HomeMy WebLinkAbout20 Thatcher Rental AppRENTAL REGISTRATION APPLICATION 2026
TOWN OFYARMOUTH HEALTH DEPARTMENT
1 1 46 ROUTE 2A, SOUTH YARMOUTH, MA 025649
Prlbuclle:lthE] RENEWAL
O NEW APPUCATION
PLEASE REGISTER YOUR RENTAL PROPERTY NO LATER THAN APRIL 1, 2026
IMPORTANT RENTAL CERTIFICATE NOTICE
IFYOU DO NOT RECEIVE YOUR RENTAL CERTIFICATE WITHIN 30 DAYS OF APPLYING, CONTACT THE HEALTH DEPARTMENT
IMI^,.IEDIATELY UNTIL YOU RECEIVE IHE CERTIFICATE, YOUR PROPERry lS CONSIDERED NOT CERTIFIED FOR RENTAL, WHICH MAY
RESULT IN FINESAND PENALTIES.
APPLICATION PROCESS
SUBMtrTING THE APPLICANON DOES NOT AUTOII{ATICALLY IS:I,E A RENTAL CERTIFICATE. A REVIEW PROCESS FOLLOWS, WHICH
INCLUOES:
. VERIFICATION OF ASSESSOR RECORDS. SEPNC SYSTEM CHECK
. NUMBER OF LEGAL BEDROOMS.. VIEW OF PREVIOUS INSPECTIONS
DETERMINED BY. SEPTIC SYSTEM CAPACIrY
. NUMBER OF LEGAT BEDROOMS
wHY fHlS MATTERS: THESE MEASURES PROTECT DRINKING WATER AND AQUIFERS, ESPECTALLY AS rHE TOWN
TRANSMONS TO A HIruRE SEVI/EF SYSTEM.
SMOKE AND CARBON MONOXIDE DEIECTORS
AS PART OF YOUR COMPLIANCE RESPONSIBILITIES, PLEASE ENSURE THE FOLLOWNG:
o ALL SMOKE DETECTORS & CARBON MONOXIDE DEIECTORS HAVE FRESH BATTERIES
O ALL UNITS HAVE BEEN TESTED AND ARE IN PROPER WORKING CONDITION
o ALL UNITSARE LESS THAN 10 YEARS OLD
OWNER INITIALS
Smoke Detector Location Reouirements - Yarmouth. MA -copy avaitabte at Buitding Department
FEES PER U
$180 ANNUALLYSHORT-TERM / WEEKLY RENTALS
RENTATS OF 3
'
OAYS OR IESS
I NSP ECTIO NS REQU I RED YEARLY
$80 ANNUALLY
A NON-REFUNDABLE APPLICATION FEE OF $80 PER UNIT/RENTAL IS REQUIRED
AN ADDITIONAL FEE OF $1OO PER UN]T/RENTAL IS REQUIRED FOR SHORT-TERM RENTALS PER BUILDING CODE
RENTAL CERTIFICATES EXPIRE ON DECEMBER 31SI OF EACH YEAR
MAIL OR DROP OFF CHECK TOTHE YARMOUTH HEAIH DEPARTMENT:1146 ROUTE 28, SOUTH YARMOUTH, MA 02664
TO REGISTER ONLINE AND PAY VIA CRED]T CARD, VISIT THE TOWN OF YARMOUTH HEALTH DEPARTMENT WEBSTTE:
OCCUPANCY LIMITS
OWNER CERTIFICATION REQUIRED
ICERTIFY THAT I HAVE COMPLETEDTHE ABOVE REQUIREMENTS
IONG.TERN( / YEAR-ROUND RENTALS
DUPLEVMULTFFAMILY RENTALS. BEFUSE OISPOSAL RESPONSIBILITY
ln accordance with'105 CMR410.560, and except e3 prwidod ln lOS CIIIR41O.56O(C) (for BULK itoms) , the Bvner of any residenc€
containing truo or morB dwol[ng unlB, a ]ooming housa, homel6$ shelte., or manuracturud houllng communlty, shau bo
ruaponslbla for and pay tor ths ffnal coUocdon and uldmats dlspo3al of larusa.
I, THE OWNER, CERTIFY THAT MY RENTAL PROPERTY, WHICH CONTAINS TWO OR MORE DWELLING UNlTS, IS IN COMPLIANCE
wTH MA STATE SANTTARY CODE 105 CMR410.s60 (CIAND 105 CMR 410.560 (4)(E).
dO Tn+rcneB Rr, SoY*Brl trTH /14 /+RENTAL PROPERTY ADDRESS
EY rgurevr,t Areket)KdPROPERW OWNER NAME
I 6 / IVA 06PROPERry OWNER MAILING ADDRESS
617-q(0-6tr,P"*REQUIRED
ALTERNATIVE PHONE #
IF APPLICABLE zf /-z!?-07/g
PROPERW OWNER EMAIL ADDRESS
REQUIRED E4S1 AWAxUKH@ CNAZL. COa
OWNER'S REPRESENTATTVE/RENTAL AGENT
IF APPLICABLE
REPRESENTATIVE PHONE #
REQUIRED
REPRESENIATME EMAIL ADDRESS
REQUIRED
d-ro-rr*r*oR-RouND tr'H.RT-TERM^TVEEKL'
RENTAL PERIOD:
TRASH REMOVAL BY
tr OWNER
PAID PICK.UP TRASH COMPANY NAME:
d,rrr.nr.rr
RENTAL OF:Jcor.,
INUMBER OF UNITS FOR RENT:
tr DUPLEX tr CONDO tr APARTI''1ENT D ROOM
ACKNOWLEDGMENT STATEMENT
I hereby acknowtedge that I have thoroughty reviewed and am ful.tyfamitiar with the fotlowing regulations:
Town of Yarmouth Cheptsr 108 - Rentat Ho$ing Bylaw, Town of Yarmouth Chspter 104 - Anti-Noiss Bylaw, Town ol Yarmouth
Short-Term Rerltal Bytaw (if appticabte), Massachusstts State SanataryCodo, Chaptor ll -Minimum Standards of Fhnoss lor Human
Habitation
These documents ale avaitabte for reterence on the otficiatTown ofYarmouth website and may atso be obtained upon request trom the
Yarmouth Heatth Department. Furthermore, I understand that I am requi.ed to notify the Heatth Department in w ting when l cease
rentingthe property. Faiture to do so may result in the imposition offines and/or tees.
QIJESTIONS: Phone #: 508-398-2231 , Emai[: rniederberger(ayarmouth.ma.us
APPLICANT SIGNATURE DATE
OWNER INIT]ALS
-
RENTALINFORMANON
INCOMPLETE FORMS WTHOUT A VAUD PHONE # OR EMAILWLL NOT BE PROCESSED
PROPERry OWNER PHONE #