HomeMy WebLinkAboutCopy of 2026 rental applicationllv
RENTAL REGISTRATION APPLICATION 2026
TOWN OFYARMOUTH HEALTH DEPARTMENT
1146 ROUTE 28, SOUTH YARMOUTH, MA 02664
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PLEASE REGISTER YOUR RENTAL PROPERTY NO LATERTHAN 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 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:
r VERIFICATION OF A$SESSOR RECORDS
o SEPTIC SYSTEM CHECK
o NUI.4BER OF LEGAL BEDROOMS
. VIEW OF PREVIOUS INSPECTIONS
OCCUPANCY LIMITS
DETERMINED BY
o SEPTIC SYSTEM CAPACITY
o NUMBER OF LEGAL BEDROOMS
WHY THIS MAITERS: IHESE MEASURES P ROTECT DRINKING WATER AND AQUIFERS, ESPECIALLYASTHE |OWN
IRANSITIONSTO A FU|URE SEWER SYSTEM.
SMOKE AND CARBON MONOXIDE DETECTORS
AS PART OF YOUR COMPLIANCE RESPONSIBILITIES, PLEASE ENSURE THE FOLLOWING:
. ALLSMOKE DETECTORS & CARBON MONOXIDE DETECTORS HAVE FRESH BATTERIES
o ALL UNI'IS HAVE BEEN TESTED AND ARE lN PROPER WORKING CONDITION
. ALL UNIrS ARE LESS THAN l0YEARSOLD
......._
Smoke Detector Location Requirements -Yarmouth. MA - copy avaitabte at Buitding Department
OWNER CERTIFICATION REQUISED
ICERTIFYTHAT I HAVE COMPLETED THE ABOVE REQUIREMENTS
owNER rNrnALS ( D
FEES (PER UNIT}
SHORT-TERM / WEEKLY RENTALS
RENrILS OF3' DAYS OR IESS
IAISPECILONStrEQU I RE D Y EARLY
$180 ANNUALLY
LONG-TERM / YEAR.ROUND RENTALS $80 AN NUALLY
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
RENIAL CERTIFICATES EXPIRE ON DECEt".IBER 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 CARO, VISIT THE TOWN OF YARMOUTH HEALTH DEPARTMENT WEBSITE:
httpsl v,n vyannaulhflaLs/lDlHealth
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DUPLEX/MULTI.FAMILY RENTALS - REFUSE DISPOSAL RESPONSIBILITY
OWNER INITIALS S.K
RENTAL INFORMATION
INCOMPLETE FORMS WTHOUTAVALID PHONE # OR EMAIL wlLL NOT BE PROCESSED
,un,"+-VIa q!fev S.ywwo uRENTAL PROPERIY ADDRESS a)00
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REQUIRED
OWNER PHONE #Itr -?ot-r6o/,++viliei9t)-A
ALTERNATIVE PHONE #
IF APPLICABLE
REQUTRED t*AanaLn D Tefoo'ra,n (ay'iAt<Vt ) pAoo. ( oy.t--PROPERTY OWNER EMAIL ADDRESS
)
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OWN ER'S REPRESENTATIVE/RENTAL AGENT
IF APPLICABLE
9re 3lo v3d"REPRESENTATIVE PHONE #
REQUIRED
REPRESENTATME EMAIL ADDRESSR;au,;;D il@;ii.-fu na.I 6 aDt - pqK. 1at-----
RENTAL PERIOD ,r6*n-..*,AR-ROUN tr SHORT-TERI.4^/vEEKLY
TRASH REMOVAL BY
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PAID PICK-UP TRASH COI,IPANY NAN4E
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RENTAL OF:
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ACKNOWLEDGMENT STATEMENT
I hereby acknowtedge that I have thoroughty reviewed and am futty famitiar with the foltowing regutations:
Town ot Yarmouth Chaptsr 108 - Rent8l Housing Bytaw, Town ol Yarmouth Chaptar 104 - Anti-Noise Bytaw, Town ofYarmouth
Short-Torm Rentat Bytsw (if appticabte), Massachusetts State Sanitary Code, Chapt€r ll - Minimum Standards ol Fitness for Human
Habitation
These documents are avaitabte tor reference on the officiaI Town ot 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. Faiture to do so may resutt in the imposition of fines and/or fees.
QUESTIONS: Phone #: 508-398-223'l Ex.1240, Emait: rniederberger@yarmouth.ma.us
APPLICANT SIGNATURE DATE t/;t /ld
ln accordance with 105 CMR 410.560, and except as providcd in 105 CMR 410.560(C) (lor BULK items) , the owner of any residence
containing two or more dwellingunits, a rooming houso, homelsss shelter, or manufactur€d housing community, shatt bs
responsible tor and pay forthe finat cotlection and uttimato disposal of reruse.
I, THE OWNER, CERTIFY THAT MY RENTAL PROPERTY, WHICH CONTAINS TWO OR MORE DWELLING UNITS, IS IN COMPLIANCE
wtTH MA SrArE SANtTARy CODE lOs CMR410.560 (C) AND lOs CMR 41O.s6O (4)(E).
NU14BER OF UNITS FOR RENT: