HomeMy WebLinkAbout21 Taft Rental AppRENTAL REG ISTRATION APPLI CATION 2026
TOWN OF YARMOUTH HEALTH DEPARTMENT
1146 ROUTE 28, SOUTHYARMOUTH, MAO26il
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RECEMED
AU6 05 ?0?6
HEALTH DEPT,tr RENEWAL
f] NEWAPPLICATION
PLEASE REGISTERYOUR RENTAL PROPERTY NO LATERTHAN APRIL 1,2026
I MPORf,ANT 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 PROPERry IS CONSIDERED NOT CERTIFIED FOR RENTAL, WHICH MAY
RESULT IN FINES AND PENALTIES.
APPLICATION PROCESS
SUBMITTING THE APPLICATION DOES NOT AUTOMATICALLY ISSUE A RENTAL CERTIFICATE. A REVIEW PROCESS FOLLOWS, WHICH
INCLUDES:
o VERIFICATION OFASSESSOR RECORDS
o SEPTIC SYSTEM CHECKo NUMBEROFLEGALBEDROOMS
o VIEW OF PREVIOUS INSPECTIONS
OCCUPANCY LIMITS
DETERMINED BYo SEPTIC SYSTEM CAPACITY
o NUMBEROFLEGALBEDROOMS
WHY THIS MATTERS: THESE MEASURES PROTECT DRINKING WATER AND AQUIFERS, ESPECIALLY AS THE TOWN
IR,ANS/I'ONS TO A FUTURE SEI4/ER SYSIEM.
SMOKE AND CARBON MONOXIDE DETECTORS
AS PART OF YOUR COMPLIANCE RESPONS!BILITIES, PLEASE ENSURE THE FOLLOWING:
ALL SMOKE DETECTORS & CARBON MONOXIDE DETECTORS HAVE FRESH BATTERIES
ALL UNITS HAVE BEEN TESTED AND ARE IN PROPER WORKING CONDITION
ALL UNITS ARE LESS THAN 1 O YEARS OLD
OWNER CERTI ON REQTJIBED
THE ABOVE REQUIREMENTSICERTIFYTHAT I HAVE
OWNER
- copy availabte at Building Department
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FEES
SHORT-TERM / WEEKLY RENTALS
DEFINED AS RENIATS OF 31 DAYS OR IESS.
INSPECI/ONS REQU'RED Y E ARLY
$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
TO REGISTER ONLTNE AND PAY VIA CREDIT CARD, VISIT THE TOWN OF YARMOUTH HEALTH DEPARTMENT WEBSITE:
9
httos://www.va rmouth.ma.u s / 1 27 I Health
DU PLEVMULTI.FAMI LY RENTALS . REFUSE DTSPOSAL RESPONSI BILITY
ln accordance with 1 05 CMR 41 0.560, and except as provided in 105 CMR 41 0.560(C) (for BULK items) , the owner of any residence
containing two or more dwetting units, a rooming house, homeless shelter, or manufactured housing community, shatt be
responsibte for and pay for the final coltection and ultimate disposat of refuse.
t, THE OWNER, CERTIFY THAT MY RENTAL PROPERTY, WHICH CONTAINS TWO OR MORE DWELLING UNITS, IS IN COMPLIANCE
W|TH MA STATE SANITARY CODE 105 41 (c)AND 10s CMR410.560 (4)(E)
OWNERINITIALS
RENTAL INFORMATION
INCOMPLETE FORMS WITHOUT A VALID PHONE # OR EMAIL WILL NOT BE PROCESSED
RENTALPRoPERwAo'*ttt 2l, T]r€t , \ q{1YD'nl
PRoPERrYowNER"o" \TeN& Ja y1 SJtI r yq v1
PR.PERTY "d5-r]3ffi'r,3t?:trrr 0.1, ( q /w*n .m{ oeaa l
tFAPPLtcABLt -ltl qls (Ie\ALTERNATIVE PHONE #
REeu/REDTd t ?rq t Zq \
PROPERry OWNER PHONE #
REQ
PROPERTY OWNER EMAIL ADDRESS
OWNER'S REPRESENTATIVE/RENTAL AGENT
IF APPLICABLE &iqf\Sihet'C(yia ? /noi l"(orh )
REPRESENTATIVE PHONE #
REQUIRED -11 t 91S cS3--l
REPRESENTATIVE EMAIL ADDRESS
REQUIRED
dr-o rrrc -re n M/YEAR -Rou N D
RENTAL PERIOD:
tr SHORT-TERM/VVEEKLY
TRASH REMOVAL BY
! OWNER
PAID PICK-UPTRASH COMPANY NAME:
'ftrccuenrur
RENTAL OF:
HOUSE trDUPLEX ICONDO trAPARTMENT trROOM
NUMBER OF UNITS FOR RENT:
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ACKNOWLEDGMENT STATEM ENT
I hereby acknowtedge that I have thoroughty reviewed and am futtyfamitiar with the fottowing regutations:
Town of Yarmouth Chapter 1 08 - Rentat Housing Bytaw, Town of Yarmouth Chapter 1 04 - Anti-Noise Bytaw, Town of Yarmouth
Short-Term Rental Bytaw (if appticabte), Massachusetts State Sanitary Code, Chapter ll - Minimum Standards of Fitness for Human
Habitation
These documents are avaitabte for reference on the officiat Town of Yarmouth 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 writing when I cease
renting the property. Failure to do so may result in the imposition of fines and/or fees.
Ex. 1 240, E mai L mwa [@yarmouth.ma-us
APPLICANTSI
Phone
DATE 3o 2b
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