HomeMy WebLinkAboutRental Application2025 Rental Registration ApplicationIo
TOWN oI- \'A R ]\f ()TI TH
Health Deparlme1lt
I I46 ROTITE 26, SOI]TH YARMOI'TH
MASSA(]HI.ISETTS 0266.I
Telephone (5O8) 398-2231 , ext. 1240
Fax (50E) 7 60-3472
E-mail: mdalev@)varmouth.ma.us
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Important Notice (PLEASE READ CAREFULLY):
Ifyou 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 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 ofbedrooms 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.
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Smoke Detectors and Carbon Monoxide Detectors are Required!
Owners: I have ensured the batteries are changed, have tested ALL Smoke Detecto
Monoxide Detectors and verified that they are less than 10 years old: Pleose initiol
Contadthe Building Depanment regard ing questions on type and location priorto purchasing.
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A rrrrrefundable application fee of $80 per unit/rental is required.
Rental Certificates expire on December 31,n,2025.
To register online and pay via credit card, visit the Town of Yarmouth Health Department
website: https://www.varmouth.ma.us/ 1Z 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 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 sideJ & payment to: Town of Yarmouth Health Department.
See Reverse Side )
Please Print Clearly
Rental Property Information
All fields are required! lncomplete forms without a vqlid phone #, address, or e-mqil address will not processed.
Rental PropeIty Address:d- Pn,/bb n
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Rental Period:
Year-Round/Long Term
Weekly/Short Term (less than 31 days)
Trash Removal by:
Ownet Tenant I H ouse /,uplex- Condo- Apartment- Room
Prooertv Owner Full Name:
fu ,,i;e v,bdle- Nussb't*eL-(required) Entire Mailing Address
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l^6r^4"i,/lr,NY' t^5W
lrequiredl Primary Phone Number
1nq<) )ab -abl5\ (611,,*)
Alternate Phone Number: Y
W<)l/li-n b3' (D.1,
(required)E-mail Address:
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Owner'entative/Rental
Agen
Need
t el Mar,Vacasa. We4ia.Wton,Other
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Representative's Primary Phone
Number:
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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 ofYarmouth Short-Term Rental Bylaw fwhere
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 ot tained 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.
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Revised 11/26/2024
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Rental oi