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Home My WebLink About2026 ApplicationRENTAL REGISTRATION APPLICATION 2026 TOWN OF YARMOUTH HEALTH DEPARTMENT 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664 ol .\^\, .4;1+. s* '"" tr. ,t/a.$-i v Public Heaftli \'L$tt J}.N E RENEWAL D NEwAPPLICATIoN PLEASE REGISTER YOUR RENTAL PROPERW NO LATER THAN APRIL 1, 2026 IMPORTANT RENTAL CERTIFICATE NOTICE IF YOU DO NOT RECEIVE YOUR RENTAL CERTIFICATE WITHIN 3O 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. A NON-REFUNDABLE APPLICATION FEE OF $80 PER UNIT/RENTAL IS REQUIREDAN ADDITIONAL FEE OF $1OO PER UNIT/RENTAL IS REQUIRED FOR SHORT.TERM RENTALS PER BUILDING CODE RENTAL CERTIFICATES EXPIBE ON DECEMBER 31ST OF EACH YEAR MAIL OR DROP OFF CHECK TO THE YARMOUTH HEALTH DEPARTMENT: 1'146 ROUTE 28, SOUTH yARMOUTH, MA 02664TO REGISTER ONLINE AND PAYVIA CREDITCARD, VISIT THE TOWN OF YARMOUTH HEALTH DEPARTMENT WEBSITE: APPLICATION PROCESS SUBMITTING THE APPLICATION DOES NOT AUTOMATICALLY ISSUE A RENTAL CERTIFICATE. A REVIEW PROCESS FOttOWS, WHICH INCLUDES:. VERIFICATION OF ASSESSOR RECORDS. SEPTIC SYSTEM CHECK. NUMBER OF LEGAL BEDROOMS. VIEW OF PREVIOUS INSPEcTIoNS OCCUPANCY LIMITS DETERMINED BY:o SEPTIC SYSTEM CAPACtryo NUMBER OF LEGAL BEDROOMS WHY THIS MATTERS: THESE MEASURES PROTECT DR/vKING WATER ANDAQUIFERS, ESPECIALLY ASTHE TOWN IRANSITIONS TO A FUIURE SEI,YER SYSIEM SMOKE AND CARBON MONOXIDE DETECTORS AS PART OF YOUR COMPLIANCE RESPONSIBILITIES, PLEASE ENSURE THE FOLLOWING: ALt SMOKE DETECTORS & CARBON I.lONOXIDE DETECTORS HAVE FRESH BATTERIES ALL UNITS HAVE BEEN TESTED AND ARE IN PROPER WORKING CONDITION ALL UNITS ARE LESS THAN .1 O YEARS OLD Smoke Detector Location Reouirements - yarmouth. MA _ copy avaitable at Buitding Depanment OWNER CERTIFICATION REOUIREQ I CERTIFY THAT I HAVE COMPLETED IIlE ABOVE REQUIREM ENTS OWNER INITIALS P, D FEES PER UNIT) SHORT.TERM / WEEKLY RENTALS RENIATS OF37 D,AYS OR LESS /NSg6CI/Q]VS SEQUIsFD YEAR!.Y $180 ANNUALLY LONG.TERM / YEAR.ROUND RENIALS $BO ANNUALLY I l I DUPLEx,/MULTI.FAMILY RENTALS - REFUSE DISPOSAL RESPONSIBILIry ln accordance with 105 cMR 410.560, and except as provided in 105 cMR 410.560(c) (for BU LK items) , the owner of any residence containing two or more dwel.ting units, a rooming house, hometess shetter, or manufactured housing community, shaLt be responsible for and pay for the tinat cottection and uttimats disposaI of refuso. I, IHE OWNER, CERTIFY THAT MY RENTAL PROPERfl WHICH CONTAINS TWO OR MORE DWELLING UNITS, IS IN COMPLIANCE wrTH MA STATE SANtTARy CODE 10s CMR 410.560 (C) AND 105 CMR 410.s60 (4)(E). OWNER INITIALS R. RENTAL INFORMATION INCOMPLETE FORMS WITHOUT A VALID PHONE # OR EMAIL WILL NOT BE PROCESSED -3 iEl?fiffiffiqd, 5or{r. uf ar^ox+-,, mA oa<,o4 R E NTAL 2 \iVonte,PROPERTY OWNER NAI'4E rz Rabbi oltLcG?11 ADDRESSPROPERTY OWNER MAILI D;o &rr -5 1,"l PROPERTY OWNER PHO REQUIRED HONE # IF APPLICABLE ALTERNATIVE hdr'rnonteO Yahoo'comI PROPERIY OWNER EMAIL ADDRESS REQUIRED Ra\ph biuont ,l4anaSer OWNER'S REPRESENTATIVE/RENTAL AGENT IF APPLICABLE REPRESENTATIVE REQUTRED 5 4 HP NoE ')115'7eJ .(Dfi'\fal frdr,moolC@ REPRESENIATIVE EMAIL ADDRESS REQUIRFD StONG-IERM/YEAR.ROUND trSHORT.TERM/WEEKLY RENTAL PERIODI !OWNER flTENANT RENTAL OF ACKNOWLEDGMENT STATEMENT I hereby acknowtedge that I have thoroughty reviewed and am fuity famitiar with the fottowing regutations: Town otYarmouth Chapter'108 - Rentat Housing Bylaw, Town ofYarmouth Chapter l04 -Anti-Noise Bylaw, Town olyarmouth Shon'Term Rentat Bytaw (if appLicabte), Massachusefts State Sanirary Code, Chapter lt - Minimum Standards o, Fitness tor Human Habitation These documents are avaitabte for reference on the officiatTown of Yarmouth website and may atso be obtained upon request trom the Yarmouth Heatth Department. Furthermore, I understand that I am required to notity the Heatth Oepartment ln writing when I c ease renting the property. Falture to do so may result in the imposition of fanes and/or fees. QUESTIONS: Phone #: 508-398-2231 Ex. 1240, Emait: rniederberger@yarmouth.ma.us DATF TRASH REMOVAL 8Y I I PAID PICK-UP TRASH COMPANY NAME: DHOUSE EDUPLEX trCONDO trAPARTMENT !ROOM NUT.4BER oF uNrrs FoR Rerr a APPI ICANT SIGNATI IRF