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HomeMy WebLinkAbout2026 Rental ApplicationRENTAL REGISTRATION APPLICATION 2026 TOWN OFYARMOUTH HEALTH DEPARTMENT 1146 ROUTE 28, SOUTH YARMOUTH, MA 026649 'n:newnl f] NEWAPPLICATION hrbltcHeaftn 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, CONTACTTHE HEALTH DEPARTT4ENT IMT4EDIATELY UNTIL YOU RECEIVE THE CERTIFICATE, YOUR PROPERTY IS CONSIDERED NOT CERTIFIED FOR RENTAL, WHICH I4AY RESULT IN FINES AND PENALTIES. APPLICATION PROCESS SUBMITTING THE APPLICATION DOES NOT AUTOMATICALLY ISSUE A RENTAL CERTIFICATE. A REVIEW PROCESS FOLLOWS, WHICH INCLUDES:r VERIFICAIION OF ASSESSOR RECORDSo SEPTIC SYSTEM CHECK. NUMBER OF LEGAL BEDROOMS . VIEW OF PREVIOUS INSPECTIONS OCCUPANCY LIMITS DETERMINED BY:r SEPTIC SYSTEM CAPACIry. NUMBER OF LEGAL BEDROOf4S WHY THIS MATTERS: THESE MEASIJRES PROTECT DRINKING WA\ER AND AQUIFERS, ESPECIALLYAS THE TOWN TRANSITIONSTO A FUTURE SEWER SYSTEM. SMOKE AND CARBON MONOXIDE DETECTORS AS PART OF YOUR COMPLIANCE RESPONSIBILITIES, PLEASE ENSURE THE FOLLOWNG: . ALL SMOKE DETECTORS & CARBON I'4ONOXIDE DETECTORS HAVE FRESH BATTERIES . ALL UNITS HAVE BEEN TESTEDANDARE lN PROPER WORKING CONDITION . ALL UNITS ARE LESSTHAN 1O YEARS OLD Smoke Detector Location Requirements -Yarmouth. MA -copy avaitabte at Buitding Department OWNER INITIALS OWNER CERTIFICATION REOUIRED ICERTIFYTHAT I HAVE COMPLETED THE ABOVE REQUIREMENTS FEES PER UNIT) $180 ANNUALLYSHORT-TERM / WEEKLY RENTALS RENTALS OF 3 ' DAYS OR LESS /NSPECZO&SAEOU I RE D YEABU $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 ROUTE 28, SOUTH YARMOUTH, MA 02664 TO REGISTER ONLINE AND PAY VIA CREDIT CARD, VISIT THE TOWN OF YARMOUTH HEALTH OEPARTMENT WEBSITE: th.ma.us/127lHealth LONG-TERI.,1 / YEAR-ROUND RENTALS DUPLEVMULTI-FAMILY RENTALS. REFUSE DISPOSAL RESPONSIBILITY ln accordance with 105 CMR410.560, and except as provided in 105 CMR410.550(C) (forBULKitems), the ownerofany residence containingtwo or more dwelting units, a rooming house, home[ess shelter, or manufactured housing community, shatl be responsibte for and pay for the finat cottection and uttimate disposat of refuse. I, THE OWNER, CERTIFY THAT MY RENTAL PROPERTY, WHICH CONTAINS TWO OR MORE DWELLING UNITS, IS IN COMPLIANCE wtTH MA STATE SANTTARY CODE 10s CMR 41O.s6O (C) AND 10s CMR 410.560 (4XE). QUESIIONS: Phone #: 508-398-2231 Ex. 1240, Emait: rniederberger@yarmouth.ma.us RENTAL INFORMATION INCOMPLETE FORMS WTHOUTA VALID PHONE # OR EMAILWILL NOT BE PROCESSED RENTALPR.PER*ADDRESS3 / fe. House <./ S. Ya r.noot/ p/A /noa.r, "/ b ,(y'- 4e noz/PROPERTY OWNER NAME zz 2ez6 /l-.4?g/zr/rL 6rzythlPROPERTY OWNER MAILING ADDRESS (9oS)277-7o76PROPERTY OWNER PHONE # REQUIRED ALTERNATIVE PHONE # IF APPLICABLE PROPERry OWNER EMAIL ADDRESS REQUTRED y'...12. A nazf @ t"/"., C-a 41 OWN ER'S REPRESENTATIVE/RENTAL AGENT IF APPLICABLE ,. REPRESENTATIVE PHONE # REQUIRED REPRESENTATIVE EMAIL ADDRESS REQUIRED RENTAL PERIOD tr LONG.TERT4/YEAR-ROUND ORT.TERI4/VVEEKLY TRASH REI"IOVAL BY: PAID PICK.UPTRASH COMPANY NAME Xnouse trDUpLEx trcoNDo TAeARTMENT trRooM RENTAL OF: / ACKNOWLEDGMENT STATEMENT I hereby acknowtedge that I have thoroughly reviewed and am futty famitiar with the fottowing regutations: Town of Yarmouth Chapter 108 - Rentat Housing ByLaw, Town of Yarmouth Chapter 104 -Anti-Noise Bylaw, Town ofyarmouth Short-Term Rentat Bytaw (if appticabte), Massachusetts State Sanitary Code, Chapter ll - Minimum Standards of Fhness for Human Habitation These documents are avaitabte for reference on the officiaI Town of Yarmouth website and may atso be obtained upon request from the Yarmouth Heatth Department. Furthermore, I understand that I am required to notity the Heatth Department in writing when I cease rentingthe property. Faitureto do so mayresutt in the imposition offines and/orfees. APPLICANT SIGNATURE OWNER INITIALS /owNen tr TENANT NUMBER OF UNITS FOR RENT: oarcalr/,/2<..........2......