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Home My WebLink About2026 Rental ApplicationRENTAL REGISTRATION APPLICATION 2026 TOWN OFYARMOUTH HEALTH DEPARTMENT 1146 ROUTE 28, SOUTH YARMOUIH, MA 026649 Enrrewlr E] NEW APPLICATION Rrblic Health PLEASE REGISTER YOUR RENTAL PROPERry 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 DEPARIMENT IMI'4EDIATELY UNTIL YOU RECEIVE IHE CERTIFICATE, YOUR PROPERTY IS CONSIDERED NOT CERTIFIED FOR RENTAL, WHICH I.4AY RESULT IN FINES AND PENALTIES. APPLICATION PROCESS SUBMITTING THE APPLICATION DOES NOT AUTOMATICALLY ISSUE A RENTAL CERTIFICATE. A REVIEW PROCESS FOLLOWS, WHICH INCLUDES:. VERIFICATION OF ASSESSOR RECORDS. SEPTIC SYSTEM CHECKo NUMBER OF LEGAL BEDROOMS . VIEW OF PREVIOUS INSPECTIONS OCCUPANCY LIMITS OETERMINED BYo SEPTIC SYSTEM CAPACITYo NUMBER OF LEGAL BEDROOMS WHY THIS MATTERS: THESE MEASURES PROTECT DRINKING WATER AND AQUIFERS, ESPECIALLY ASTHE TOWN TRANSII/ONS IO A FUTURE SEWER SYSI EM . SMOKE AND CARBON MONOXIDE DETECTORS AS PART OF YOUR COMPLIANCE RESPONSIBILITIES, PLEASE ENSURE THE FOLLOWNG:o ALL SMOKE DETECTORS & CARBON MONOXIDE DETECTORS HAVE FRESH BATTERIESo ALL UNITS HAVE BEEN TESTED AND ARE lN PROPERWORKING CONDITION . ALL UNITSARE LESS THAN 1O YEARS OLD OWNER CERTIFICATION REQUIRED I CERTIFYTHAT I HAVE COMPLETED THE ABOVE REQUIREMENTS OWNER INITIALS Smoke DetectarLaeatiaoAequircmlnli- Yarmouth,l{A - copy avaitabte at Building Department FEES (PER UNIT) SHORT.TERM / WEEKLY RENIALS RENTALS OF 31 DAYS OR LESS,/ SEASONAT RENTAI.S INSPEC Torvs BEQ a I RE D YEA R L:Y $180 ANNUALLY $80 ANNUALLYLONG-TERM / YEAR-ROUND RENTALS A NON-REFUNDABLE APPLICATION FEE OF $80 PER UNIT/RENTAL IS REQUIRED AN ADDITIONAL FEE OF $1OO PER UNIT/RENTAL IS REQUIRED FOR SHORf,-TERM RENTATS PER BUILDING CODE RENTAL CERTIFICATES EXPIRE ON DECEMBER 31SI OF EACH YEAR MAIL OR DROP OFF CHECK To THE YARMOUTH HEALTH DEPARTMENT: 1 146 ROUIE 28, SOUTH vARMoUTH, MA 02664TO REGISTER ONLINE AND PAY VIA CREDIT CARD, VISIT THE TOWN OF YARMOUTH HEALTH DEPARTMENT WEBSITE: auth.oa-us/127lH€althhJ DUPLEx/MULTI-FAMILY RENTALS. REFUSE DISPOSAL RESPONSIBILITY ln accordance with 105 CMR410.560, and except as provided in 105 CMR410.560(C) (for BULK items), the ownerof any residence containingtwo or more dwetting units, a rooming house, hometess shetter, or manufactured housing community, shatt be responsible for and payforthe finat coUection and ultimate disposal of refuse. I, THE OWNER, CERTIFY THAT MY RENTAL PROPERTY, WHICH CONTAINS TWO OR MORE DWELLING UNITS, IS IN COMPLIANCE wTH MA STATE SANTTARY CODE 10s CMR 410.s60 (C) AND 10s CMR 410.560 (4XE). RENTAL INFORMATION INCOMPLETE FORMS WTHOUTAVALID PHONE # OR EMAILWlLL NOT BE PROCESSED il.RENIAL PROPERTY ADDRESS a41/2./P)4 PROPERry OWNER NAI..1E 7/zE,/ ALTERNATIVE PHONE # IF APPLICABLEREQUTRED z5z-25t-7263 OWNER PHONE #PROPERTY ka/er)ilar e-.v.,/ou PROPERry OWNER EMAIL ADDRESS REQUIRED EOWNER'S REPRESENTATIVE/RENTAL IF APPLICABLE RepneserutntrvE FHoNe * REQUIRED -/ REPRESENTATIVE EMAIL ADDRESS REQUIRED ONG-TERI'4/YEAR-ROUND trSHORT.TERM/\iVEEKLY TRASH REMOVAL BY: tr OWNER PAID PICK-UP TRASH COMPANY NAME FeNar.rr FHOUSE tr DUPLEX OCONDO trAPARTMENT trROOM RENTAL OF NUMBER OF UNITS FOR RENT DN E ACKN OWLEDGMENT STATEMENT I hereby acknowtedge that I have thoroughty reviewed and am futty famitiar with the fotlowing regutations: Town ofYarmouth Chapter 108 - Rentat Housing Bylaw, Town ofYarmouth Chapter 104 -Anti-Noise Bytaw, Town ofYarmouth Short-Term Rentat Bytaw (if appticabte), Massachusetts State Sanitary Code, Chapter ll - Minimum Standards of Fitness for Human Habitation These documents are avaitabl.e for reference on the officiat 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 Heatth Department in writing when I cease renting the property. Faiture to do so may resutt in the imposition of fines and/or tees. QUESTIONS: Phone #: 508-398-2231 Ex. 1240, Emait: !'niederberger@yarmoulh'ma.us APPLICANT SIGNATURE /Z zaz6 OWNER INITIALS - PROPERTY OWNER MAILING ADDRESS/4' B€ECH 4.L RENTAL PERIOD: