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Home My WebLink AboutRental Applications2025 Rental Registration Application Important Notice TPLEASE READ CAREFULLY): If you do not receive your rental certificate within 30 days of sending in your application, please contact our ffice immediately! Please be aware that until you 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 does not complete the process or guarantee the automatic issuance of rental certificate. Your application will undergo a *review process, which includes verification of assessors' ords, septic system, the number of bedrooms and previous inspections *An inspection may be required as paft of this process Ia Smoke Detectors and Carbon Monoxide Detectors are Required! Owners: I have ensured the batteries are changed, have tested ALL Smoke Detectorqlcarbon Monoxide Detectors and verified that they are less than 10 years old: eleose initio())- Contact the Building Department regard ing quest ions on type and locarion prior to purchasi)6-- . A ncrrefundable app lication fee of $8O per unit/rentalis required. . RentaI Certificates expire on December 3].'t,2025. . To register online and pay via credit card, visit the Town of 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. 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 ) you prefer to pay by check, you may beginwebsite: https://vvww.y armouth.ma.us/ 127 /Health lf TOWN OF YARMOUTH Health Department I t-16 ROt-rTE 28, SO[TTI{ YARMOUTH MASSA(' t TSETTS 0266.1 Telephone (508) 398-2231, ext. I 2.10 Fax (508) 160-3172 E-mail: md a lel (rrya rm o u th. nr a. rl s llal 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. hrtpsi //awrw.lii r ro url '.rra. Lr\ /focu rn en tt.ente r /Vr ewaiTZ r /Sliioke:detec.to r:i;t:i t i.xr Please Print Clearly Rental Property In fornration Rental Property Address Dbb(/t4frS*94. Ia,l Rental Period: Year-Round/Long Term - Weekly/Short Term (less than 31 daysl Trash Removal by: Tenan ln*twt'aid Pick UD: Owner -/ -V House-ilDuplex]ondo Apartment Room\,/' Rental oi Property Owner Full Name: b",tn',('t\ b N u s s lt;/"4-(required) Entire Mailing Address rc1 !pr/)J nk?ua, ( required) Primary Phone Number kt<)w?q<bjlrttt \ n lternate I'hone Number-: Grs)Dr7k3()") (required)E-mail Address: $"n ir,u, Ih, 55 P y^"1, tn Owner's Represlntative/Rental Agent/ VRBO, Del Mar, VapasA;-We NEed i vacation, o*ei4lbt]_t( --t--2 Representative's Primary Phone Number: l/fuL'fr*n' Representative's E-mail Address /a* 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 Il (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. Reisedt 11/26/2024 ) ,,* \.MV4uodlfu ,^,.. s)phi 2025 Rental Registration Application TOWN OF YARMOUTH Health Department I I{6 ROTITE 28. SOLITH YARMOT]TH MASSA(]I I I,ISETTS 02664 Telephone (508) 398-2231. ext. l24O Fax (508) 760-3172 E- mail : mda le1-@-r-a rmo uth. nr!. us IlAfr 2 {u?5 Important Notice (PLEASE READ CAREFULLfI: lf you do not receive your rental certificate within 30 days of sending in your application, please contact our office immediatelyl 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 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, Ia 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: Pleose initial Contactthe Building De partment regarding questions on type and location priorto purchasin --triiriTTGww.yarrnouth.m-a.us/DocumentC"nter/Vrew/ll22llsni"ie.Lletector-iaitt,on . A rsrrefundable application fee of $80 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 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 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://rvww.yarmouth.ma.Us/127lHealth If See Reverse Side ) Smoke Detectors and Carbon Monoxide Detectors are Required! Please Print Clearly Renta I ProDertY Infolnrat ion laS S"^q4 ,/?E DJLL Y A,;*<*a Rental Property Address:Rental Period: Year-Round/Long Term Weekly/Short Term (less than 31 days) O*r"r", / Paid Pick Uo: Trash Removal by: h.il/u,L b;9",,t (rnr"*) conao- Apartment- Room- Rental of: House Property Owner Full Name: hb + 6o n n't /V ws: bi*(z-4- (r'equired) Entire Mailing Address /D? p-,//u,&/ u6t"^*i/k, N V /ssw(required) Primary Phone Number kq<D)b)t6,\ , , oo-,., Alternate Phone Number: / (r4t'Eflu (required)E-mail Address: b,nniru///r,u@Xa,r"t'tt> Owner's Representa\ive/Rental Ae.ent/ VRBO. Del Mar. Vacasa. We NEed I Vacation, ornyQtah,l; (-'w) Representative's Primary Phone Number:Representative's E-mail Address ,W 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 Il [Minimum Standards of Fitness for Human Habitation). These documents are available tor reference on the 'l'own'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. Revised: 11 6 /2024 Tenant_ sisn (k,;/l-r/-fu Dab: 9rA<