HomeMy WebLinkAbout2026 Rental Application - 8 FawnRENTAL REGISTRATION APPLICATION 2026
TOWN OFYARMOUTH HEALTH DEPARTMENT
1146 ROUTE 28, SOUTH YARMOUIH, MA 02664
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PLEASE REGISTER YOUR RENTAL PROPERW NO LATER THAN APRIL 1, 2026
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IMPORTANT RENTAL CERTIFICATE NOTICE
IF YOU DO NOT RECEIVE YOUR RENTAL CERTIFICATE WITHIN 30 DAYS OF APPLYING, CONTACT THE HEALTH DEPARTMENT
IMMEDIATELY. UNTIL YOU RECEIVE THE CERTIFICATE, YOUR PROPERTY IS CONSIDERED NOT CERTIFIED FOR RENTAL, WHICH MAY
RESULT IN FINES AND PENALTIES.
APPLICATION PROCESS
SUBMITTING THE APPLICATION DOES NOT AUTOMATICALLY ISSUE A RENTAL CERTIFICATE. A REVIEW PROCESS FOLLOWS, WHICH
INCLUDES:. VERIFICATION oF AsSEssoR RECORDSo SEPTIC SYSTEM CHECK
. NUMBER OF LEGAL BEDROOMS
. VIEW OF PREVIOUS INSPECTIONS
OCCUPANCY LIMITS
DETERMINED BY
o SEPnc SYSTEM CAPACITY
o NUMBER OF LEGAL BEDROOMS
WHYTH\S MAITERS: THESE MEASURES PROTECT DRINKING WATER AND AQUIFERS, ESPECIALLYAS THE ToWN
TRANSIflONS IOA FUTURE SEWER SYSTEM.
SMOKE AND CARBON MONOXIDE DETECTORS
AS PART Of Y(X'R CO}IPIIANCE RESFOT{SIBIIJNES PI.EAS€ E'6T'RE THE FOLTOWING :
o ALLSMOKE DEIECIORS & CARBON MONOXIDE DETECTORS HAVE FRESH BATTERIES
o ALL UNITS HAVE BEEN TESTED AND ARE lN PRoPERWORKING CONDITION
. ALL UNITSARE LESS THAN 10 YEARS OLD
OWNER CERNFICANON REQUIEED
I CERTIFY THAT I HAVE COMPLETED THE ABOVE REQUIREMENTS
OWNER INITIALS
- copy avaitabte at Buitding Department
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FEES (PER UNIT)
SHORI.TERM / WEEKLY RENTALS
REMALS OF 31 DAYS OR IESS /SEASONAT RENTATS
,I\lsPECIMAls REOUNED YE^NTT
$180 ANNUALLY
LONG.TERM / YEAR-ROUND RENTALS $80 ANNUALLY
A NON.REFUNDABLE APPUCArlON FEE OF $AO PER UNIT/REI{IAL IS REQUIRED
AN ADDMONAL FEE OF $1OO PER UNIT/RENTAL IS REQUIRED FOR SHORT.TERM RENTALS PER BUILDING CODE
RENTAL CERTIFICATES EXPIRE ON DECEMBER 31ST OF EACH YEAR
MAIL OR DRoP oFF CHECK TO THE YARMoUTH HEALTH DEPARTMENT: 1146 RoUIE 28, SOUItl YARMoUTH, MA 02664
TO REGISTER ONLINE AND PAY VIA CREDIT CARD, VISIT THE TOWN OF YARMOUTH HEALTH DEPARTMENT WEBSITE:
DUPLEx/MULTI.FAMILY RENTALS - REFUSE DISPOSAL RESPONSIBILITY
ln accordance with 105 CMR 410.560, and except as provided in 105 CMR 410.560(C) (for BULK ltems) , the owner of any residence
containingtwo or mor6 dwelling units, a rooming house, hometess shelter, or msnufacturod housing community, shatl be
responsible for and payforthe fin8l co][eclion and uttimate disposal of refuse.
I, IHE dV En, CERnFY IHAT l{l/ RE}{rAI PR@ERrY, WHIC]I cO IAlilS TWO OR MOfiE DWEIIING UNITS, lS lN COltlPuAIilCE
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OWNER INITIALS
RENTAL INFORMATION
INCOMPLETE FORMS WITHOUTAVALID PHONE # OR EMAIL WLL NOT BE PROCESSED
RENTAL PROPERryADDLESS- r-... t)?- tr.*^r-'-... (<"{.
NAME r. I
W1o*: \^- " <"'r)PROPERTY OWNER
PNOPTNW OWUCN MAIL\NG ADDRd..-*1 2,tT, ftll 0L-Li?D"-o 4-CtESS
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PROPERTY OWNER EMAIL ADDRESS
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OWNER'S REPRESENTATIVE/RENTAL AGENT
IF APPTJCABiIE
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REPRESENTATIVE PHONE #
REQUIRED
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RENTAL PERIOD:
TRASH REMOVAL BY
PAID PICK.UP TRASH COMPANY NAI'4E:
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RENTAL OF:
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ACKN OWLEDG ME NT STATE M E NT
I hereby acknowtedge that I have thoroughty reviewed and am ful.ty famitiar with the folLowing regutations:
Town ofYarmouth Chapter 108 - Rontal Housing Bytaw, Town of Yarmouth Chapter 104 -Anti-Noise B)daw, Town of Yarmouth
Short-Term Rentat Bytaw (ifappticabte), MassachusotG State Sanitary Code, Chapter ll - Minimum Standards of Fitness for Human
Habitation
These documents are avaitabte for reference on the officiat Town of Yarmouth website and may atso be obtained upon request from the
Yarmouth Heal.th Department. Furthermore, I understand that I am required to notify the Heatth Department in writing when I cease
rentingthe property. Faiture to do so may resutt in the imposition offines and/orfees.
QUESTIONS: Phone #: 508-398-2231 Ex. 1240, Emait:
APPLICANT SIGNATURE @/^/A--DATE /o l.z-t
REPRESENTATIVE EMAIL ADDRESS
REQ/./,REA
NUMBER OF UNITS FOR RENT:
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