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Home My WebLink AboutApplications-CertsDetails lnternal Only License Restrictions/Conditions Seating: 22 Expiration Date* 12t31t2026 Business Name* Captain Farris House Business Mailing Address (if different) Business E-Mail* cfhinnkeepers@captainfarris.com Business Legal Entity Corporation Business Address in Yarmouth * 3O8 Old Main Street Business Phone #. 508-760-2818 Business Type. Food Service Business !nformation Corporation Name (if applicable) JCW Enterprises, lnc Tax lD (FEIN or SSN)- FEIN ls this a NAME CHANGE? No Owner / Manager lnformation Owne/s Name* Carol Watson Manager/Contacl Person Name* Jeffrey Watson FEIN **-***g'lg5 Owner's Phone Number 914-562-9390 Manager / Contact Person Phone Number' 914-263-7799 PLEASE LIST STAFF MEMBERS WHO HOLD THE FOLLOWING CERTIFICATIONS AND ATTACH COPIES OF CERTIFICATIONS Name of Certified Food Protection Manager(S) All food service establishments are required to have at least one ('1) PERSON lN CHARGE on site during hours of operation Emergency Telephone Number 914-562-9390 Please attach copies of certifications for all listed below: List all Certified Food Protection Managers* Carol Watson Jeffrey Watson List all employees with Allergen Certification' Carol Watson .leffrey Watson Name and Title Carol Watson, President Telephone Number 914-562-9390 Length of Permit Annual Address 308 Old Main Street Email caroljwatson5T@gmail.com Location is Permanent Structure? Yes Establishment Type Establishment Operations I I I I I Continental Breakfast Non.Profit Residential Kitchen for Retail Sale Number of Seats lnside* 22 Total Seats 22 Mobile Common Victualler Wholesale Food Service Number of Seats Outside. 0 Frozen Dessert Retail Service II tr tr Vending Food Other Name Change 0nly 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, atlest to the accuracy ofthe information provided in this application and I aflirm that the food establishment operation will comply with 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 certify under the penalties of perjury thal l, to the best of my knowledge and belief, have filed all state tax returns and paid taxes required under law.* Carol Watson Dec 29, 2025 Submitted by Stalf I Worker's Compensation lnsurance Affidavit fltr other Business B&B JCW Enterprises, lnc. Oec 29, 2025 lnsurance Policy lnformation Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of lnvestigations of the DIA for insurance coverage verification. Type of Business' I am an employer with employees . lnsurance Company Name Associated Employers lnsurance Company Policy # or Self.ins Lic. # wcc-500-50 1 87 80 -2025 A Business Other I do hereby certify, under the pains and penalties of periury, that the information provided above is true and correct.' lnsurer's Address 54 Third Ave., Burlington, MA 01803 Expiration Date 05t04t2026 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 vwvw.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.- I Notice PERMITS RUN ANNUALLY FROM JANUARY 1 TO DECEMBER 31. IT IS YOUR RESPONSIBILITY TO COMPLETE THIS APPLICATION EACH YEAR. ALL RENOVATTONS TO ANy FOOD ESTABLTSHMENT (pAtNTtNG, NEW EQUtpMENT, 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* ServSafe National Restaurant Association Servsqfe' CERTIFICATION JEFFREY WATSON for successfully completing lhe stondords set forth for the ServSobo Food Prcbclion Monoger Certificotion Exominotion, which is occrediled by the Americon Notionol Stondords lnstituC lANSllConbrence for Food Protection (CFP). ER 10749 EXAM FORM NUMBER 314t2026 DAT E OF EXPIRATION cy 6r recedificolion requiromenh. iolion Solutions 3t4t2021 DATE OF EX Locol lows opply E'IIhiEffi l^i'^\\z #0655 She 556oL bgo 06 tDd.nqlq ol *E tl&Aff. f{oliod R..boo, AJdotu A aJ llt G &b, Cdrcl u. wili q6iim ol 233 S. Wdcb 0ri6, Suib 3600, Chi@go, ll. 60606.6383 or S*vsofronxtoo.r.o,g. ACCREOITED PROCFAMAmd..n llrlloia I Sl.n da d3 lirtlluto rnd rh. conl.r6*r ld food Prctcdloi toN locol rq CATE I. Vler,L0 olou. Cdrgii.n 2@6, N.-turiq R-EE Acirion HEriml Fd,rldm ( 06&2013 lR.€dd.io or tdoqk ol dr tlairml Rraurqrt Acblho Itir,Jooma onnot be nprcdud c oltnd. INAE' CTRTIFICATE oF ATTTRGEN AwIRENE S S TnruN TNG Name of Recipient: JEFFREY wArsoN Certificate Number. 4e50365 Date of completion' 3/4/2021 Date of Expiration' 3/4i2026 Lsucd By: Ibe aboae-named person is berehl issued tlfu certifcate for completing an allcrgcn atoarenets lroiniflg Program recogniztd by tbe Maxacb setts De?artment of Publk Health in accordanu with lOS CMR 590.009(C)(3)(a). .fintI l:i:r.::i:1. NATIONAL . RESTAURANT ASSOCIATTON@ 800.765.2122 www.rcstaurant.org Massachuscna Rcstaurant Association 333 Tlrnpikc Road, Suitc 102 Southborough, MA 01772 508-303-9905 www. matqitarrenta66oc.org Ihis certfcate will be ztalidforfie (5) yearufrom iate ofcompletion. 3'2!2021 DAIE OT TI L':I ServSafe SerYSqfe' CAROL WATSON lo' s,.rctcrrf,lly <ornpletrng he rtondo.dt ret loah lor thc S.rvSoL' Food fto|cdion Monogor Cea,lrcotron L,oii,rctro. wh,r h ,r occred,ted !ry tho Ame.,con Norronol Srondordr lnrfifUc lANSlltonbrence [o, loorl P'oto(,,on ICFPI rR 10749 IXAM FORM NUMSER 3:?t20?6 DAtT OF EXPIRATION b. r<aa,Loto.r rr<prdrrrarr far.6 q s-tr CERTIFICATION I \Y1nL rt,: }!t' ,}I Tc -oo , ,,,,, .,,(1 ?) CERTTFICATE ATLERGEN AWARENES OF s TRAINING rl s, Name of Recipiene cARor w^rsot Certifi cate Number: .e5o2.r Date of completion. 34/202r Date of Expiration: ,.'2016 lht abne namzd y*non it htrcb.y i$ued thit tcrril*art -ld .ornpl.tiry an dtkrgrn aurrinat trrrning Srigrrmrr.ogn'a?i try th? tllat'arta,.t, t)rpatm.nt oliit tii t*utrl in atronlantz s:irh tOs oltR s90.OOgiC)(.t)(o). Tlis ctrti/tiatt uill bc lalidlot.fnv (t) yroujlom dau o/ton2tdion -ffirufl NATIOT{AI .RESTruRANTASSOCtATIoN. 800.761.2122M.rrrhuknr RGn.qrnt A.qxurn,..l3l'lit.np'I. Rod, Suir. lo,S,) hlrorr8tr,lrl^ or772 908,1019905 Mnl& ,urrnlrrxx. or8 t\- ffi r r,t I .7x + El o)arls e l6l t ',, rtt.rlt rlI .c+l .Gat TITIT U TI TI T U trr, l?t' ,t,,. ,ir. $1 ?) CTRTIFICATE OF AT-LE RG EN AwaREN ESS TnNTN IN G Namc of Recipicnt: c^RoL wATSoN Ccrtifi cate frlg6!gy' rssozzr Dlte of ComPletion' 3/a'202r I)atc of Expiration' 3/'2026 l'.uc(l lly: 'lht thot,e-tamal lvtron rr htrthy irttt,l thir wtiy'icotc lo, .ttnr rtt N,tn nlhrytn,tr.rnttntrt tttrtrrtrtl ?rogn n, ftto(ntznl lrythr llldttdfi ittt l)rlntmnt of l'uhlir Ile th tn ocror,hmt uth lOi Ollllt Sr)O.l)09((: )(.1)fu ). 'llr rrtt/irau u l hr wh /or /ivc lS) yartliou loc ofcom?l.tion II*r,t hu'cn" llc.r,rurrnt Aur i,rtr,'n'l1l'lirrrprhc Rod, Surtc 102 $nrthtxrnxrgh, IUA O1772 508 101 e90S !v'ww' nrJft !rilurtnltrura.orx -\_ NATIONAL . RESTAURANTASSOCtATION. 8fi).765 2122 w!i'!e.aEr lirurrn Lorg rr ]]lRT rl Details Lodging/Motel lnformation Establishment Name' Captain Farris House Tax lD #- FEIN Establishment Street Address" 308 Old Main Street Check if ll,lailing Address is different I Owner's Name* Carol Watson Owner's Slreet Address 308 Old Main Street The Health Department will not use past years' records for any certifications. You must provide new copies and maintain a file at your place of business. Owner lnformation Establishment Phone #' 508-760-2818 FEIN- **-***9195 Establishment City, State, ZIP* South Yarmouth, MA 02664 EmailAddress* caroljwatson5T@gmail.com Owner's Phone #* 914-562-9390 Owner's Adress City, State, ZIP South Yarmouth, MA 01664 Corporation Name JCW Enterprises, lnc. Manager's Phone #* 914-263-7799 Lodging Type Cabin Motel DOCUMENT Expiration Dale* 12t31t2026 Conditions 1st Floor - 4 Bedrooms 2nd Floor-4 Bedrooms Annex 1st Floor - 2 Bedrooms B&B I Lodge I I lnn I I I Manager's Name* Jeffrey Watson Trailer Park For purposes of the limitations of Motel or Hotel use, Transient occupancy shall be limited to the temporary and short{erm occupancy, ordinarily and customarily associated with motel and hotel use. Transient occupants must have and be able to demonstrate that they maintain a principal place of residence elsewhere. Transient occupancy shall generally refer to continuous occupancy of not more than thirty (30) days, and an aggregate of not more than ninety (90) days within any six (6) month period. Use of a guest unit as a residence or dwelling unit shall not be considered transient. Occupancy that is subject to the collection of Room Occupancy Excise, as defined in M.G.L. c. 64G or 830 CMR 64G, as amended, shall generally be considered Transient. Click to get a copy of the Worker's Compensation lnsurance Affidavit: General Businesses The Town of Yarmouth taxes and liens have been paid prior to renewal or the issuance of your licenses.* I lacknowledge that lhave read and undersland the conditions of 521 CMR I regarding transient lodging facilities. Transient lodging shall include but not be limited lo holels, motels, bed and breakfasts, inns, boarding houses, dormitories and resorts.' JCW Enterprises, lnc. Dec 29, 2025 WORKERS COMPENSATION AND EI\,4PLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Employers lnsurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 (800) 876-2765 NCCr No 4oese POLICY NO PRIOR NO, ITEM 1 The lnsured: JCW Enterprises lnc DBA: The Captain Farris House Mailing address: 308 Old N4ain St South Yarmouth, MA 02664 FEIN:"-"t9195 Legal Entity Type: Corporation Other workplaces not shown above: See Location 2. The policy period isfrom 05/04/2025 lo 05/0412026 12:01 a.m. standard time atthe insured's mailing address 3. A. Workers Compensation- lnsurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: l\rlA B. Employers' Liability lnsurance: Part Two ol the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily lniury by Accident g 1,000,000 each accident Bodily lniury by Disease $ 1,000,000 policy limit Bodily lniury by Disease $ 1,000,000 each employee C. Other Stales lnsurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals ol Rules, Classilications, Bales and Bating Plans All information required below is subject to verification and change by audit. Premium Basis Rates Estimaled TotalAnnual Remuneralion Per $100 OJ Remuneration TNTRA 001057635 INTER SEE CLASS CODE SCHEDULE Minimum Premium $292 GOV CLASS Service Office: 54 Third Avenue Burlington [4A 0'1803 wc o0 00 01 A (7-1 1) lncludes copyrighled materlalol lhe Nsllonal Councll on Compenssllon lnsursnce, used with hs permlssion. Total Estimated Annual Premium Deposit Premium State Assessments/Surcharges $489.00 x 4.6800% --- The Hilb Group of New England LLC 973 lyannough Road Hyannis, lltA 02601 $827 $213 $23 .,, This policy, including all endorsements, is hereby countersigned by ,r''-04t1012025 GOV STATE Date wcc-500-501 s780,202sA wcc,5005018780-2q24A a-haaitica-tions Cod6 No. Estimaled Annual Premium MA I e0s2