HomeMy WebLinkAbout2026 ApplicationRENTAL REGISTRATION APPLICATION 2026
TOWN OF YARMOUTH HEALTH DEPARTMENT
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664 iAN i 3 2026of Y4Q.
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PLEASE REGISTER YOUR RENTAL PROPERry 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 DEPARTMENTIMMEDIATELY UNTIL YOU RECEIVE IHE CERTIFICATE, YOUR PROPERW IS CONSIDERED NOT CERTIFIED FOR RENTAL, WHICH MAY
RESULT IN FINES AND PENALTIES.
APPLICATION PROCESS
E APPLICATION DOES NOT AUTOMATICALLY ISSUE A RENTAL CERTIFICATE. A REVIEW PROCESS FOLLOWS, WHICH
VERIFICATION OF ASSESSOR RECORDS
SEPTIC SYSTEM CHECK
NUMBER OF LEGAL BEDROOMS
VIEW OF PREVIOUS INSPECTIONS
INCLUDES
SUBMITTING TH
OCCUPANCY LIMITS
WHY THIS MATTERS: THESE MEASUFES PR)TEcT DRINKINa ATER AND AQUIFERi, EsPEcIALLY AsfHE TowN
TRANSITIONSTO A FUTURE SEWER SYSTEM,
MSo K AE DN RCA oB MN No xto ED ETDEcToRS
AS PART OF YOUR COMPLIANCE RESPONSIBILITIES, PLEASE ENSURE THE FOLLOWING:. ALTSMOKE DETECTORS & cARBoN MoNoxIDE DETECToRS HAVE FRESH BATTERIES. ALL UNITS BAVE BEEN TESTED AND ARE lN pROpER WORKTNG CONDtTtON. ALL UNITS ARE LESS THAN 1O YEARS OLD
OWNER CERTIFICATION REOUIRED
I CERTIFY THAT I HAVE COMPLETED THE ABOVE REQUIRE14ENTS
- copy avai(abte at Buitdlng Department
OWNER INITIALS
FEES (PER UNIT
SHORT-TERM / WEEKLY RENTALS
RENIALS OF37 D/YS ON TESS
'/UIRED YEARL
$1BO ANNUALLY
LONG.TERM / YEAR-ROUND RENTALS $BO ANNUALLY
A NON.REFUNDABLE APPLICATION FEE OF $80 PER UNIT/RENTAL IS REQUIREDAN ADDITIoNAL FEE oF gl oo PER uNtr/RENTAL ts REeutRED FoR sHoRT-TERM RENTALa pER BUtLDtNGRENTAL CERTIFICATES EXPIRE ON DECEMBER 31ST OF EACH YEARMAIL oR DRoP oFF cHEcKTo rHE yaRMourH HEALTH DEPARTMENT:1i46 RourE 28, souTH YARMourH,TO REGISTER ONLINEAND PAYVIA CREDITCARD, VISITTI-,]E TOWN OF YARI.4OUTH HEALTH DEPARTMENT W
CODE
MA 02664
EBSITE:
DETERMINED BYi. SEPTIC SYSTEM CAPACITY. NUMBER OF LEGAL BEDRooMS
e
MULTI-FAMI LY RENTALS REFUSE DISPoSAL RES PONSI LBI wI
ln accordance with 105 CMR 410.560, and except as provided in 105 CMR 410.560(C) (for BULK items) , the owner of any residence
containing two or more dweLting units, a rooming house, homeless shelter, or manufactured housing community, shatt be
responsibte tor and pay ror the finaI col,Lection and uttimate disposa( of refuse,
l, THE OwNER, CERTIFY THAT MY RENTAL PROPERTY, WHICH CONTAINS TWO OR MORE DWELLING UNtTS, tS tN COMPLTANCE
wtTH MA STATE SAN|TARY CODE 10s CMR 410.560 {C)AND .t05 CMR 4.t0.560 (4)(E).
OWNER INITIALS
INCOI"IPLETE FORMS WITHOUT A VALID PHONE # OR EMAIL WILL NOT BE PROCE SSED
RENTAL INFORMATION
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PROPERTY OWNER PHONE #
5or-ls?-szREQUIRED
ALTERNATIVE PHONE #
IF APPLICABLE
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OWN ER'S REPRESENTATIVE/RENTAL AGENT
IF APPLICABLE
REPRESENTATIVE PHONE #
REQUIRED
REPRESENTATIVE EMAIL ADDRESS
REQUIRED
E,LONG-TERM/YEAR.ROUND trSHORT.TERM/WEEKLY
RENTAL PERIOD:
TRASH REMOVAL BV
PAID PICK-UP IRASH COI'4PANY NAME
trOWNER BTENANT
RENTAL OF
trHOUSE EDUPLEX trCONOO trAPARTMENT tr ROOI.1
QUESTIONS: Phone #: 508-398-2231 Ex, 1240, Emait: rniederberger@yarmouth.ma.us
Town o, Yarmouth Chapter 108 - Bentat Housing Bylaw, Town o, Yarmouth Chapter 104 - Anti-Noise Bytaw, Town of yarmouth
Shon-Term Rentat Bytaw (if appLicabte), Massachusetts State Sanitary Code, Chapter ll - Minimum Standards of Fitness for Human
Habitation
These documents are avaitable for reference on the officiatTown of Yarmouth website and may a(so be obtained upon request from the
Yarmouth Heatth Department. Furthermore, I understand that I am required to notify the Heatth Department in writing when I cease
renting the property. Faiture to do so may resutt in the imposition of fines and/or fees.
hereb Ca owLkn ed th ta hI VCa oth oTU hv revl eEW ad dn ma Llu I jntgea allI ht the o lo n I tIvea noSv8u
APPI ICANT SIGNAII IRF NATF
RD
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PROPERTY OWNER EMAIL ADDRESS
REQUIRED
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NUMBER OF UNITS FOR RENT: Z-
ACKNOWLEDGMENT STATEMENT