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Home My WebLink About11 Turner Lane 2026 ApplicationRENTAL REGISTRATION APPLICATION 2026 TOWN OFYARMOUTH HEALTH DEPARTMENT 1146 ROUTE 28, SOUTH YARMOUTH, MA 026649 BnrNewnL tr NEw APPLICATIoN h.rblic 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 DEPARIMENT IMMEDIATELY. UNTIL YOU RECEIVE THE CERTIFICATE, YOUR PROPERry IS CONSIDERED NOT CERTIFIED FOR RENTAL, WHICH MAY RESULT IN FINES AND PENALTIES. APPLICATION PROCESS SUBMITTING THE APPLICATION DOES NOT AUTOMATICALLY ISSUE A RENTAL CERTIFICATE. A REVIEW PROCESS FOLLOWS, WHICH INCLUDES:o VERIFICATION OF ASSESSOR RECORDSo SEPTIC SYSTEM CHECKo NUMBER OF LEGAL BEDROOMS . VIEW OF PREVIOUS INSPECIIONS OCCUPANCY LIMITS DETERMINED BY:o SEPTIC SYSTEM CAPACITYo NUMBER OF LEGAL BEDROOMS WHYTHIS MATTERSj THESE MEASURES PROTECT DRINKING WATER AND AQUIFERS, ESPECIALLY ASTHE TOWN TRANSITIONSTO A FUTURE SEWER SYSTEM. AS PART OF YOUR COMPLIANCE RESPONSIBILITIES, PLEASE ENSURE THE FOLLOWNG:o ALLSMOKE DETECTORS & CARBON MONOXIDE OETECTORS HAVE FRESH BATTERIES. ALL UNITS HAVE BEEN TESTED AND ARE lN PROPER WORKING CONDtTtON. ALL UNITSARE LESS THAN lOYEARSOLD Smoke Detector Location Requirements - Yar[Douth. MA - copy avaitabte at Buitding Department OWNER INITIALS OWNER CERTIFICATION BEQUIRED I CERTIFY THAT I HAVE COMPLETED IHE ABOVE REQUIREMENTS FEES (PER UN SHORT-IERM / WEEKLY RENTALS RENTALS OF 31 DAYS OR TESS /NSPECI/ONS REQ U IBE D YE ARLY LONG-TERN4 / 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 BUILDING CODE RENTAL CERTIFICATES EXPIRE ON OECEMBER 31ST OF EACH YEAR MAIL OR DROP OFF CHECK TO THE YARMOUTH HEALTH DEPARTMENT: 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664 TO REGISTER ONLINE AND PAY VIA CREDIT CARD, VISIT THE TOWN OF YARMOUTH HEALTH DEPARTMENT WEBSITE: tLttpsl/wwwyarmoulh-ma.us/1 27lHealth SMOKE AND CARBON MONOXIDE DETECTORS >ry.-- $180 ANNUALLY DUPLEX/MULTI-FAMILY RENTALS - REFUSE DISPOSAL RESPONSIBILITY I, THE OWNER, CERTIFY THAT MY RENTAL PROPERTY, WHICH CONTAINS TWO OR MORE DWELLING UNITS, IS IN COMPLIANCE wtrH MA srATE SANTTARY CODE 10s CMR 410.s6O (C) AND 105 CMR 410.s60 (4)(E). OWNER INITIALS RENTAL INFORMAT]ON INCOMPLETE FORMS WITHOTIT AVALID PHONE # OR EMAILWTL NOT BE PROCESSEO /t f,aLZ*- '-t/5 ?44///ocnV .rAZtaa?RENTAL PROPERry ADDRESS PoAz-< 1o'7tPROPERTY OWNER NAMEdq/l .*4 PROPERry OWNER MAILING ADDRESS ALTERNATIVE PHONE # IF APPLICABLE PROPERry OWNER PHONE # PsqurarDrDf VT tl Zooz--- PROPERTY OWNER EI.4AIL ADDRESS REQUIRED OWNER'S REPRESENTATIVE/RENTAL AGENT IF APPLICABLE REPRESENTATIVE PHONE # REQUIRED REPRESENTATIVE EMAIL ADDRESS REQUIRED FToNG.TERM/YEAR.ROUND trSHORT-TERMAVEEKLY RENTAL PERIOD: PArD PlcK-UP TRASH coMPANYNAME, b0Q TRASH REMOVAL BY: 911 Ca$f- ! OWNER 1'1ENANT tNUMBER OF UNITS FOR RENT ,6rdousE trDUPLEx trcoNDo trAPARTMENT lRooM ACKNOWLEDGMENT STATEMENT I hereby acknowtedge that I have thoroughty reviewed and am futtyfamitiar with the fo[(owing regutations: Town ot Yarmouth Chapter 1OB - Rental Housing Byl.aw, Town ofYarmouth Chapter 104 -Anti-Noise Bytaw, Town otYarmouth Short-Term Rentat Bytaw (if appticabte), Massachusetts State Sanitary Code, Chapter ll - Minimum Standards of Fitness for Human Habitation These documents are avaitabte for reterence on the officiat Town of Yarmouth website and may atso be obtained upon request rrom the yarmouth Heatth Department. Furthermore, I understand that I am required to notify the Heatth Department in writing when I cease rentingthe property. Faiture to do so may resutt in the imposition offines and/orfees. APPLICANT SIGNATURE DATE 7? 8,1/>b ln accordance with 105 CMR 410.560, and except as provided in 105 CMR410.560(C) (for BULK items), the ownerof any residence containing two or more dwelting units, a rooming house, homeless shelter, or manufactured housing community, shatt be responsible for and pay for the final col]ection and ultimate disposat of refuse. RENTAL OF: QUES|TIONS: Phone #: 508-398-2231 Ex.1240, Emait: rniede!'b€rger@yarmouth'ma'us