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Home My WebLink About2026 ApplicationA RENTAL REGISTRATION APPLICATION 2026 TOWN OF YARMOUTH HEALTH DEPARTMENT 1 146 ROUTE 28, SOUTH YARMOUTH, MA 02664 r.g-*; JAN t 3 2026 F RENEWAT C NEwAPPLICATIoN Public Heal$i PLEASE REGISTER YOUR RENTAL PROPERry NO LATER THAN APRtL 1, 2026 IMPO RTANT RENIAL CERTIFICATE NOTICE lF You Do Nor REcElvE YouR RENiAL cERTIFToATE wrrHrN 3o DAys oF AppLyrNG, coNTAcr rHE HEALTH DEpARTMENTIMMEDIATELY UNTIL YOU RECEIVE THE CERTIFICATE, YOUR PROPER]Y IS CONSIDERED NOT CERTIFIED FOR RENIAL, WHICH MAY RESUTT IN F]NES AND PENALTIES SUBMITTING IHE APPLICATION DOES NOT AUTOMATICALLY ISSUE A RENTAL CERTIFICATE. A REViEW PROCESS FOTLOWS WH CH INCLUDES VERIFICATION OF ASSESSOR RECORDS SEPTIC SYSTEI'4 CHECK NUMBER OF LEOAL BEDROOI4S VIEW OF PREVIOUS INSPECTIONS AS PART OF YOUR COMPLIANCE RESPONSIBILITIES, PLEASE ENSURE THE FOLLOWING ALL SMOKE DETECTORS & CARBON MONOXIDE DETECTORS HAVE FRESH EAITERIES ALL UNITS HAVE BEEN TESTED AND ARE IN PROPER WORKING CONDITION ALL UNIISARE LESS THAN .] O YEARS OLD OWNER CERTIFICAIION REOUIRED I cERTIFY THAT I HAVE co|,4 PTETED THE AEoVE REQUIREI,IENTS owNERrNrrALs A o. Smoke Detector Location Requirements _ yarmouth. MA - copy avaitabte at Buitding Department FE ES PER UN A NON.REFUNDABLE APPLICATION FEE OF $SO PER UNIT/RENTAL IS REQU IREDAN ADDITIoNAL FEE oF $1oo PER uNtr/RENTAL ts REeutRED FoR sHoRT-TERM RENTALs pER BUtLDtNG coDE RENTAL CERTIFICATES EXPIRE ON DECEM BER 31ST OF EACH YEARMAIL OR DROP OFF CHECK TO THE YARMOUTH HEALTH DEPARTMENT;1146 ROUTE 28, SOUTH YARMOUTH, tvrA 02664TO REGISTER ONLINE AND PAY VIA CREDIT CARO, V]SIT TH E TOWN OF YARMOUIH HEALTH DE PARTMENT WEBSITE: APPLICATION PROCESS OCCUPANCY LIMITS DETERMINED BYi. SEPTIC SYSTEM CAPACITYo NUMBER OF LEGAL BEDRooMS WHY THIS MATTERS:THESE A'EASURES PROTECT DRNKING WATER AND AQUIFERS, ESPECIALLY ASTHE TOWN T,RANS/I/ONS IOA FUTURE SEWER SYSTEM OXMSoAEDNAcBnN0oMN E EDTECTO RS SH ORT.TERM / WEEKLY RENTALS /NSPECI/ONS REQUIRED YEARLY $1BO ANNUALTY LONG.IERM / YEAR,ROUND RENTALS $BO ANNUALLY I RENIATS OF37 D/YS OR TESS t / ,/ln accordance with 105 CMR 410.560, and except as provided in 105 CMR 410.560(C) (fo. BULK irems) , the owner ol any residence c0ntaining two or more dwetting unlts, a rooming house, hometess shettsr, or manufactured housing community, shaLt be responsibte for and pay for the finat cottectlon and uttimate disposaI of refuse. I, THE OWNER, CERTIFYTHAT MYRENTAL PROPERTY WHICH CONTAINSTWO OR MORE DWELLING UNITS, IS IN COI'IPLIANCE wlTH MA STATE SANtTARy CODE 105 CMR 410.s60 (C) AND 105 CMR 410.s60 (4)(E). owNER rNrnALS R D BENTAL PROPERTY ADORESS Ho.r-l-aY'e,,lar*ou*hPo.\, rnp o2t-75 I hereby acknowtedge that I have thoroughty reviewed and am futiy familiar with the following regu(arions: Town ot Yarmouth Chapter 108 - RentaI Housing Bytaw, Town of Yarmouth Chapter 104 - Anti-Noise Bytaw, Town ot yarmouth Shon'Term Rental Byl'aw (if appticabte), Massachusetts State Sanitary Code, Chaptor ll - Minimum Standards ol Fitness for Human Habitation These documents are avaitabl,e for reference on the officiatTown ol Yarmouth website and rnay also be obtaineo upon request lrorn the Yarmouth Heatth Depanment. Furthermore, I understand that I am required to notify the Heatth Depanment in writing when I cease renting the property. FaiLure to do so may resuLt in the imposition of fines and/or fees. QUESTIONS: Phone #: 508-398-2231 Ex, 1240, Emait: rniederberger(Oyarmouth.ma,us MILY TA LS REFuSE DIcPOSAL REsPO N s B IL w RENTAL INFORMATION INCOI'IPLETE FORMS WITHOUT A VATID PHONE i OR EMAIL WItL NOT BE PROCESSEO PROPERTY OWNER NAMERarorrliu oryte HuuU,t ,il anni\,rnq 0t0ol ROP EP DAD ER REQUTRED Sox,az:.-6111 REQUTRED rc"\ph dri'ro nlg@ yahoo, Coryl PROPERTY OWNER EMAIL ADDRESS OWNER'S REPRESENTATIVE/RENTAL AGENT IF APPLICAALE REPRESENTATIVE PHONE # REQUIRED E LONG-TERM/YEAR.ROUN D tr SHORT.IERM/WEEKLY RENTAL PERIOD TBASH REI4OVAL BYI PAID PICK"UP TRASH COMPANY NAME tr OWNER E TENANT DHOUSE RDUPLEX NCONDO trAPARTMENT trROON4 NUMBER OF UNITS FOR RENT: L RENTAL OF ACKNOWLEDGM ENT STATEMENT APPI ICANT SIGNATI IRF NAT F PROPERTY OWNER PHONE # REPRESENTATIVE EMAIT ADDRESS REQUIRED ALTERNATIVE PHONE f IF APPLICABLE I