mail: mdaley@yarmouth.nra.us
Please Print Clearly
Rental Property lD fornlation
Rental Property Address:
qtl4 0o. [n,.'".
4o' ya<(nor,.lrla
Weekly/Short Term (less than 31 days) _
Rental Period
Year-Round/Long Tentl
Trash Removal by
Owner 'l'ena n t
Paid Pick Up:
Hour"/orpl"*-Condo Apartment Room-
Rental of
?^*.\c. cr $n o"t\to.t
Property Owner Full Name required) Entire Mailing Address:
14 6,rro.. V.cr-r O(
5o. O.r..,i9 (\q o?6bo
(required) Primary Phone Number:
509 237 tos.6
Alternate Phone Number:
goe 3a< z7\a
( req u i red) E-ma il Address:
Frot^ \{o s co .r s{n^cli o,4
Cc,r'rca5t. crct
o
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 1OB
Rental Housing Bylaw, Chapter 104 Anti-Noise Bylaw, the Town ofYarmouth Short-Term Rental Bylaw (where
applicable), and the Massachusetts State Sanitary Code, Chapter ll (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 theproperty, or I may be subject to fines & fees.
t- q- z<Si DateMfi"//^((.u,
Reised: 7l/26 /2024
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