HomeMy WebLinkAbout2026 Rental ApplicationRENTAL REGISTRATION APPLICATION 2026
TOWN OFYARMOUTH HEALTH DEPARTMENT
1146 ROUTE 28, SOUTH YARMOUTH, MA 026649
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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 CERIIFICATE WITHIN 30 DAYS OF APPLYING, CONTACT THE HEALTH DEPARTMENT
IMMEDIATELY UNTIL YOU RECEIVE THE CERTIFICATE, YOUR PROPERry IS CONSIDERED NOT CERTIFIED FOR RENTAL, WHICH MAY
RESULT IN FINES AND PENALTIES.
APPLICATION PROCESS
SUBMITTING THE APPLICATION DOES NOT AUIOMAIICALLY ISSUE A RENTAL CERTIFICATE. A REVIEW PROCESS FOILOWS, WHICH
INCLUDES:o VERIFICATION OF ASSESSOR RECORDSo SEPTIC SYSTEM CHECK. NUMBER OF LEGAL BEDROOMS
. VIEW OF PREVIOUS INSPECTIONS
OCCUPANCY LIMITS
DETERMINED BYo SEPIIC SYSTEM CAPACITY. NUt"lBER OF LEGAL BEDROOMS
WHY THIS MATTERS: THESE MEASURES PROTECT DRINKINA WATER AND AQUIFERS, ESPECIALLY AS THE TOWN
rRANS/ZONS TOA FUTURE SEWER SYSTEM.
SMOKE AND CARBON MONOXIDE DETECTORS
AS PART OF YOUR COMPLIANCE RESPONSIBILITIES, PLEASE ENSURE THE FOLLOwlNG:o ALLSMOKE DETECTORS & CARBON MONOXIDE DETECTORS HAVE FRESH BATTERIES. ALL UNITS HAVE BEEN TESTED AND ARE lN PROPER WORKING CONDITION
. ALL UNITS ARE LESS THAN 1O YEARS OLD
OWNER CERTIFICATION REQUIRED
I CERTIFY THAT I HAVE COMPLETED THE ABOVE REQUIREMENTS
OWNER INITIALS
Smoke DeteatotLocatlon Reguircmetrts - Yarmouth. MA- copy avaitabte at Buitding Department
FEES (PER UNIT)
SHORT.TERM / WEEKLY RENTALS
RENTALS OF 31 DAYS OR LESS / SEASONAT RENTAIS
/NSPEEIIONS REQ U IBED Y E A R LY
$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 ROUTE 28, SOUTH YARMoUTH, MA 02664
TO REGISTER ONLINE AND PAY VIA CREDIT CARD, VISIT THE TOWN OF YARMOUTH HEALTH DEPARTMENT WEBSITE:
httpsil^vwwyarmouth.ma.us/1 27lHeatth
DUPLEx/MULTI.FAMILY RENTALS. REFUSE DISPOSAL RESPONSIBILITY
ln accordance with 105 CMR 41O.560, and except as provided in 105 CMR410.560(C) (for BULK items) , the ownerof any residence
containing two or more dwelling units, a rooming house, homeless shelter, or manufactured housing community, shau be
responsible for and pay for the tinat coltection and uttimate disposaI of refuse.
I, THE OWNER, CERTIFYTHATMY RENTAL PROPERTY, WHICH CONTAINSTWO OR MORE DWELLING UNITS,IS IN COMPLIANCE
wlTH MA STATE SANTTARY CODE 1os CMR 41O.s60 (C) AND 1Os CMR 410.s60 (4)(E).
RENTAL INFORMANOiI
INCOMPLETE FORMS WITHOUT A VALID PHONE # OR EMAILWILL NOT BE PROCESSED
RENTAL PROPERTY ADDRESS*)A'"(-;| A.e; u2 Ax,no,ntt./zu zabTe
PROPERTY OWN N E
PROPERry OWNER I.4AILING ADDRESS
ALTE RNATIVE PHONE #
IF APPLICABLE
pRoFenlf owr.ren puorr *
/27-3' a -7709REQUIRED
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PROPERTY OWNER EMAIL ADDRESS
REQUIRED
N
,
OWNER'S R E PR ESE NTATIVE/ RENTAL
IF APPLICABLE
nepneserurerrvefnoNr *
REQUIRED
REPRESENTATIVE EMAIL ADDRESS
REQUIRED
RENTAL PERIOD
/lono-reRvrveaR- Rou N D tr SHORT-TERMAVEEKLY
TRASH REI"lOVAL BY:
tr OWNER
PAID PICK-UP TRASH COMPANY NAI"IE:
,6eNnr.rr
lnouse trDUpLEx lcoNDo TAeARTMENT trRooM
RENTAL OF:
NUI.4BER OF U NITS FOR RENT: ZNE
ACKNOWLEDGMENT STATEMENT
These documents are avaitabte for reference on the officiaI Town ofYarmouth website and may atso be obtained upon request from the
Yarmouth Heatth Department. Furthermore, I understand that I am required to notify the HeaLth Department in writingwhen I cease
renting the property. Faiture to do so may resutt in the imposition of fines and/or fees.
QUESIIONS: Phone #: 508-398-2231 Ex. 1240, Emait:ma.us
APPLICANT SIGNATURE DATE
OWNER INITIALS
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I hereby acknowtedge that I have thoroughty reviewed and am futty lamitiar with the following regutations:
Town ofYarmouth Chapter 108 - Rental Housing Bytaw, Town ofYarmouth Chapter 104 - Anti-Noise Bylaw, Town otYarmouth
Short-Term Rental Bytaw (if appticabte), Massachusetts State Sanitary Code, Chapter ll - Minimum Standards of Fitness for Human
Habilation
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