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Home My WebLink About2026 Rental ApplicationRENTAL REGISTRATION APPLICATION 2026 TOWN OFYARMOUTH HEALTH DEPARTMENT 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664 {ffi$-9" E RENEWAL f] NEW APPLICATION PLEASE REGISTER YOUR RENTAL PROPERTY NO LATER THAN APRIL 1, 2026 IMPORTANT RENTAL CERTIFICATE NOTICE IF YOU DO NOT RECEIVE YOUR RENTAL CERIIFICATE WITHIN 30 DAYS OF APPLYING, CONTACT IHE HEALIH DEPARTMENT IIqMEDIATELY UNIIL YOU RECEIVE THE CERTIFICATE, YOUR PROPERTY IS CONSIDERED NOT CERTIFIED FOR RENTAL, WHICH MAY RESULT IN FINES AND PENALTIES. .APPLICATON PPOCESS SUBMITTING THE APPLICATION DOES NOT AUTOMATICALLY ISSUE A RENTAL CERTIFICATE. A REVIEW PROCESS FOLLOWS, WHICH INCLUDES:o VERIFICATION OF ASSESSOR RECORDS. SEPTIC SYSTEM CHECK. NUMBER OF LEGAL BEDROOMS . VIEW OF PREVIOUS INSPECTIONS OCCUPANCY LIMITS; DETERI.,IINED BYr SEPTIC SYSTEI.4 CAPACIry. NUI'4BER OF LEGAL BEDROOMS wHYTH|S MATTERS; IHESE MEASURES PROTECT DRINKING WA|ER AND AQUIFERS, ESPECIALLY ASTHE TOWN TRANSITIONS TO A FUTURE SEWER SYSTEM. SMOKE AND CARBON MONOXIDE DETECTORS AS PART OF YOUR COMPLIANCE RESPONSIBILITIES, PLEASE ENSURE THE FOLLOWNG:. ALLSMOKE DETECTORS & CARBON MONOXIDE DETECTORS HAVE FRESH BATTERTES. ALL UNITS HAVE BEEN TESTEO AND ARE lN PROPER WORKING COND|T|ON. ALL UNITSARE LESS THAN lOYEARSOLD OWNER INITIALS SmaksDclectqr Location Requirements Yaroou!h,l!{A - copy avaitabte at Buitding Department FEES (PER UN SHORT.TERM / WEEKLY RENTALS RENTALS OF 31 DAYS OR I.ESS /N.SPEC ZOIVS LEQA!RED YEARLY $180 ANNUALLY LONG-TERM / 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: 1146 BOUTE 28, SOUTH vARMOUTH, MA 02664 TO REGISTER ONLINE AND PAY VIA CREDIT CARD, VISIT THE TOWN OF YARMOUTH HEALTH DEPARTI.4ENT WEBSITE: t|1.mars/127lHeatth OWNER CERTIF1CATION REOUIRED I CERTIFY THAT I HAVE COMPLETED THE ABOVE REQUIREMENTS lba€ 1.o) DUPLEVMULTI.FAMILY RENTALS. REFUSE DISPOSAL RESPONSIBILITY ln accordance with 1OS CMR410.550, and except as provided in 105 CMR410.560(C) (for BULK items), the ownerol any residence containingtwo or more dweLting units, a rooming house, homeless shelter, or manufactured housing community, shall be responsible for and paytorthe finaL cottection and uttimate disposal of refuse. I, THE OWNER, CERTIFY THAT MY RENTAL PROPERW, WHICH CONTAINS TWO OR MORE DWELLING UNITS, IS IN COMPLIANCE wrTH MA STATE SANITARY CODE 10s CMR 410.s60 (C) AND 105 CMR 410.s60 (4)(E)' OWNER INITIALS RENTAL INFORMATION INCOMPLETE FORMS WITHOUT A VALID PHONE # OR EMAILWILL NOT BE PROCESSED kt*ss*./, r0.RENTAL PROPERry ADDRESS Iyer-r< 7"1^t R. DrGiovrua)PROPERTY OWNER NAI.4E hqccf/s /Juez-aa{ /4/ftt4PROPERTY OWNER MAILING ADDRESS ALTERNATIVE PHONE # IF APPLICABLEfer'-/ da -6?/ PROPERIY OWNER PHONE # REQUIRED --T Torl *! I I @ tL1 < tU, Cattt A4 { At,Jo PROPERry OWNER EMAIL ADDRESS REQUIRED OWNER'S REPRESENTATIVE/RENTAL AGENT IF APPLICABLE REPRESENTATIVE PHONE # REQUIRED REPRESENTATIVE EMAIL ADDRESS REQUIRED Dz(oro-rEnurvean-n TRASH REMOVAL BY: PAID PICK-UP TRASH COMPANY NAME:u/ ,6" LOaa'rVe ER trTE RENTAL OF: NUMBER OF UNITS FOR RENT: tr HOUSE Auptex DcoNDo trAPARTMENT trRooM tn ACKNOWLEDGMENT STATEM ENT I hereby acknowtedge that I have thoroughty reviewed and am futty familiar with the following regutations: Town ofyarmouth Chapter 108 - Rentat Housing Bylaw, Town of Yarmouth Chapter 104 - Anti-Noise Bylaw, Town ot Yarmouth Short-Term Rentat Bytaw (if appticabte), Massachusetts State Sanitary Code, Chapter ll - Minimum Standards ot Filness tor Human Habitation These documents are avaitabte Ior 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 rentingthe property. Faitureto do so may result in the imposition of fines and/orfees. QUESTIONS: Phone #: 508-398-2231 Ex.124o, Emait: miederb€4cr@yarmouth.ma-us APPLICANT SIGNATURE a DATE ,6f*r-r..r*..*r,RENTAL PERIOD: l,F)