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Home My WebLink AboutApplication-CertsDetails lnternal Only License Restrictions/Conditions Breads, cookies, cinnamon rolls, and brownies. Expiration Date* 12t3112026 Business lnformation Business Name' Sweet & Sourdough LLC Business Mailing Address (if different) Business E-Mail* sweetandsourdough_cc@outlook.com Business Legal Entity lndividual Business Address in Yarmouth * 345 Camp Street Apt 505 Business Phone #* 508-648-5412 Business Type' Food Service Corporation Name (if applicable) Sweet & Sourdough LLC Tax lD (FEIN or SSN)- FEIN ls this a NAME CHANGE? No Owner / Manager lnformation Owner's Name* Anna Wimmer Manager/Contact Person Name* Anna Wimmer Owner's Phone Number 508-648-5412 Manager / Contact Person Phone Numbef 508-648-5412 PLEASE LIST STAFF MEMBERS WHO HOLD THE FOLLOWING CERTIFICATIONS AND ATTACH COPIES OF CERTIFICATIONS Name of Certified Food Protection Manage(S) All food service establishments are required to have at least one ('l) PERSON lN CHARGE on site during hours of operation FEIN **-***9105 Emergency Telephone Number 817-85'l-9505 Please attach copies of certifications for all listed below: List all Certified Food Protection Managers" Anna Wimmer List all employees wilh Allergen Certification- Anna Wimmer Establishment Operations Length of Permit Annual Address 345 Camp Street Apt 505 Email sweetandsourdough_cc@outlook.com Location is Permanenl Structure? Yes Name and Title Anna Wimmer Telephone Number 508-648-5412 Establishment Type r I I I I I I I I I Continental Breakfast Common Victualler Non-Profit Wholesale Residential Kitchen for Retail Sale Food Service Frozen 0essert Mobile Relail Service Vending Food I Other Name Change Only I Affidavit New construction, remodel or conversion requires an Occupancy Permit from the Building Department in order to receive a valid Food Permit. l, the undersigned, attest to the accuracy of the information provided in this application and I afrirm that the food establishment operation will comply wilh 105 CMR 590.000 and all other applicable law, I have been instructed by the Board of Health on how to obtain copies of 105 CMR 590.000 and the Federal Food Code. Pursuant to MGL Ch. 62C, Sec. 49A, I certity under the penalties of periury that l, to the best of my knowledge and belief, have filed all state tax returns and paid taxes required under law.* Anna Wimmer Dec 29, 2025 Worker's Compensation lnsurance Affidavit Type of Business. I am a sole proprietor or partnership and have no employees working for me in any capacity. [No workers' comp. insurance required] I Submitted by Staff Business Retail I do hereby certify, under the pains and penalties of perjury, that the information provided above is true and correct.' Anna Wimmer Dec 29, 2025 Food / Retail Service SEASONAL FOOD SERVICE OPENING:All food service establishments must be inspected by the Health Department prior to opening. Please contact the Health Department to schedule the inspection three (3) days prior to opening. CATERING POLICY: Anyone who caters within the Town of Yarmouth must notify the Yarmouth Health Department by filing the required Temporary Food Service Application form seventy-two (72) hours prior to the catered event. These forms can be obtained at the Health Department, or from the Town's website at www.yarmouth.ma.us under Health Department, Downloadable Forms. FROZEN DESSERTS: Frozen desserts must be tested by a State certified lab prior to opening and monthly thereafter, with sample results submitted to the Health Department. Failure to do so will result in the suspension or revocation of your Frozen Dessert Permit until the above terms have been met. OUTSIDE CAFES: Outside cafes (i.e., outdoor seating with server service), must have prior approval from the Board of Health. OUTDOOR COOKING: Outdoor cooking, preparation, or display of any food product by a retail or food service establishment is prohibited. I acknowledge that I have read and understand the information above.' tr Notice PERMITS RUN ANNUALLY FROM JANUARY 1 TO DECEMBER 31. IT IS YOUR RESPONSIBILITY TO COMPLETE IHIS APPLICATION EACH YEAR. ALL RENOVATIONS TO ANY FOOD ESTABLISHMENT (PAINTING, NEW EQUIPMENT, ETC,) MUST BE REPORTED TO AND APPROVED BY THE BOARD OF HEALTH PRIOR TO COMMENCEMENT. RENOVATIONS MAY REQUIRE MA ENGINEER SITE PLAN. I acknowledge that I have read and understand the Notice information above* .,', J,.:.- The Commonwealth of M assachusetts Department of Induslial Accidents Offrce of I nvestigations LafaYette CitY Center 2 Avenue de Lifiyette, Boston, MA A2III-1750 tlttow.massgov/dia Workers' ComPensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers PleaseP rint bIv A licant Informa tion Name (Business/oBani/'tion/lndiYidual): Address:rn { QR t a Tfl^{tyL\r']3- Phone #:UE - lo"tX'q L Ci lstatelZi i. 1o, "n emPloYer?Check the sPPropriate box: 4. f]lam a general contractor and ItrI am a ernPloY'er with .-havc hired the sub{ontractoni {fi esrptoyees (futl andor Pa(-ti{$e}Iisted on thc attachcd sh€tt?E I am a sole ProPrictor or Partncr-These sub-conmctors have ship and have no emPloYees employees and have workers' cornp. insurance.iworking for me in anY caPac ity fNo wodiers' comP. tnsuratrca s.E Wc arc a corPoration and its rcquircd.l officers have exercised thcir 3.E I am a homeowncr doing all work right ofexemPtion Per MGl- mysclf. [No workcrs' comP c. t52. Qt(4), and 'rc havc no iniurance required.l 'cmployees, [No workers' comp insurancc rcquircd.] 'tuy applicrnl that chccks box I I musr aLso fill oul rhc sarlion bclow showlng lhcir workcts' com0ensadon Policy infotmanon r Honrcuez".rs *fio rrrbmi, this affdsrit id:r,oting lW arc &ittg dl tor* aod thttt hi^, ousidc ca*rrca{f,s ,rx'J' Jr'6rail ' rr..lr afrdzt it ittdica.iag su.'h Contlactors lhal check this ttox must alEchcd an addltiooal sh€lt showing the nalrx)ofdE sub-aontraclors and stale wtethct or not those cntilies have comp. policY nuober l0-[ Electrical rcpairs or additions I l.[ Plumbing repairs or additions 12.[ Roof rePain I 3.El othcr-6,tiS!fllre- lf rhc sub{oltraclo6 have employecs.rhey must Provid€ their worters lam i emploYer thot is Providing workers' c o m Pe n satio n i n su n ncefor my emPloYe* Below i rhe policY and job site i nloraatioa. tnsurance ComPanY Name: Policy # or Sclf-ins. Lic. #:Expiration Date: City/State/ZiP: Job Site Address: Attach a coP)'of rhe workers' comP€nsrtion Policy dectaratior Page (show ing tbe policy oumber and exPirstion dEte)' Failurs lo sccurc covcragc as rcquircd undcr Scction 25A of MGL c. t 52 can lcad to thc imposition of crimina I pcnaltics ofa hne up to S 1.500 00 and,'or one-1'ear imprisonment' as *etl as civit Penalties in the form of a STOP WORK ORDER and a finc ofup to 5250.00 a daY againsl the violator. Be adlised thal a coPY of this statemenl may be fonrarded to the Officc of tnvestigations ofthe DtA lbr insurarrce coverage verification do hereby ccaify undet the Poins ond penaltics of periury that thc iaformation provided obove is mte snd conecl I Date la Lci 1.4< Si P Isi\)\L t1 S(ql 1,hone # i'ff*,lJ:1",19;litfiiLllirr reportmeot 36city/rown crerk 4rlEre'ricer rnspecror Sprumbing Pcrmit/I-iccnsc # Phone #:Contect Person: OJlicid uv o y. Do no' $ril. i{nlhis o,rca' 'o be coagteted by city or towr olfi'ial tnspector 6flother City or Town: t emptoyc{s- Type of Project (required): 6. I Ncw construction Z. I lenrodeling 8. E Demolition 9- [ Building addition ServSafe ServSqfe' CERTIFICAT!ON Anna McEntee ld s6i+ @l9Li.slt,,bd..* d 1".r, k *-,rdEg, C,rii<dD Erodim. &cEd;bio s4i (^NAr)--lt.h n d.nJihd b)? lf, Ar.rs LA|Ei6 N6,io.d c6lv.@ k r..d P'or.dio tcFPl I 3t23t2021 OAIE O' E 3t23t2026 DATC OF EXPIRATION & Gdilidio. cqliEI* AlhB l&b!,( CTTrTFICATE oF ATTENCEN AWAREN E S S TRAIN ING N-rme of Rccipicnc r- t.":* certifcaE Nurnber. 51@65 Date of Cooplction: dift,l Date of Erpiration: t,ffi ffi W ato*-"ar.d Fnaa , ty,.l,r ty.d ttit .t lfok ld antt ti"t ar atlot , tuwr4t tuni,t p.tM ao{iu.l bl th Mua.btk tt Dtp.t-dt of Plttu H.dtt ir andnara @irl l0t c,MR tco-dwc)/Jna) rnM MTIoNAL .RE'TA'RANTASSOCtATtON.IL,EhuErt R*'trr A!qi60n 10749 !IAM TOIA{ NUMSt R