HomeMy WebLinkAbout15 KEEL CAPE APPLICATION 2026RENTAL REGISTRATION APPLICATION 2026
TOWN OFYARMOUTH HEALTH DEPARTMENT
1145 ROUTE 28, SOUTH YARMOUTH, MA 026649
D RENEWAI
O NEW APPLICATON
Ptrblic Health
PLEASE REGISTER YOUR RENTAL PROPERry NO LATERTHAN APRIL 1,2026
IMPORTANT RENTAT CER|NFICATE NOTICE
IF YOU DO NOT RECEIVE YOUR RENTAL CERTIFICATE WTTHIN 30 DAYS OF APPLYING, CONTACT THE HEALTH DEPARTMENT
IMMEDIATELY. UNTILYOU RECEIVE THE CERTIFICATE, YOUR PROPERW IS CONSIDERED NOT CERTIFIED FOR RENTAL, WHICH MAY
RESULT IN FINES AND PENALTIES.
APPLICATION PROCESS
SUBMTTTING THE APPLICATION DOES NOT AUTOMATICALLY ESUE A RENTAL CERTIFICATE. A REVIEW PROCESS FOLLOWS, WH ICH
INCLUDES:o VERIFICATION OF ASSESSOR RECORDSo SEPIIC SYSTEM CHECKo NUMBER OF LEGAL BEDROOMS
. VIEW OF PREVIOUS INSPECTIONS
OCCUPANCY LIMITS
DETERMINED BY
r SEPTIC SYSTEM CAPACIIY
o NUMBER OF LEGAL BEDROOMS
WHY fHlS MATIERS: THESE MEASURES PROTECT DRINKING WAnER AND AQUIFERS, ESPECIALLY AS THE TOWN
TRANSITIONS TO A FUTURE SEWER SYSTEM.
SMOKE AND CARBON MONOXIDE DETECTORS
AS PART OF YOUR COMPLIANCE RESPONSIBILITIES, PLEASE ENSURE THE FOLLOWING:
r ALL SMOKE DETECTORS & CARBON MONOXIDE DEIECTORS HAVE FRESH BATTERIESo ALL UNIIS HAVE BEEN TESTED AND ARE lN PROPER WORKING CONDITION
. ALLUNITSARE LESS THAN 1O YEARS OLD
OWNER CERTIFICATION BEQUIEED
I CERIIFY THAT I HAVE COMPLETED E ABOVE REQUIREMENIS
OWNER INITIALS
- copy avaitabte at Buitding Department
FEES (PER UNTT)
$180 ANNUALLY
LONG-TERM / YEAR-ROUND RENTALS $80 ANNUALLY
SHORI.IERM / WEEKLY RENTALS
RENTATS OF 3' DA}{S OF TESS
INS P ECT I O N S REO U I R E D Y E AR LY
A NON.REFUNDABLE APPLICATION FEE OF $80 PER UNIT/RENTAL IS REQUIRED
AN ADOITIONAL FEE OF $1OO PER UN]T/RENTAL IS REQUIRED FORSHORT-IERM RENTALS PER BUILDING CODE
RENTAL CERTIFICATES EXPIRE ON DECEMBER 315I OF EACH YEAR
MAIL OR DROP OFF CHECK TO THE YARI{OUTH HEATTH DEPARTMENT: 1146 ROUIE 28, SOUIH YARMOUTH, MA 02664
TO REGISIER ONLINE AND PAY VIA CRED]T CARD, VISTT THE TOWN OF YARMOUTH HEALTH DEPARTMENT WEBSITE:
httos://www.varmouth. ma. us/ 1 2Ztlcalth
DUPLEVMULTI-FAHILY RENTALJS. REFUSE DISPOSAL RESPONSIBIUTY
ln accordance with l OS CMR 410.560, and cxcept.3 prol,lded ln lO5 CHR /t10.55O(Cl (tor BU]X hems) , the ownor of any residence
contsining two ot moro dw€lllng uniE, I rooming hou!6, homdcas lholtor, or manutac'turod houring communlty, shllt h
r6lpon3lbte fol 8nd pay tor tho ffnaL collsction snd uldmato dlsposal of rsfulo.
I, THE OWNER, CERTIFY THAT MY RENTAL PROPERTY, WHICH CONTAINS TWO OR MORE DWELLING UNITS, IS IN COMPLIANCE
wrrH MA srATE SANTTARY CODE 105 CMR 410.560 (C) AND 105 CMR 410.560 (4)(E).
RENTAL INFORMANON
INCOMPLETE FO RMS WITHOTJT A VALID PHONE # OR EMAILWLL NOT BE PROCESSED
RENTAL PROPERry ADDRESS t5
PROPERry OWNER NAME
PROPERTY OWNER MAILING ADDRESS
ALTERNATIVE PHONE #
IF APPLICABLE
PROPERTY OWNER PHONE #
REQUIRED
PROPERTY OWNER EMAIL ADDRESS
REQUIRED
OWNER'S REPRESENTATME/RENTAL AGENT
IF APPLICABLE
REPRESENTATME PHONE #
REQUIRED
REPRESENTATTVE EMAIL ADDRESS
REQUIRED
RENTAL PERIOD:
tr LONG-TERM/YEAR-ROUND SHORT-TERMAVEEKLY
TRASH REMOVAL BY:
PAID PICK.UP TRASH COMPANY NAI'4E:
OWNER OTENANT
dnouse o ouplEx ocoNDo tr ApARTMENT trRooM
ACKNOWLEDGMENT STATEMENT
I hsreby acknowtedge that I have thoroughly reviowed and am tutlyfamitisr with
Town of yarmouth Cheptor 1 08 - Rontal Hou3ing Bytaw, Town of Y.mouth Chaptsr 1 04 - Anti-Noiso BytarY, Town ot Yarmouth
Short-Tenn R61rta] Bytery (if appLicabte), MassachGstts Stete Sanitary Codo, Cheptor ll - Minimum Standerdsof Fftnoss for Humen
Habitation
These documents are avaitable for reterence on the otficialTown ofYsrmouth website and may also be obtained upon request ftom the
yarmouth Heatth Oepanment. Furthermore, I understand that I am required to notity the Heatth Depanment in writing when lcease
rentingthe property. Faiture to do so may result in the imposition of fines and/or tees.
the tottowing regulations:
QUESTIONS: Phone #: 508-398-1 240, EmaiL miederberqer@yamlulh,maxs
LAPPLICANT SIGNATURE DATE
OWNER INITIALS
-
RENTAL OF:
NUMBER OF UNlTS FOR RENT:
-
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