HomeMy WebLinkAbout9 Vacation 2026 ApplicationRENTAL REGISTRATION APPLICATION 2026
TOWN OF YARMOT'TH HEALTH DEPARTMENT
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46 ROUIE 28, SO{JIH YARMOUTH, MA 02664
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O BENEWAL
tr NEw APPTICATIo
PLEASE REGISIER YOUR RENTAL PROPERTY NO LATER THAN APRIL 1, 2025
IMFORTANT REilTAL CERM HCATE NOTIGE
lF YOU DO NOT RECEME YOUR RE|ITAL CEfrflFICATE WITHIN 30 DAYS OF APPI-YING, COiIIACT THE HEALTH DEPARTMENT
IMMEDIATELY, UNTILYOU RECEIVETHE CERTIFICAIE, YOUR PROPERTY IS CONSIDERED NOT CERTIFIED FOR RENTAL WHICH MAY
RESIJLT IN FINES AND PENALIIES.
APPLICATION PROCESS
SU BMITIING IHE APPLICATION DOES NOT AI,'TOMATICALLY ISSUE A RENTAL CERTIFICATE. A REVIEW PROCESS FOLLOWS, WHICH
INCLUDES:r VERIFICATION OF ASSESSOR RECOBDS. SEPTIC SYSTEM CHECKo NUMBER OF LEGAL BEDROOMS
. VIEW OF PREVIOUS INSPECTIONS
OCCUPANCY LIMITS
DEI'ERMINED BY:
. SEPTIC S/SIEM CAPACIY
o NUMBER OF LEGAL BEDROOMS
WHY THIS MA|TERS THESE MEASURES PROIECT DRINKING WAIER AND AQUIFERS, ESPECIN.LY AS THE TOWN
rRANS'flONS IO A FUTURE SEWER SYSIEM.
SMOKE AND CARBON MONOXIDE DETECTORS
AS PART OF YOUR COMPLIANCE RESPONSIBILITIES, PLEASE EIISURE THE FOLLoWNG:
r ALLSI4OKEDETEGFORS&GARA€*ffi
O ALL UNITS FIAVE BEEN TESIED AND ABE IN PROPERVI/ORKING CONDMON
. ALL UNITS ARE I.ESS T}IAN 10 YEARS OLO
OWNER CERTI FICATION BEOUIBTD
I CEKNFY ITIAT I HAVE COMPLEIED IHE ABOVE REQUIREMENTS
OWNER INIIIALS U-R
- copy avaitable at Buitdrng Dep?rtment
FEES (PER UNTT}
$180 ANNUALLYSHORI-TERM / WEEKLY RENIAIS
RENTALS OF 31 DAYS Ofi IESS
/TSPEQTiO LSFEQt-ttRf a: |EARLY
$80 ANNUALLY
-ROUND RLONG
A NON-REFUNDABLE APPLICATION FEE OF $80 PER UNIT/RENTAL IS REQUIRED
AN ADDITIOML FEE OF *1OO PER UN]T/RENIAL IS REQI'IRED FOR SHOFIT.TERIII RENIALS PER BT'ILDING CODE
RENTAL CERTIFICAIES D(PIRE ON DECEMBER 31ST OF EACH YEAB
},IAIL oR DRoP oFF CHECK TO THE YARMOUTH HEALTH DEPARTMENT : 1 1It6 ROUTE 28, SOUTH YARMOT,TH' MA 02664
TO REGISIER ONUNE ANO PAY VI,A CREDIT CARD, VEITHE TOWN OF YARMOUTH HEALTH DEPARTMEM WEBSITE:
https://www.yarmouth-rna.us/ l 27lHea tth
hrblicHeafiri
DUPLEVMULTI.FAMILY RENTAI.S - REFUSE DISPOSAL RESPONSIBILITY
ln accordance wilh 105 CMR 4t0.560, and excepl sa proyided in 105 CMR 410.560(C) (for B{ILK items) , the ou,Der of any residence
containing tu,o ol more durelling units, a rooming house, hoaneloss sh€her, or manufacturcd housing community, shall be
responsible for and pay for the final collection and ultimatB disposal of re{use.
I, THE OWNER, CERTIFY THAT MY RENTAL PROPERw' WHICH CONTAINS TWO OR MORE OWELLING UNITS, IS IN COMPLIANCE
wtTH MA STATE SANITARY COOE 105 CMR410.560 (C) ANO 10s CMR 410.560 (4XE).
OWNER INITIALS 69
RENTAL I FORT{ANON
INCOMPI.fTE FORMS WITHOLT A VALID PHONE # OR EMAIL WLL NOT BE PROCESSED
RENTAL PROP
1 t*jERTY ADDRESS
U
tv r'*l { u-^t R rtrr*-PROPERTY OWNEB NAME
v!19 o2o3('
PROPERTY OWNER I.4AILING ADDRESSi\ ct}rL c
PROPERTY OWNER PHONE #
a-fr-Gt\- t@tREQUIRED 5c8-
ALTERNATIVE PHONE #
IF APPLICABLE
Brrssqrc cdtJ r-It{-)c}o0 C(M\
PROPERry OWNER EMAIL ADDRESS
REOUIRED tt' \Qlt rt'r
OWNER'S REPSESEMATIVE/RENTAL AGENT
tF APPLtcAgLE jcraois (:q-rjtu-
5ot-\3
REPRESENTATIVE PTIONE #
REPRESENTATIVE EMAIL ADDRESS
REQUIRED
{,o*n-ra*rrraAR-RouND trsHoRT-TERM/1/,EEKLy
RENTAL PERIOD:
TRASH REMOVAL BY
D OWNER
PAID PICK-UP TRASH COMPANY NAME
y'r.to*
OUSE D DUPLEX ICONDO IAPARTMENT NBOOM
NUMBER OF UNITS FOR RENT: \
RENTAL OF:tu
ACKNOWLEDGME NT STATEMENT
that I have thoroughty reviewed and am futtyfamiliar with the foltowing regutations:
Town olYarmouth Chapter l0S -Rsntst Housing Bylaw, Town otYarmouih Chapt€r 104 -Anti-Noise Bylaw, Town otyamouth
short-Term Rental Bytaw (if appticabte), Massachusetts State Sanitary code, chapter ll - Minimum srandards of Fitnass for Human
Habitation
These documents are avaitabte tor reference on the officiatTown of Yarmouth website and may atso be obtained upon request from the
Yarmouth HeaLth Department. Fu(hermore, I understand that I am required to notity 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.
I hereby acknowtedge
qUESnONS: Phone #: 508-398-2231 Ex. 1240, EmaiL rn rederberge(OyarnLo ut h Jca-us
APPLICANT SIGNATURE 7n qDATE