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Home My WebLink About2026 Rental ApplicationRENTAL REGISTRATION APPLICATION 2026 TOWN OFYARMOUTH HEALTH DEPARTMENT 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664 b00"9 f] RENEWAL O/rewlppucmor RrblicHeafn PLEASE REGISTER YOUR RENTAL PROPERTY NO LATER THAN APRIL 1 , 2026 IMPORTANT RENTAL CERTIFICATE NOTICE IF YOU DO NOT RECEIVE YOUR RENTAL CERTIFICATE WITHIN 30 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 DOES NOT AUTOMATICALLY ISSUE A RENTAL CERIIFICATE. A REVIEW PROCESS FOLLOWS, WHICH INCLUDES:. VERIFICATION OF ASSESSOR RECORDS. SEPTIC SYSTEM CHECKo NUMBER OF LEGAL BEDROOMS . VIEW OF PREVIOUS INSPECTIONS OCCUPANCY LIMITS DETERMINED BY. SEPTIC SYSTEM CAPACITY. NUMBER OF LEGAL BEDROOMS WHY|HIS MATTERS: THESE MEASURES PROTECT DRINKING WATER AND AQUIFERS, ESPECIALLY ASTHE TOWN IMNS/I/ONS TO A FUTURE SEWER SYSTEM. SMOKE AND CARBON MONOXIDE DETECTORS AS PART OF YOUR COMPLIANCE RESPONSIBILITIES, PLEASE ENSURE THE FOLLOWNG:o ALLSMOKE DETECTORS & CARSON MONOXIDE DETECTORS HAVE FRESH BATTERIESo ALL UNITS HAVE BEEN TESTED AND ARE lN PROPER WORKING CONDITION . ALL UNITS ARE LESS THAN 1O YEARS OLD Smoke DetecLor tocation Requirements - Yarmoqth, MA - copy avaitabte at Buitding Department 1n^)OWNER INITIALS OWNER CERTIFICATION REqUBED I CERTIFYTHAT I HAVE COMPLETED THE ABOVE REQUIREMENTS FEES SHORI-TERM / WEEKLY RENTALS DEFINED AS RENTALS OF37 DAYS OR IESS. IVSPEEZOIVS REQ ULRED YEARU $180 ANNUALLY LONG-TERM / 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 319' OF EACH YEAR TO REGISTER ONLINE AND PAY VIA CREDIT CARD, VISIT THE TOWN OF YARMOUTH HEALTH DEPARTMENI WEBSITE: https://www.yarmo utl,. m a.us / 1 27 / Heatth o 5 $80 ANNUALLY DUPLEx/MULTI.FAMILY RENTALS - REFUSE DISPOSAL RESPONSIBILITY ln accordance with 105 CMR 410.560, and excapt as provided in 105 CMR41O.560(C) (tor BULK it6ms) , the owner of any residence containing two or more dwelling units, a rooming house, homeless shelter, or manufactured housing community, shall be responsible for and payforthe finalcoUection and uttimate disposat of refuse. I, THE OWNER, CERTIFY THAT MY RENTAL PROPERTY, WHICH CONTAINS TWO OR MORE DWELLING UNITS, IS IN COMPLIANCE wrTH MA STATE SANTTARY CODE 1Os CMR 410.560 (C) AND 105 CMR410.560 (4)(E). owNERtNtril^Ls lftd RENTAL INFORMATION INCOMPLETE FORMS WITHOUTA VALID PHONE # OR EMAILWILL NOT BE PROCESSED RENTAL PROPERTY ADDRESS? ftrgf ,fle. o)t ( tfru*roqft(, t4ft, ozaT= ft,Laoe ?- d,PROPERTY OWNER NAI.,IE fn,tu)a ( PROPERTY OWNER MAILING ADDRESS 1,1,(/t.'La PROPERW OWNER PHONE #,e- >VZ- ?aozREQUIRED ??+'32s - ?+fz ALTERNATIVE PHONE # IF APPLICABLE Auba-r rx*rodD fto(m.n L- Co*,, , L01i 7fr - Cthi@ t4l-nbO . Cpa PROPERTY OWNER EMAIL ADDRESS REQUIRED AGENTOWNER'S REPRESENTATIVE/R IF APPLICABLE REPRESENTATIVE PHONE # REQUIRED *s- 276-o o @22 L'cOu,REPRESENTATIVE EMAIL ADDRESS REQUIRED rO( trLoNG-TERM/vEAR-RouND dsroRr-renunrvserlv RENTAL PERIOD: TRASH REMOVAL BY PAID PICK-UP TRASH COMPANY NAME: dowuea tr occuPANT OUSE trDUPLEX trCONDO tr APARTMENT trROOM NUMBER OF UNITS FOR RENT: RENTAL OF w{1 ACKNOWLEDGMENT STATEMENT These documents are avaitabte for reference on the official Town of Yarmouth website and may al,so be obtained upon request from theYarmouth Heatth Department' Furthermore, I understand that I am required to notifythe Heatth Department in writingwhen I ceaserenting the property. Faiture to do so may resutt in the imposition of fines and/or fees. Habitation Town ByLaw, I ca okn that th roo reviwtedge ewed na ad fumII mlaityughtia withr eth ttowifov ngofrmoChauth108RetntaHousipterownTofoutharmc1fngo4AntiNoisehapte T ofown a outhrmByl.awrt-Sho T Rentaermt it cIiabte uMassachBytaw(pap Statesetts Sa)Code hc I M tmtn muInitary nSta rdda ofs Fitnesspter for uHman QUESTIONS: Phone #:508-398-2231r Ex.1240, Emait: rniederbergeJ@yarmouth.ma.us APPLICANT SIGNATURE DATE 2'oz[. I havehereby regutations: