HomeMy WebLinkAbout2026 Rental Applicationf] RENEWAL
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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 LATER THAN APRIL 1 , 2026
IMPORTANT RENTAL CERTIFICATE NOTICE
IF YOU DO NOT RECEIVE YOUR RENTAL CERTIFICATE WITHIN 3O DAYS OF APPLYING, CONTACT THE 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 OOES NOT AUTOMATICALLY ISSUE A RENTAL CERTIFICATE. A REVIEW PROCESS FOLLOWS, WHICH
INCLUDES:o VERIFICATION OF ASSESSOR RECORDSo SEPTIC SYSTEM CHECK
o NUMBER OF LEGAL BEDROOMS
. VIEW OF PREVIOUS INSPECTIoNS
OCCUPANCY LIMITS
DETERMINED BYo SEPTIC SYSTEM CAPACIWo NUMBER OF LEGAL BEDROOMS
WHY THIS MAITERS; IHESE MEASUBES PROTECT DRINKINA WA|ER AND AQUIFERS, ESPECIALLY AS fHE TOWN
TRANSIrIONS TO A FUTURE SEWER SYSTEM.
SMOKE AND CARBON MONOXIDE DETECTORS
AS PART OF YOUR COMPLIANCE RESPONSIBILITIES, PLEASE ENSURE THE FOLLOWING:o ALL SMOKE DETECTORS & CARBON MONOXIDE DETECTORS HAVE FRESH BATTERIESo ALL UNITS HAVE BEEN TESTED AND ARE lN PROPER WORKING CONDITION
. ALL UNITSARE LESSTHAN lOYEARSOLD
OWNER CERTIFICATION RTQUIRED
I CERTIFYTHAT I HAVE COMPLETED THE ABOVE REQUIREMENTS
OWNER INITIALS
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Smoke Detector Location Requirements -Yarmouth. MA- copy avaitabte at Buitding Department
FEES (PER UNIT)
SHORT-TERM / WEEKLY RENTALS
RENTALS OF 31 DAYS OR TESS
/NSPECI/OMS REQUI RED Y EARLY
$180 ANNUALLY
LONG-TERIi4 / YEAR.ROUND RENTALS
A NON-REFUNDABLE APPLICATION FEE OF $80 PER UNIT/RENTAL IS REQUIRED
AN ADDMONAL 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 Tl{E YARMOUTH HEALTH DEPARTMENT: | 146 ROUTE 28, SOUIH YARMOUTH, MA 02664
TO REGISTER ONLINE AND PAY VIA CREDIT CARD, VISIT THE TOWN OF YARN4OUTH HEALTH DEPARTMENT WEBSITE:
httBS://tb-oa.us/l271Health
$80 ANNUALLY
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DUPLEVMULTI.FAMILY RENTALS. REFUSE DISPOSAL RESPONSIBILIW
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
containing two or more dwetting units, a rooming house, homeless shelter, or manufactured housing community, shatt be
responsible for and paytorthe finat couection and ultimate disposal ofrefuse.
I, THE OWNER, CERTIFYTHAT MY RENTAL PROPERW, WHICH CONTAINSTWO OR MORE DWELLING UNITS,IS IN COMPLIANCE
wrTH MA STATE SANITARY CODE 10s CMR 410.s60 (C) AND 10s CMR 410.s60 (4)(E).
2OWNER INITIALS
RENTAL INFORMATION
INCOMPLETE FORMS WITHOUT AVALID PHONE # OR EMAIL WILL NOT BE PROCESSED
IJ MA'3sRENTAL PROPERTY ADDRESS
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ER MAILING ADDRE
ALTERNATIVE PHONE #
IF APPLICABLE
PROPERry OWNER PHONE #
5oe<- 34+-+ft 5REQUIRED
PROPERry
REQUIRED
EMAIL ADDRESSl-()ePo\z-k<T @3.,,*e' l cc w^OWNER
OWNER'S REPRESENTATIVE/RENTAL AGENT
IFAPPLI'AELE N.A
REPRESENTATIVE PHONE #
REQUIRED
REPRESENTATIVE EMAIL ADDRESS
REQUIRED
trLoNG-TERM/yEAR-RouND a'sgonr-renvrweerlv
RENTAL PERIOD
TRASH REMOVAL BY
PAID PICK.UP TRASH COMPANY NAME:
EOWNER tr TENANT
RENTAL OF
NUMBER OF UNITS FOR RENT:
EfIOUSE trDUPLEX trCONDO tr APARTMENT IROOM
ACKNOWLEDGMENT STATEMENT
I hereby acknowtedge that I have thoroughLy reviewed and am fuLty famitiar with the fottowing regutations:
Town of yarmouth Chapter 108 - Rentat Housing Bytaw, Town ofYarmouth Chapter 104-Anti-Noise Bylaw, Town ofYarmouth
Short-Term Rental Bytaw {iI appl.icabte), Massachusetts State Sanitary Code, Chspter ll - Minimum Stsndards of Fitness for Human
Habitation
These documents are avaitabte for relerence 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. Faiture to do so may resutt in the imposition of fines and/or fees.
OUESTIONS: Phone #: 508-398-2231 Ex.1240, Emait: rniedsbe4.er@yalmouth.ma lJs
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APPLICANT SIGNATURE