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Home My WebLink AboutRental Applications2025 Rental Registration Application uilE(ir.E|J\yl=-, FEB 2.{. 20i5 HEALTH DEPT. Important Notice (PLEASE READ CAREFULLY): lfyou do not receive your rental certificate within 30 days of sending 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. Submi$ing 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 ofassessors' records, septic system, the number of bedrooms and previous inspections. *An inspection may be required as part of this process. PIease 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,4arbon Monoxide Detectors and verified that they are less than 10 years old: Please initioloLf Contactthe Building Department rega rd ing questions on type and location prior to purchasing. +*tpsl,rssrrrrrmoth.mn.usT'DocunrentCefter /1'1e!\ /1122l/Srrr)kr (l(tector-iocation . A rrn-refundable applicationfeeof $8O per unit/rental is required. . Rental Certificates expire on December 37"t,2025. . To register online and pay via credit card, visit the Town of Yarmouth Health Department website: hctps://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 (which will be provided during the online application process) and your rental address. Make a note in the notes section thatyou 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 sideJ & payment to: Town ofYarmouth Health Department. See Reverse Side ) TOWN OF YARMOUTH Health Department I I46 ROTITE 28, SO(I'I'H YARMOI,ITH MASSACH USETTS 02664 Telephone (508) 398-2231, ext. I 240 Fax (508) 760-3172 E-m ail : md aley(dy. rmouth.ma. us Please Print Clearly Rental Property lnformation Rental Property Address: l.i U)A 4 (',^ov 3 t Counona'la Rental Period: Year-Round/Long ,"r^t Weekly/Short Term (less than 31 days) _ Trash Removal by: Owner_ Paid Pick UD: House Duplexzf6ondo-Apartment-Room- F b,, /tv* t ) Property Owner Full Name ( required ) Entire Mailing Address: l^l,o(u;s t,,,-ecClo /n^, /Con (requ ired) Primary Phone Number: f ct'ilo *6[ Alternate Phone Number: 5c f -s6o {Qt ( retl uired)E-mail Address Rt j4o*eV CrrCenJi<"tl [/'{rt I e-,Aa Owner's Representative/Rental Agent/ VRBO, Del Mar, Vacasa, We Need a Vacation, Other Representative's Primary Phone Number:Representative's E-mail Addressr 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 applicable), and the Massachusetts State Sanitary Code, Chapter ll (Minimum Standards ofFitness 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. Date:hJ.ot-s{ Revised:t/26/2024 / Rental oi ,annr.., / to 2025 Rental Registration Application REEHIiEO FEB 2I ?O?i HEALTH DEPT,Important Notice (PLEASE READ CAREFULLY): lf you do not receive your rental certificate within 30 days of sending 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 4ggsIg! 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. *An inspection may be reqrrired 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. Ia Smoke Detectors and Carbon Monoxide Detectors are Required! Ovrners: I have ensured the batteries are changed, have tested ALL Smoke Detectors/Carbon Monoxide Detectors and verified that they are less than 1.0 years old: Pleose initiol Contact the Building Department regarding q uestions on type and location priorto purchasing. trrrEl?lAaae r]'armo u lh-ma-us/Do.uBede€nt€r/vie{,11 122 1/Siu€!.e-dete€td-location . A narrefu ndable application fee of $8O per unit/rental is required. . Rental Certificates expire on December 31't, 2025. . To register online and pay via credit card, visit the Town of Yarmouth Health Department website: https: //www.varmouth.ma.us/ 12 7/Health If you prefer to pay by check, you may begin your application online. After completing the initial steps, make your check payable to the Town of Yarmouth, and be sure to include your BHR number (which will be provided during the online application process) and your rental address. Make a note in the notes section that you will be sending a check. Mail the check to the address above. If NOT registering online, please make checks payable to: Town of Yarmouth and mail completed application (on reverse side) & paymentto: Town of Yarmouth Health Department. See Reverse Side ) TOWN OF YARMOUTH Health Department I t46 ROITTE 28, SOUTH YARMOUTH MASSACHUSETTS 02664 Telephone (508) 394-2231, ext. l24O Fax (5O8) 760-3472 E-mail : md aley*avarmouth. m a. us Please Print Clearly Rental Plopcrtv InfolDration o"/) Rental Property Address: ) ) Cor^,2^ate Qtay' \ltt^orJh Y Rental Period: ].--Year-Round/Long T erm _L Weekly/Short Term (less than 31 days) _ Trash Removal bv: Owner 'l enant_ Paid Pick Uo: House- Duplex$€ondo- Apartment- Room_ Rental of 6l,c lJupzf Property Owner Full Name (required) Entire Mailing Address:J€ s'lo*ev Cttrtr RD 5p-/n<",11 e- A4 (required) PrimaryThone trlumbE fcf-ibo0/5t f Alternate Phone Number: fof-Jto7sl3 ( req ui red) E-mail Address fi /, " {2, 9// e-c rP} "/^^/ < Owner's Rep resenta tive/ Ren ta IAgent/ 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 ofYarmouth'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 ofFitness 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, D)-ot-2 I,t/ 77/26/2024 Dite: