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HomeMy WebLinkAboutApp-CertsDetails Mobile Food Vendor License lf you are currently an approved Mobile Food /lce Cream Truck in the Town of Yarmouth you M UST select Renewal lf you are seeking to have a Mobile Food /lce Cream Truck Vendor License in the Town of Yarmouth for the first time, please select NEW. Please Note: To ensure that we have the time to review your material, we ask that you submit all required documents to us at least 15 business days prior to opening! THE MOBILE FOOD / ICE CREAM TRUCK LICENSE MUST BE RENEWED ANNUALLY Are you renewing an existing License or are you a NEW vendor? NEW Type of permit you are applying for? Mobile - Annual General Application lnformation Business Name / DBA' The Music Room Operations Address (Street, City, State, Zip) 541 Route 28 South Yarmouth, MA02664 Type of Mobile Unit?" Mobile Food Truck LICENSE EXPIRATION DATE- 1213112026 Phone Number* 617-821-1204 tt'lailing Address (it different than Operations Address) License Plate Number Vehicle Make/Model Name of Operator / Driver Mobile Food Vending Equipment Do you have propane on your mobile unit?* Yes Deep Fryers I Vehicle Registration Number Vehicle Year 0perator / Driver Phone # Do you have a class K extinguisher?* No Grill on mobile unit Do you have an Ansul syslem in your mobile unit? Do you have a cunenl lire inspection/permil from the Fire Department where the food truck is housed? Do you have the following cooking equipment? (Check all that apply) I Grill on wheels Smoker on wheels I I Smoker Stationary Proofing Cabinets II Podable lnduction Burners Steam Tables I I 0vens Commercial Ranges I I Toaster Hot Dog Machine II Pasta Cookers Broilers I Gyro machine / vertical broilers Rice CookerrI Commercial Crepe Maker Sous Vide Circulators I Pressure Smokers Sandwich Press I I Microwave ovens I I I Do you have the following cold holding equipment? (Check all that apply) I !I Refrigerator I Condiment Station Freezer(s) ! Name and Title' Brian Serbone Refrigerated Prep Tables t Chef Bases Coolers Phone* 6',t7-921-1204 lce Cream Maker Other Person Directly Responsible for Daily Operations (Owner, Person in Charge, Supervisor, Manager, etc.) EmailAddresst brian@musicroomcapecod.com Food Protection & Allergy Awareness Contact lnformation The person who holds the certified food protection manager and allergen awareness certificates must be the same person. Name of Person Certified in Food Proteclion Management ftft Expiration date of Food Protection Manager Certificate lacknowledge that an Allergen Advisory must be posted on my menu and labels.* STAFF Jan 5, 2026 Type of Operation ls this an ice cream lruck?* No ls this a truck that sells raw fish, shellfish or lobsters off of it?' No Expiration date of MA Allergen Awareness Cerlificate Location of Event* 541 Route 28 Definitions: TCS: Time/Temperature Control for Safety Food (TCS) means a food that requires temperature controls to limit pathogenic microorganism groMh or toxin groMh. Refer to the FDA Food Code for the complete definition. Non-TCS's: non-Timellemperature Control for Safety Food (TCS) means a food that does not require temperature controls to limit pathogenic microorganism growth or toxin growth. Refer to the FDA Food Code for the complete definition. RTE: readyto-eat foods (Ex. sandwiches, salads. muffins which need no further processing) Please check the one that best fits your business. (YOU MUST SELECT ONLY ONE) RISK 1: Examples include most convenience store operations, hot dog carts, and coffee shops. Establishments that serve or sell only pre.packaged, non-time/temperature control for safety (TCS) foods. Establishments that prepare only non.TCS foods. Establishments that heat only commercially processed, TCS foods lor hot holding. No cooling of TCS loods. Establishments that would otherwise be grouped in Category 2 but have shown through historical documentation to have achieved active managerial control of foodborne illness risk factors, I RISK 3: An example is a full service restaurant. Extensive menu and handling of raw ingredients. Complex preparation including cooking, cooling, and reheating for hot holding involves many TCS foods. Varieg of processes require hot and cold holding of TCS food. Eslablishments that would otherwise be grouped in Category 4 but have shown through historical documentation to have achieved active managerial control of foodborne illness risk factors. Newly permitted establishments that would otherwise be grouped in Category 2 until history of active managerial control of foodborne illness risk factors is achieved and documented. RISK 2: Examples may include retailfood store oporations, schools not serving a highly susceptible population, and quick service operations. Limited menu. Nost products are prepared/cooked and served immediately. May involve hot and cold holding of TCS foods after preparation or cooking. Complex preparalion of TCS foods requiring cooking, cooling, and reheating for hot holding is limited to only a few TCS foods. Establishments that would otherwise be grouped in Category 3 but have shown through historical documentation to have achieved active managerial control of foodborne illness risk factors. Newly permitted establishments that would othenrise be grouped in Category I until history of active managerial control of foodborne illness risk factors is achieved and documented. RISK 4: Examples include preschools, hospitals, nursing homes, and establishments conducting processing at retail. lncludes establishments serving a highly susceptible population or that conduct specialized processes, e.9., smoking and curing; reduced oxygen packaging for extended shelf-life, I I tr Location and Hours of Operation Food Service Provide a list of all foods and/or beverages to be sold' sandwiches, hot dogs, hamburgers, potato chips, ice cream Add Location and Hours of Operation Willyou be providing individually pre-wrapped single use utensils or muhi-use utensils? Other Number of Food Handlers Type of Products to be Vended Sandwiches Candy/Gum Hot Dogs / Hamburgers Will food be prepared onsite? Yes Potato Chips Soda Popcorn II I I I n Other Frozen Dessert lnformation Do you serve lce Cream? Yes Check all that apply: Pre-Packaged Homemade Hard lce Cream lce Milk Frozen Malt I Facility lnformation I I I Soft Serve I Store Bought lce Cream I Sherbert Other I I Description of On-Site Facilities & Equipment . List all equipment Location of a Off-Site Food Preparation/Storage Type of Sanitizer in Use Does the MFE use propane? Where will grey/waste water be disposed of? Do you have a grease trap on sile? Do you have a hood ventilation system? Are the toilet facilities public bathrooms? Location of handwashing sinks How will sanitizer be stored? How will potable water be supplied? Name of grease trap service company ls ventilation provided over all equipment which produces grease laden vapors? ls there a first aid kit on site? Number of handwashing sinks Please Read the Following Rules and Regulations 1. All mobile vendor vehicles must be inspected and licensed by the Board of Health and each driver must be in possession of a valid state hawkers and peddlers license prior to operating within the Town of Yarmouth. 2. No mobile food vendors are allowed at Bass River Beach (AKA Smugglers Beach), Seagull Beach, Parkers River Beach, or on Seagull Road, without Parks & Recreation Department approval. 3. No vendors shall dispense drinks in cans or bottles at any town beach or parking lot. 4. No two vendors will be allowed into any beach or parking lot at the same time without Parks & Recreation Department approval. 5. Vendors are allowed a twenty (20) minute stay in an area. However, time may be extended if there are people waiting to be served. 6. Afee (please contact the Select Board c/o Town Admin's ofiice for current amount) must be paid to the Parks & Recreation Department prior to operating within the Town of Yarmouth. 7. Any vendor found to be in violation of the above cited rules/regulations will have their license revoked and all privileges of operating within the Town of Yarmouth suspended. 8. These rules/regulations will be enforced by the Board of Health, Parks & Recreation Department, and the Police Department. I have read the following rules and regulations:* Acknowledgment STAFF Jan 5, 2026 I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.' STAFF Jan 5, 2026 Conditions / Restrictions Conditions / Restrictions Menu: Meatballs, chicken tenders, fries, onion rings, salads, burgers, wraps, quesadillas, hot dogs, and pizza. 1/15/26. 9:O5 AM STARTERS Arancini (frozen?) Meatballs (ground beef. marinara, shredded mozzarella) Chiclen Tenders (chicken, all purpose flour) Fries (frozen) Onion Rings (onions, all purpose flour) Fried Pickles (pickles, all purpose flour) ffetu - b.iateryirsirmmcapecod-corn - The MuSc Room Maal lvtu€- t SALADS Caprese (tomato, basil, fresh mozzarella, balsamic) Caesar (romaine, Caesar dressing, Parmesan cheese, croutons) House (romaine, tomalo, onion, shredded cheese blend, bacon, croulons) Wedge (ic€burg, blue cheese dressing, Uue cheese crumues, tomatoes, bacon, balsamic) BURGERS 1 American cfieese, l€ttuce, oniofl, lomatro, pickle, 1000 island 2 Cheddar ctpese, Bacon, Bbq sauce, 2 onion rings 3 Blue dreese crumbbs, saut6d onion, balsamic mayo 4 (Anyhing eh€ is essentia[y.iust whatever varialion d#1, wtletter it's mayo, cfieddar, ketcfiup, mustad, or trfiatever. That's why I lean towards build your own, p€opl€ are going to rnodiry and make substitrrtions to them regardless- #1 would get a lot of add bacon, change cfieese, change sauce, no thb, no that thal, i think itd be rnore Fodudive to iust have them build they're own from the start, less mistakes and mix upymore efEcbnt) WRAPS Bufialo Chicken (Bufrb ctlicken tenders, lettuce, tomato, blue cieese dressing, tortilla) BBQ Chicken (bbq cfikl(er tenders, lettuce, tornato, brlifia) Caesar Chicken (cfiki(en breast, lettuce, Caesar dressing, Parmesan cheese, tortilla) OUESADILLAS Cheese (shredded cheese blend, tortilla) Chic*en (chl*en breast shredded crEese derd, tortilla) Veggie (shrBdd€d cllees€ blend, tornato, saute€d onion, peppers, iceburg lettuce gamish, tortilla) DOGS Hotdogs (bun, hotdog, ketc*rup, mustard, onions???) Sausage (bun, sauteed oflion ard peppers, bbq sauce or marinara) PIZZA Ch€ese (dough, marinara, shredded mo;rzarella) Margherita (dough, marhara, tomab, shEdded mozzardh, fresh mozarella, basil, balsamic drizzle) Veggie (dough, marinara, shredded mozarefla, tomato, onim, peppers) Pepperooi (dor4h, rnarinara, shEdded mozarefla, popperoni) Bufialo Chicken (blue cheese dressing, shredded mozarefla, Buffalo chicken tenders) BBO Chic*en (dor.rgh, btq sauce, stlredded mozzarella, sauted onions, bbq cfiiden breast) Big Mac (dough, 1000 islard, shreddd filo,zatdla, burger, onion, tomato, pidde, iceburg lettuce gamish) M€at Lovers (dowh, marinara, shrcdd€d fin2zarella d]eese, pepperoni, bacon, burger, sausage) THE MUSIC ROOM. DINNER MENU PTZZA CHEESE PIZZA. parmesan and fresh basil. $r8 PEPPERONI PIZZA. parmesan and fresh basil . Szo VEGGIE PIZZA. onion, pepper & tomatoes, parmesan, fresh basil . $zo MARGHERITA PIZZA . fresh mozzarella, parmesan, fresh basil, and drizzle of balsamic glaze . $zz B U FFALO CHICKE N PIZZA. crispy buffalo chicken, parmesan, fresh basi [, and drlzzle of ranch . $24 QUESADILLA CHEESE OUESADILLA four ble nd ed cheese with a side of so ur cream and fresh salsa. $r5 VEGGIE QUESADILLA. four blended cheese, onions, peppers, and tomatoeswith a side of sour cream and fresh salsa sr6 BUFFALO CHICKEN QUESADILLA. four blend cheese and crispy buffalo chicken with a side of sour cream, f resh salsa. $r7 APPETIZER BASI(FT OF FRIES served with side of ketchup . S7add c heese . $z IALAPENO Po PPE RS . served with side of ranch $ro CHICKEN TENDERS served wi th a side of honey mustard, buffalo or BBesauce $r2 FLAVo RE D cHICKEN TENDERS . rossed in choice of buffalo or BBe sauce,served with side of ranch $r4 cHICKEN TEND E R PLATE served wi th a side of honey mustard,buffalo orBBQ sauce, and a side of ranch, with French fries . sr5 or BBQ sauce, and a side of ranch, with tossed in choice of buffalo French fries. $18 8efo.. pla.i!8 you r o.d. r, pl.ase i n fo.D you...rv.r ifa pcrron in your p.rry lrDe.r,, poo r r.y, se.food, sr!.ltfisn, or.rrs may rn...as€ yo!r ris. r r."ro"...",ii.'.?d '11"8, consu m i nB raw or undercook.d TOWN OF YARMOUTH Board o1' Health STATE LICI]NSE NO. VEIIICLE REG. NO. I 146 ROUTE 28, SOUTH YARMOLTTH, MASSACHUSEI-TS 02664'2445I Telephone (50t1) 398-2231' ext l24l Fax (508) 760-3472 Age Health Division ct^ g'F'161 PERMrrNolq BG - | FEE: Food --St530 Ice Cream $40.00 SEASONAL YEARROUND Y NAME OF BUSINESS APPLICAT]O N FOR LTCENSES/PERMITS MOBILE TOOD SERVICE VENDOR TAX ID (FEIN OR SS].iD ?f- Z IZ7 ZL S aw A A,o*BUSINESS TEL. NO,.,.(t ( A TowN 6'21- 1zo y' ,.r'v/ HOME TEL. NO.,, t lfzt'' 'u( L BUSINESS ADDRESS OWNER'S NAME ,,.1/<-/Lt + N tu.^/€ HOME/LEGAL ADDRESS- E-MAIL anl e tate lcense o IFMORETHANONEDRIVER,LISTADDITIONALNAMES,ADDRESSES'ETC'BELOW: p c o (Town (State (zlp Code(No. Street PLEASE CHECKTYPE OF PRODUCT(S )TOBE VENDED FACILITY /L i2rr\-s .5t x sANDwtcHES XF3l88R^tn"t7 HOT DOCS. HAMBURGERS / soDA-r orHER TI-IRN OVER CANDY, CUM T ICE CREAM /L UNDER CHAPTER I52, SEC. 25C, SUBSECTION 6, THE TOWN OF YARMOUTH IS NOW REoUTRED ro HoLD tssii;NEE 6& RErybwAL. or nNv LICENSE oR PERMIT ro b'FH[it"Ei'BiJSine5s rr ,i"pin"son-on!=o-ur4Nv DoES Nor HAvE A cERTTFICATE oF WORKER S COMPH,NS;i'ibX iNSUNENCE. THE ATTACHED WORI(ERS coMpf,NSATrON TNSURAfr'ciili.HoaviT MUST BE COMPLETED AND SIGNED. TOWN OF YARMOUTH rAxES AND LIENS MUST P.P PAID PRIOR TO RENEWAL OR rsxiiiutt tjiT6un iERMii"s: iLiesr cHecK eppnopmere, Ir PArD: YES4No-. TURN OVER PAGE 1 OF 2 TURN OVER TURN OVER PLEASELISTYOURLICENSEDFooDPREPARA-TIOJ{'C0MMISSARYESTABLISHMENT.AND PROVIDE AN OWNil".S'r6il"gO-iiTiEii.CTNIPYTNC YOUR USE OF THIS i"Il Town of Yarmouth, MA Health lnspection Record No.BLDC-25-67 status Active Type lnspection Assignee Phil Renaud Primary Location 517-541 ROUTE 28 WEST YARMOUTH, MA 02673 Owner MICHELYN LLC PO BOX 2128 HYANNIS, MA 0260I Became Active June 23, 2025 Due Date None January'15, 2026 Record No: BLDC-25-67 Building Permit - Commercial/Non-One and Two Family Status: Active Submitted On: 6/'13/2O25 Applicant I The Music Room J 61i-B2t-12o4 @ brianpmusicroomcapecod.com | 541 Route 28 West Yarmouth, Ma 02664 lnspection Types Overview Final ffi scneouleo Scheduled Appointments Thursday, January 15, 2026 517-54I ROUTE 28, WEST YARMOUTH, MA 02673 Requested January 5, 2026 at 10:21 am Q Confirmed The appointment has been scheduled, and is currently awaiting inspection. lnspection Types Final Notes final for food truck Requested Appointments None Past Appointments Arrival Window 9am - 3pm lnspector @ Phil Renaud None Messages No comments yet. Step Activity OpenGov system activated this step Rosa lnkley assigned this step to Phil Renaud Rosa lnkley scheduled an inspection for Jan 9, tw lo Rosa lnkley rescheduled an inspection from Jan 9,2026 to Jan15,2026 OOl23l2O25 at 12:46 pm 10/2112025 at 3:21 pm 0110512026 at 10:21 am 0110912026 at 9iO3 am Details Mobile Food Vendor License lf you are currently an approved Mobile Food /lce Cream Truck in the Town of Yarmouth you MUST select Renewal. lf you are seeking to have a Mobile Food /lce Cream Truck Vendor License in the Town of Yarmouth for the first time, please select NEW. Please Note: To ensure that we have the time to review your material, we ask that you submit all required documents to us at least 15 business days prior to opening! THE MOBILE FOOD / ICE CREAM TRUCK LICENSE MUST BE RENEWED ANNUALLY Are you renewing an existing License or are you a NEW vendor? NEW Type of permit you are applying for? Mobile - Annual General Application lnformation Business Name / 0BA* Type of Mobile Unit?' Mobile Food Truck LICENSE EXPIRATION DATE' '1213112026 The Music Room Operations Address (Street, City, State, Zip) 541 Route 28 South Yarmouth, MA 02664 Phone Number' 617-821-1204 1 PLEASE READ FO LLOWING RULI]S/REGULATIONS TH PA ESE RULES/REGUL ATIONS WILL BE ENFORCED BY THE tsOARD OF HEALTH' RECREATIO N DEPARTMENT, AND THE POLICE DEPARTMENT. (-u ALL MOBILE VENDOR VEHICLES MUST BE INSPECTED AND LICENSED BY IIIE.B.OI.NO OF TIEALTH. AND EACH DRTVER MUST BE IN POSSESSION OF A VALID SiATE UEWKTNS EruO PEOOLERS LICENSE PRIOR TO OPERATING WITHIN THE TOWN OF YARMOUTH. NO MOBILE FOOD VENDORS ARE ALLOWED Ar BASS RIVER BE4.qH-(4/IqA buu'cb-l-r-ns eEAcHi, SEAGULL BEAqtlr PAMERS RIvER BEncHr,o-R qN SEE"C-U-I-I i{OEO, WriiOUr PARKS & RECREATION DEPARTMENT APPROVAL. NO VENDORS SHALL DISPENSE DRINKS IN CANS OR BOTTLES AT ANY TOWN BEACH OR PARKING LOT. NoTwoVENDoRSWILLBEALLoWEDINToANYBEACHoRPARKINGLoTATigs Snrtae irrtlE WITHOUT PARKS & RECREATION DEPARTMENT APPROVAL. VENDORS ARE ALLOWED A TWENTY MTNUTE STAY IN AN AREA' HOWEVER, TTT',IC TT,IAVEE EXTENDED IF THERE ARE PEOPLE WAITING TO BE SERVED. AFEE(PLEASECoNTACTTHESELECTMEN'SPERMITSoFFICEFoRCURRENT nr-,1oUivr-t tn-nlr se pAID ro THE PARKS & RECREATION DEPARTMENT PRISR iO.OiERAiiNC WIiTTTN THE TOWN OF YARMOUTH. SUCH FEE TO BE PAID AT THE SELECTMEN'S PERMITS OFFICE. ANY VENDOR FOUND TO BE IN VIOLATION OF THE ABOVE CITED nuieslntcuiATloNs wlLL HAVE HIs/HER LIqENSE REVoKED' 4ND-4I-L iNrVr[Eb"E-S Or OPEINTTNC WITHIN THE TOWN OF YARMOUTH SUSPENDED. 4 5 6 7 8 PAGE 2 OF 2