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Home My WebLink About2026 9 Ginger Plum Lane ApplicationRENTAL REGISTRATION APPLICATION 2026 TOWN OFYARMOUTH HEALTH DEPARTMENT 1145 ROUTE 28, SOUTH YARMOUTH, MA 02664 Rrblic Health PLEASE REGISTER YOUR RENTAL PROPERW NO LATER THAN APRIL 1, 2026 IMPORTANT RENTAL CERTIFICATE NOTICE IF YOU DO NOT RECEIVE YOUR RENTAL CERTIFICATE WITHIN 30 DAYS OF APPLYING, CONTACT THE HEALTH DEPARTMENI I14MEDIATELY UNTIL YOU RECEIVE THE CERTIFICATE, YOUR PROPERry IS CONSIDERED NOT CERTIFIED FOR RENTAL, WHICH MAY RESULT IN FINES AND PENALTIES. I 6.n*o.tl NEwaPPLtca oN APPLICATION PROCESS SUBMITTING THE APPLICATION DOES NOT AUTOMATICALLY ISSUE A RENTAL CERTIFICATE. A REVIEW PROCESS FOLLOWS, WHICH INCLUDES:o VERIFICATION OF ASSESSOR RECORDS . SEPTIC SYSTEM cHEcK . NUMBER OF LEGAL BEDROOMS . VIEW OF PREVIOUS INSPECTIONS DETERMINED BY:. SEPTIC SYSTEM CAPACIry. NUMBER OF LEGAT BEDROOMS WHY THIS MAITERS: IHESE MEASURES PROTECT DRINKING WATER AND AQUIFERS, ESPECIALLYASTHE TOWN rMNS/7ONS IO A FUTURE SEI,YER SYSIEM. SMOKE AND CARBON MONOXIDE DETECTORS AS PART OF YOUR COMPLIANCE RESPONSIBILITIES, PTEASE ENSURE THE FOLLOWING: . ALL SMOKE DETECTORS & CARBON MONOXIDE DETECTORS HAVE FRESH BATTERIES o AtL UNIIS HAVE BEEN TESTED AND ARE lN PROPER WORKING CONDITION . ALL UNITSARE LESSTHAN lOYEARSOLD OWNER CERTIFICATION REQULRED ICERTIFYTHAT I HAVE COMPLETED THE ABOVE REQUIREMENTS OWNER INITIALS /,tf Smolc letcelor Loeatlon Reouirements -Yarmouth, MA- copy avaiLabte at Buil.ding Department SHORT.TERM /WEEKLY RENTALS RENTALS OF 3 7 DAYS OR LESS /NSPECIi ONS REQUIRED YEARLY $180 ANNUALLY LONG-TERM / YEAR.ROUND RENTALS $80 ANNUALLY A NON.REFUNDABLE APPLICATION FEE OF $80 PER UNIT/RENTAL IS REQUIRED AN ADDITIONAL FEE OF $1OO PER UNIT/RENTAL IS REQUIRED FOR SHORT-TERM RENTALS PER BUILOING CODE RENTAL CERTIFICATES EXPIRE ON DECEMBER 31ST OF EACH YEAR MAIL OR DROP OFF CHECK TO THE YARMOUTH HEALTH DEPARTMENT: 1146 ROUTE 28, SOUTH YARMOUTH, MA 026G4 TO REGISTER ONLINE AND PAY VIA CREDIT CARD, VISI"TTHE TOWN OFYARMOUTH HEALTH DEPARTMENT WEBSTTE: httpg:/fu4! aryamaqth.ma.usll2TlHealth RECE;VF:C ilAR 1 i 2026 HEALTH DEP'I OCCUPANCY LIMITS FEES (PER UNIT) DUPLEx/MULTI.FAMILY RENTALS. REFUSE DISPOSAL RESPONSIBILITY RENIAL INFORMANON INCOMPLETE FORMS WTHOUT A VALID PHONE # OR EMAILWlLL NOT BE PROCESSEDqplu ".. LpRENTAL PROPERTY ADDRESS c{4 I (\otvt Jf >PROPERTY OWNER NAI4E AAU€ l-21?t Q frot'c-D4/\PROPERTY OWNER MAILING ADDR 4A r( PROPERry OWNER PHONE #Y74-zoB-tz7 6REQUIRED ALTERNATIVE PHONE # IF APPLICABLE PROPERTY OWNER EMAIT ADORESS REQUIRED OWNER'S REPRESENTATIVE/RENTAL AGENT IF APPLlCABLE REPRESENTATIVE PHONE # REQUIRED REPRESENTATME EMAIL ADDRESS REQUIRED fforn-rr*rrraoR-RouND trsHoRT-TERM^,EEKLy RENTAL PERIOD TRASH REMOVAL BY #p**r* D TENANT OUSE trDUPLEX DCONDO trAPARTMENT trROOM NUMBER OF UNITS FOR RENT: RENTAL OF: {, ACKNOWLEDGMENT STATEMENT I hereby acknowledge that I have thoroughty reviewed and am futty lamitiar with the fotlowing regutations: Town ofYarmouth Chapter 108 - Rentat Housing Bytaw, Town ofYarmouth Chaptor 104 -Anti-Noise Bytaw, Town ofYarmouth Short-Term Rentat Bytaw (i.f appticabte), Massachusotts State Sanitary Code, Chaptor ll - Minimum Standards of Fitness for Human Habitation These documentsare avaitablefor reierence on the officialTown ofYarmouth website and may atso be obtained upon requesttromthe Yarmouth Health Department. Furthermore, I understand that I am required to notify the Heatth Department in writing when I cease renting the property. Failure to do so may resutt in the imposition of tines and/or lees. QUESIIONS: Phone #: 508-398-2231 maiL: !liederherger@yarmouth.ma,us bAPPLICANT SIGNATURE DATE FI (t OZL ln accordance with | 05 CMR 410,560, and except as provided in 105 CMR 410.560(C) (tor BULK items) , the owner of any residence containing two or more dwslting units, a rooming house, homeless shelter, or manufactured housing qommunity, shatt be responsibte for and pay for the final cotlection and ultimate disposa[ of refuse. I, THE OWNER, CERTIFY THAT MY RENTAL PROPERTY, WHICH CONTAINS TWO OR MORE DWELLING UNITS, IS IN COMPLIANCE wtTH MA STATE SANITARY CODE 10s CMR 410.s60 (C) AND r05 CMR 410.560 (4)(E). OWNER INITIALS - PAID PICK.UP TRASH CO14PANY NAME: