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Home My WebLink About1 Christmas Lane 2026 ApplicationRENTAL REGISTRATION APPLICATION 2026 TOWN OFYARMOUTH HEALTH DEPARTMENT 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664 fi nerewll N NEwAPPLICATIoN {.#r-9" PLEASE REGISTER YOUR RENTAL PROPERTY 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 DEPARTMENT IMMEDIATELY UNTIL YOU RECEIVE THE CERTIFICATE, YOUR PROPERW IS CONSIDERED NOT CERIIFIED 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 INSPECTIONS OCCUPANCY LIMITS DETERMINED BY. SEPTIC SYSTEM CAPACITYo NUMBER OF LEGAL BEDROOMS WHY THIS MATTERS; IHESE MEASURES PRO|ECT DRINKING WATER AND AQU|FERS, ESPECIALLY ASTHE T1WN rMNS/7ONS TOA FUTURE SEWER SYSTEM, SMOKE AND CARBON MONOXIDE DETECTORS AS PART OF YOUR COMPLIANCE RESPONSIBILITIES, PLEASE ENSURE THE FOLLOWNG:. ALL SMOKE DETECTORS & CARBON MONOXIDE DETECTORS HAVE FRESH BATTERIESo ALL UNITS HAVE BEEN TESTED AND ARE lN PROPER WORKING CONDITION . ALL UNITS ARE LESSTHAN lOYEARSOLD OWNER CERT!FI CATION BEQUILED I CERIIFYTHAT I HAVE COMPLETED THE ABOVE REQUIREMENTS OWNER INITIALS Y SmokeDelestalLacatatr Bequirqmcnts YarmorJth-llA - copy avail.abte at Buitding Department FEES (PER UNIT) SHORT-TERM / WEEKLY RENTALS RENTALS OF 31 DAYS OR IESS /rySPEE NOruS EEO U LR E D Y E LR Lf $180 ANNUALLY LONG-TERI'4 / 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 DECEMBER 31ST OF EACH YEAR MAIL OR DROP OFF CHECK TO THE YARMOUTH HEALTH DEPARTMENT : 1 '146 ROUTE 28, SOUTH YARMOUTH, MA 02664 TO REGISTER ONLINE AND PAY VIA CREDITCARD, VISIT THE TOWN OFYARMOUIH HEALTH DEPARTMENT WEBSITE: https://wwwyarmouth. ma.us/ 127lHeatth DUPLEX/MULTI.FAMILY RENTALS. REFUSE DISPOSAL RESPONSIBILITY ln accordance with 105 CMR 410.560, and except as provided in 105 CMR 41O.560(C) (for BULK items) , the owner of any residence containingtwo or more dwelling units, a rooming house, homeless shelter, or manutactured housing community, shatl be responsible tor and payforihe finat cottection and ultimate disposal ol retuse. I, THE OWNER, CERTIFY THAT MY RENTAL PROPERTY, WHICH CONTAINS TWO OR MORE DWELLING UNITS, IS IN COMPLIANCE WITH MA STATE SANITARY CODE 105 CM 41 0.s60 (c) AND 10s cMR 410.s60 (4)(E). OWNER INITIALS RENTAL INFORMATION INCOMPLETE FORMSWITHOUT AVALID PHONE # OR EMAILWLL NOT BE PROCESSED o4f, dt/l-oz/-*RENTAL PROPERTY ADDRESS I &//?4 It1) a6lr'2PROPERTY OWNER AT,I E d-zu/r9/ocf /44 dL677RESSPROPERTY OWNER MAILINGor /o7( ALTERNATIVE PHONE # IF APPLICABLEREQUTRED go LAo-L-2 PROPERry OWNER PHONE # PROPERry OWNER EMA REQUlRED 55 OWNER'S REPRESENTATIVE/RENTAL AGENT IF APPLICABLE REPRESENIAIIVE EMAIL ADDRESS REQUIRED B€NG.TERM/YEAR-ROUND trSHORT-TERMAVEEKLY RENTAL PERIOD: TRASH REI"lOVAL BY: Duap 51ieu2- t] OWNER E.IENANT tsHOUSE trDUPLEX trCONDO DAPARTMENT OROOM NUMBER OF UNITS FOR RENT: I RENTAL OF: ACKNOWLEDGMENT STATEMENT I hereby acknowtedge that I have thoroughty reviewed and am futty famitiar with the fottowing regutations; Town ofYarmouth Chapter 108- Rental Housing Bytaw, Town olYarmouth Chapter 104 -Anti-Noise Bytaw, Town ofYarmouth Short-Term Rental Bytaw (if appticabte), Massachusetts State Sanitary Code, Chapter ll - Minimum Standards of Fitness for Human Habitation These documents are avaitabte for reference on the officiat Town of Yarmouth website and may atso 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. Failure to do so may resutt in the imposition of fines and/or fees. QUESIIONS: Phone #:508-398-2231 Ex. '1240, Emait: rruederberger@yarmouth.ma.us APPLICANT SIGNATURE D^rE 3F421 REPRESENTATIVE PHONE # REQUIRED PAID PICK-UP TRASH COMPANY NAME: