HomeMy WebLinkAboutApplication & Inspection96(L-"q->YA
TOWN OF YARMOUTH
HEALTH DEPARTMENT
POULTRY LICENSE APPLICATION ;2d}6
FEE: l-9 CHICKENS $30.00
>I() CHICKENS $4O.OO
ROOSTER (SPECIAL APPROVAL REQUIRED B\ BOARD OF HEALTHIO
NO ROOSTIR D,,,/
R.ENEWAL/
NEW ATPLICATIONE]
Ifthis is a new application, please attach a copy ofyour properties plot plan showing lot lines and location of
stable, pen, and all enclosures. Also, a wdtten letter or statement signed by all abutters to the property must be
included with this application.
PLEASE DO NOT INCREASE THE NUMBER OF FOWL WITHOUT PRIOR PERMISSION OF THE
Anasfabq AosqNAME
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MAILING ADDRESS (IF DIFFERENT)
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# OF FOWL ,l
# OF PENS/COOPS
# OF ROOSTERS .r
TYPE OF SHELTER (WOOD, CONCRETE, ETC.)
/ttcob , Hncbu,+26 c/)m SIZE OF YARD/PEN AREA0.zf t by (
# OF WATER OUTLETS I # OF WATER TROUGHSII
TYPE OF STORAGE FACILITY USED FOR FEED/GRAIN$AtufrtJ,4eb Br,t/
TYPE OF STORAGE FACILITY USED FOR MANURE
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METHOD OF DISPOSAL OF MANURE
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HOW OFTEN?
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PEN AREA ENCLOSED BY WHAT TYPE OF FENCING?tlkf CLo
AII licenses shall expire on December 3l'i. This license must be renewed ANNUALLY.
SIGNATTIRE OF A}PLICA
LICENSE QIQL eYS
DATE /Z r4 z(-
HEALTH DEPARTMENT
The Town ofYarmouth taxes and liens must be paid prior to renewal or the issuance ofyour licenses.
Please check if appropriately paid: YEStr NOtr
1229125.9:41 AM OpenGov
Town of Yarmouth, MA
lnspection Report
lnspection: Health lnspection
lnspector: Phil Renaud
lnspection Date: Dec 29,2025
Record: Poultry License #BOPL-24-5
Location:45 REID AVE, WEST YARMOUTH, MA 02673
Applicant: Anastasia Rosa
POULTRY
Overall Result:Pass
Overall Remarks:
2 Chickens
No Roosters
Checklist:
DO ANIMALS LISTED APPEAR TO BE FREE FROM CONTAGIOUS
DISEASE?
Result: Pass
Remarks:
Yes
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12129125.9:41 AM openGov
ARE ACCOMODATIONS ADEQUATE WITH REFERENCE TO
SITUATION, CLEANLINESS, LIGHT, VENTILATION AND WATER
SUPPLY?
Result: Pass
Remarks:
Yes Conditions good - neat, clean, light, ventilation ok Feed
and water ok
1
Result: Pass
Remarks:
2 Chi
2
TURKEYS
Result: Not Observed
Remarks:
N/A
3
RATITES (OSTRICH, EMU)
Result: Not Observed
Remarks:
NiA
4
WATERFOWL
Result: Not Observed
Remarks:
N/A
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CHICKENS
12129125.9:41 AM OpenGov
5
GAMEBIRDS
Result: Not Observed
Remarks:
N/A
6
OTHER
Result: Not Observed
Remarks:
N/A
MGL Ch 129 sec 268
DEALER
Result: Pass
Remarks:
Not a dealer. Personal use only.
Requires BOH Approval
Rooster
Result: Pass
Remarks:
No roosters need BOH approval.
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Clj ro*n of yarmouth, MA
Health lnspection
Record No.BOPL-24-5
Status Active
Type lnspection
Assignee Phil Renaud
December 19, 2O25
Record No: BOPL-24-5 Renewat
Poultry License
Status: Active
Submitted On 12119 I 2C25
Primary Location
45 REID AVE
WEST YARMOUTH, MA 02673
Owner
ROSA GUSTAVO
45 REID AVE WEST YARMOUTH. l'/A
02673
Became Active December 19,2025
Due Date None
Applicant
! Anastasia Rosa
J 5o8-81s-6199
@ aryabinapyahoo.com
| 45 Reid nve
West Yarmouth, MA 02673
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lnspection Types Overview
POULTRY
ffi scrroureo
Scheduled Appointments
lnspection Types
POULTRY
Notes
Requested Appointments
None
Past Appointments
Monday, December 29, 2025
45 REID AVE, WEST YARMOUTH, MA 02673
Requested December 19, 2025 at l0:43 am
O Confirmed
The appointment has been scheduled, and is currently awaiting
inspection.
Arrival Window
9am - lOam
lnspector
@ Phil Renaud
None
Messages
No comments yet.
Step Activity
OpenGov system activated this step
opencov system assigned this step to Phil
Renaud
Phil Renaud scheduled an inspection for Dec 29,
2025
1211912025 at 10:43 am
1211912025 at 10:43 am
1211912025 at lO:43 am