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Home My WebLink About31 Pond Street 31R Application 2026RENTAL REGISTRATION APPLICATION 2026 TOWN OFYARMOUTH HEALTH DEPARTMENT 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664 APPLICATION PROCESS SUBMITTING THE APPLICATION DOES NOT AUTOMATICALLY ISSUE A RENTAT CERTIFICATE. A REVIEW PROCESS FOLLOWS, WHICH INCLUDES:. VERIFICATION OF ASSESSOR RECORDS. SEPTIC SYSTEM CHECK. NUMBER OF LEGAL BEDROOMS. VIEW OF PREVIOUS INSPECTIONS OCCUPANCY LIMITS DETERMINED BY. SEPTIC SYSTEM CAPACIry. NUMBER OF LEGAL BEDROOMS WHY THIS MATTERS: THESE MEASURES PROTECT DRINKING WATER AND AQUIFERS, ESPECIALLY AS THE TOWN TRANSITIONS TO A FUTURE SEWERSYSTEM. SMOKE AND CARBON MONOXIDE DETECTORS AS PART OF YOUR COMPLIANCE RESPONSIBILITIES, PLEASE ENSURE THE FOLLOWNG: ALL SMOKE DEIECTORS & CARBON MONOXIDE DETECTORS HAVE FRESH BATTERIES J ALL UNITS HAVE BEEN TESTED AND ARE IN PROPER WORKING CONDITION 'ALL UNITSARE LESS THAN 1O YEARS OLDJ OWNER CERTIFICATION BEQI'!RED I CERTIFY THAT I HAVE COMPLETED THE ABOVE REQUIREI'4ENTS OWNER INITIALS Smoke Detecbr LacationlequircmenJs-- Yarmouth-flA - copy ava ita ble at Bu il.d ing Depa rtment J ".*.*o.E] NEW APruCAIION PLEASE REGISTER YOUR RENTAL PROPERTY NO IATER THAN APRIL 1, 2026 IMPORTANT RENTAL CERTIFICATE NOTICE IF YOU DO NOT RECEIVE YOUR RENTAL CERTIFICATE WITHIN 30 DAYS OF APPLYING, CONTACTTHE HEALTH DEPARTMENT IMMEDIATELY. UNTIL YOU RECEIVE THE CERTIFICATE, YOUR PROPERTY IS CONSIDERED NOT CEBTIFIED FOR RENTAL, WHICH MAY RESULT IN FINES AND PENALTIES. FEES (PER UN SHORT-TERM / WEEKLY RENTALS RENTALS OF 3 ' OAYS OR LESS N 5 P E AT P NS BE qU IBE D YEABLY $180 ANNUALLY LONG-TERI.4 / YEAR-ROUND RENTALS $80 ANNUALLY A NON-REFUNDABLE APPLICATION FEE OF $80 PER UNIT/RENTAL IS REQUIRED AN ADDINONAL 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 IHE YARMOUTH HEALTH DEPARTMENT: 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664 TO REGISTER ONLINE AND PAY VIA CREDITCARD, VISITTHE TOWN OFYARI'4OUTH HEALTH DEPARTMENT WEBSITE: outh-maus/127lHeati b 0[ #::9Public llca.l-th DUPLEVMULTI.FAMILY RENTALS. REFUSE DISPOSAL RESPONSIBILITY ln accordance with 105 CMR 410.560, and except as provided in 105 CMR 410.560(C) (for BULK items) , the owner of any residence containingtwo or more dwetling units, a rooming house, homeless shelter, or manufactured housing community, shatt be responsibte tor and pay for the finat cottection and ultimate disposa[ of refuse. I, THE OWNER, CERTIFY THAT MY RENTAL PROPERTY, WHICH CONTAINS TWO OR MORE DWELLING UNITS, IS IN COMPLIANCE wrTH MA STATE SANTTARY CODE 105 CMR 410.550 (C) AND lOs CMR 410.560 (4)(E). OWNER INITIALS RENTAL INFORMANON INCOMPLETE FORMS WITHOUT A VALID PHONE #OR EMAILWILL NOT BE PROCESSED RENTAL PROPERTY ADDRESS 31ft Pond Strcct, South Yo'moqth, MA oebtc{ PROPERry OWNER NAME l6aballo Mortno PROPERTY OWNER MAILING ADDRESS 3lF Pond Strrat. South'lormouth, MA 02.lrbt PROPERTY OWNER PHONE # REQUTRED soc - 1\ro. s\s.t ALTERNATIVE PHONE # IF APPLICABLE PROPERTY OWNER EMAIL ADDRESS REQUIRED tazymor',nooff icial O gmail.corn OWNER'S REPRESENTATIVE/RENTAL AGENT IF APPLICABLE REPRESENTATIVE PHONE # REQUIRED RENTAL PERIOD: dloro-rrRmrrenR-RouND DSHoRT-TERMAVEEKLy TRASH REMOVAL BY dowren tr TENANT PAID PICK-UP TRASH COMPANY NAME: Erother! Disposat RENTAL OF: tr HOUSE tr DUPLEX O CONDO dnpemVent n ROol,l ACKNOWLEDGMENT STATEMENT I hereby acknowtedge that I have thoroughty reviewed and am futty famitiar with the fottowing regutations: Town otYarmouth Chapts.l08 - Rental Housing Bytraw, Town of Yarmouth Chaptsr 104 -Anti-Nois€ Bytau Town ol Yamouth Short-Term Rentat Bytaw (it appticabte), MassachusatB Stat€ Sanitary Code, Chaptor ll- Minimum Standards of Fitnesstor Human Habitation These documents are avaitabte for reference on the officiat Town of Yarmouth website and may also be obtained upon request trom the yarmouth Heatth Department. Furthermore, t 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. QUESIIONS: Phone #: 508-398-2231 Ex. 1240, Emait: rniederberger@yarmouth.ma.us APPLICANT SIGNATURE DATE qlq ltr. REPRESENTATIVE EMAIL ADORESS REQUIRED NUMBER OF UNITS FOR RENT:--L