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HomeMy WebLinkAboutLicense-App-CertsDocusign Envelope lD: D89FA390-0C1A-4EF1 -a280-93947 4392E21 r,*itusT BE PoSTED oN pREltlsEsr* This License affirms that the specified premites, structure, or portion thoreof has met the nec€ssary conditions including any inspections required at th. time of issuance. It must be framed or laminated and prominently displayed in a clearly visible location within the approved premises. lnterim Health Di.ector James Gard iner Signature of Interim Health Director filZ*u* A The Commonwealth of lrlassachusetts Town of Yarmouth Health Department FOOD ESTABLISHMENT LICENSE Certificate No. BOHF-26-2Docito Homemade 44 Pequod Cir ISSUED TO: The purpose of 105 CMR 500.000 is to establish minimum standards for those persons engaged in the business of preparing, processing, or distributing food for sale in Massachusetts. 105 CMR 500.000 shall be liberally construed and applied to promote the underlying purpose of protecting the public health. License Expiration: December 3L, 2026 Board ol Hcalth: Hillard Boskey, M.D., Chairman Mary Craig. Vice Chairman Charles T. Holway, Clerk Laurance Venezia, DVM Eric Weston Fee: $80.OO Restrictlons / conditions; Baked Goods only tera Details lnternal Only License Restrictions/Conditions Baked Goods Only Expiration Date* 1213112026 Business lnformation Business Name* Docito Homemade Business Mailing Address (if ditferent) Business E-Mail* docitohomemade@gmail.com Business Legal Entity Other Legal Entity Business Address in Yarmouth * 44 Pequod Cir Business Phone #* 508-202-0039 Business Type' Food Service Other Legal Entity LLC Corporation Name (if applicable) Docito Companies LLC Tax lD (FEIN or SSN)' FEIN Is this a NAME CHANGE? No Owner / Manager lnformation Owner's Name' Emanuele Rossi Curry Manager/Contact Person Name* Pamela Jones FEIN *-*-5084 Owner's Phone Number 774-6M-6758 Manager / Contact Person Phone Number* 508-292-1189 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 (1) PERSON lN CHARGE on site during hours of operation Emergency Telephone Number 508-292-1189 Please attach copies of certifications for all listed below: List all Certified Food Protection Managers' Emanuele Rossi Curry List all employees with Allergen Certification* Emanuele Rossi Curry Establishment Operations Length of Permit Annual Address 44 Pequod Cir, Yarmouth Port, MA 02675 Email docitohomemade@gmail.com Location is Permanenl Structure? Yes Name and Title Emanuele Rossi Curry - Owner Telephone Number 774-644-6758 Establishment Type I I I I I I I I I I Continental Breakfast Common Victualler Non-Profit Wholesale Residential Kitchen for Retail Sale Food Service Frozen Dessert Mobile Retail Service Vending Food I 0ther 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. I, the undersigned, atlest to the accuracy of the information provided in this application and I affirm that the food eslablishment operation will comply with ,l05 CMR 590.000 and all other applicable law. I have been instructed by the Board of Health on how lo obtain copies of 105 CMR 590.000 and the Federal Food Code. Pursuant to MGL Ch.62C, Sec.49A, lcertify under the penalties of perjury that l, to the best of my knowledge and belief, have filed all state tax rGturns and paid taxes required under law.* Emanuele Rossi Curry Jan 6,2026 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] Submitted by Staff I Business Other I do hereby certiry, under the pains and penalties of perjury, that the information provided above is true and correct,* Emanuele Rossi Curry Jan 6, 2026 Food / Retail Service SEASONAL FOOO 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.' I Other Business Home/Online Bakery Notice PERMITS RUN ANNUALLY FROM JANUARY 1 TO DECEMBER 31 . IT IS YOUR RESPONSIBILIry 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 ServSqfe' CERTIF!CATION EMANUELE ROS ,q lrrra{rr.mpbi,lg aE rnodr t i baI L, *! ;'i.[ n e.4d .d by iE Affi.- Nd6.d ER 41312023 ,\^..oss Citi6on6 E@rEri6, 1t3t2028 OAT E Of EXPIRAIIONL. ,(.dlir.M trq,d CTRTTTTCATE OF ATTERCEN AWARENESS TRRTNTNC Name of Rccipicnc re aoer cuar Cctifcatc Nunbcc 6..@ D.te of Completioo: a,,@3 Date of Expiretioo: I'm EcLi E ffitr 7k ,bq*,.r.d p*n n b<n! i!'tat n ..tiftdk Id@nl.tirs zt%a Mdat tairi,Sqognn i.toEnivl4 i, M@dt R D.ptran! of Pzbt;t Htot b in aMd.,k snt 105 CMR too.Nqc)P)/a). .vl!NIITIONAL . RESIAURANTASSOCtAnoir. (@6$ ll3 TurpiL Ro.A, $iF 102 5597 EXAM TOTM N UMDCT iSlgllligq