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Short Term Rental Registration Form

May 19, 2021
submission #5
Submit required information

Operator Information

Operator First Name Michael
Operator Last Name Kasprzak
Mailing Address (can be same as rental property address) ---
Operator Contact Phone ---
Operator email ---
Short term rental 24/7 contact phone +18144905331
Which type(s) of short term rental hosting are you requesting to offer? Hosted stays - primary residence only, Un-hosted stay- primary residence only (90 day annual limit)
Total number of short term rental locations proporsed for this property - Primary residence and/or secondary dwelling unit) 1
I am An individual / sole proprietor

Rental Property Information (Primary short term rental unit)

Rental Property Address 780 Huntington Dr, Erie PA 16505-1084
Beginning Date of Operation 2021-06-01
Type of unit My primary residence
Number of bedrooms 4
Self-certification for fire and safety

Smoke and Carbon Monodixe Detectors

Number of smoke detectors (entire property) 4
Describe locations of smoke detectors Kitchen, Basement, Downstairs Common Area, Upstairs Hallway
Number of carbon monoxide detectors 2
Describe location of carbon monoxide detectors Upstairs Hallway, Kitchen

Building safety

I attest that this property complies with all requirements of the X building and safety code. Yes
Agree to City requirements

Agreement to comply with regulations

I, as the operator/ owner of one or more short term rental properties, agree to comply with all city regulations. I understand that these regulations may chance in the future. Yes