HomeMy WebLinkAboutRental ApplicationY.{
2025 Rental Registration Application
TOWN OF YARIVIOUTH
Health Department
I I46 ROIITE 28. SOUTH YARMOI.]TH
MASSACHUSETTS 02664
Telephone (50E) 398-2231, ext. l24O
Fax (5O8) 760-3472
E-mail: mdaley@)yarmouth.ma.us
Important Notice (PLEASE READ CAREFULLV):
lfyou do not receive your rental certificate within 30 days ofsending in your application, please contact our
office immediately! Please be aware that until you 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 dggglgll 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 ofbedrooms and previous inspections.
iAn 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 occupanry 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/Cirbon
Monoxide Detectors and verified that they are less than 10 years old: Pleose initial 4 V
Contact the Building Department regard ing questions on type and location prior to purchasing.
httDs/wi^,w.varmouth.ma.us/Docu men tCe nter/View / I 1 2 2 I / S moke-d€tector-location
A rurrefundable application feeof $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://rarww.yarmouth.ma.us/127 / Health lf 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 (which will be provided during the online
application processJ 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 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 )
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Rental Property Information
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Rental Property Address Rental Period:
Year-Round/Long Term _
Weekly/Short Term 0ess than 31 days)
Trash Removal bv
Tena nt
I'.rid I'ick UD:
Owner uplex_ Condo_ Apartment_ Room_
Rental of
House/,
Property Owner Full Name:
AuA C, l/tceniE
(required) Entire Mailing Address:
54u e
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(requil.ed) Primary Phone Number:(required)E-mail Address:
Qthac rl rcg lrl elr@fltct tL ' corr
AN^.v, ilt*26'#/ ,, u,"*'/Owner's Representative/Rental
Agent/ VRBO, Del Mar, Vacasa, We
Need a Vacation, Other_
Aleb^b
Representative's Primary Phone
Number:
/4
Representative's E-mail Address
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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 of Yarmouth Short-Term Rental Bylaw (where
applicable), and the Massachusetts State Sanitary Code, Chapter ll IMinimum 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 notiry the Health Department in writing when I am no longer renting theproperty, or I may be subject to fines & fees.
?c,) 5/oSignDate1
Reisedt 17126/2024
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Alternate Phone Number: