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Home My WebLink AboutRental Applications2OZS Rental Registration Application,o Smoke Detectors and Carbon Monoxide Detectors are Required! Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectors/jarbon Monoxide Detectors and verified that they are less than 10 years old,: Please initiol /Contactthe Building Department regarding q uestions on type and location prior to purchasin& / Srrrokellete.lor brniioltlz2ih . A rurrefundable application fee of $80 per unit/rental is required. . Rental Certificates expire on December 3l.t,2025. . To register online and pay via credit card, visittheTownof 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 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 ofYarmouth Health Department. website: https://www.yarmouth.ma.us/127 /Health lf you prefer to pay by check, you may begin TOWN OF YARIIIOTITH Healah Departnren I I I46 ROIJTE 28, SOI]TH YARMOTITH MASSACHI.]SETTS 0266{ Telephone (508) 398-2231, ext. 1240 Fax (508) 760-3172 E-nrail: nrdalevfa'\'armouth.ma.us Important Notice (PLEASE R.EAD CAREFULLY): lfyou do not receive your rental certificate within 30 days of sending in your application, please contact our ffice 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 4gg!!gl! complete the process or guarantee the automatic issuance of rental certificate. Your application will undergo a *review process, which includes verification ofassessors' ecords, septic system, the number of bedrooms and previous inspections. rAn 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. \]!9 2 fute'Z'9u I fEB ?A? TPto HIa See Reverse Side ------------) Please Print Clearly Rental Property Information Allfields are required! l'orms without o volid phone i, oddress, or c-mail address will not be processed. co{,{ Leno 'rJn ^R, o,l l'1 v v 1 Rental Property Address Rental Period: Year-Round/Long t.r^ -1 Weekly/Short Term (less than 31 days) _ Owner- Paid Pick Uo: Trash Removal by Tenant /'ll ouse- Duplex/Condo Apartment Room Property Owner Full Name Eb'o rtA,pc-! (requ ired) Entire Mailing Address: l6 Stro,.,ty Ctlf I' ( CeleK,, lle -bArt 2sS 2o (requil.ed) Primary Phone Number: joi -36oo? 68 Alternate Phone Number: 5ot '5 so 75J i (required)E-mail Address: f-b,o fui s r*'c< C lp /n^, /.co, Owner's Rep rese ntative/ Ren tal Agent/ 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 L0B Rental Housing Bylaw, Chapter 104 Anti-Noise Bylaw, the Town oFYarmouth Short-Term Rental Bylaw (where applicable), and the Massachusetts State Sanitary Code, Chapter Il IMinimum Standards of Fitness for Human Habitatlon), These documents are available for reference on the Town's website and may also be obtained upon request from the Yarmouth Health Department. si Date 0J.or .) { 7t/26/2024 Rental of: Furthermore, I understand I must notify the Health Department in writing when I am no longer renting the property, or I may be subrect to fines & fees. I c,t 2025 Rental Registration Application TOWN OF YARMOUTH llealth Department I l.16 RO[TTE 28, SOUTH YARMOITTH MASSACH IISE'I"I'S 02664 Telephone (508) 398-2231, ext. l24O Fax (5O8) 760-3472 E-mail: mda ley@va rmout h. ma. us Important Notice (PLEASE READ CAREFULLY): Ifyou 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 Buarantee 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. 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 rts 2a ?0?5 j ilv-r?ii IEPD Smoke Detectors and Carbon Monoxide Detectors are Required! Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectorg:CarUon Monoxide Detectors and verified that they are less than 10 years old: Please initiol /Z Contactth€ Building Department regard ing questions on type and location prior to purchasi6& https://www.yarnrouth.ma.us/Do(umentknterlYle\al 1 122 lllaqfEllg See Reverse Side . A rrrrrefundable application fee of $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 armouth.ma.us / 727 /Health 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 thatyou 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 of Yarmouth Health Department. website: https://www.v ) Please Print Clearly ReDtal Prope v Infolnratioo Rental Property Address: 3 co't)/*a \ e1*ov Q-ta +h Rental Period Year-Round/Long Te Weekly/Short Term (less than 31 days) Trash Removal by r"n^n y' Owner_ Paid Pirk I In. Rental of House Duplex(Condo Apartment-Room Property Owner Full Name (requ ired) Entire Mailing Address: )0 S)'-ey (rrFF- KO Cz^.\rR..r /lc- p.n O) 61 (required) Primary Phone Number: 5ot-3t"o+dt Alternate Phone Number: 5o?-Ito79J' (required)E-mail Address: Fb,o k;,, rtv*6Q A"/n.,1.coo Owner's Representative/RentalAeent/ 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 II (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. Sigr 0)-ot'"17Date Revised 11/26 /2024 [" b ;" Pv,',-,t- \