Loading...
HomeMy WebLinkAboutApp-CertsDetails lnternal Only License Restrictions/Conditions Expiration Date* 12t31t2026 Business lnformation Business Name* The Other Guys Business Mailing Address (if different) 180 lndian Trail Dennis Port, MA02639 Business E-Mail" peternmorey@gmail.com Business Legal Entity Corporation Goue . a 5_2)O Ttl€ ort€ G--5s Business Address in Yarmouth * '16 North Main Street SOUTH YARMOUTH, MA 02664 Business Phone #* s082748117 Business Type" Food Service Corporation Name (if applicable) PMJD GUYS INC Tax lD (FEIN or SSN)" FEIN ls this a iIAME CHANGE? No Owner / Manager lnformation Owner's Name* Peter Morey Manager/Contact Person Name* Peter Morey FEIN **-***6967 Owner's Phone Number 5082748117 Manager i Contact Person Phone Number* 5082748117 PLEASE LIST STAFF MEMBERS WHO HOLD THE FOLLOWING CERTIFICATIONS AND ATTACH COPIES OF CERT!FICATIONS 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 5084320462 Please attach copies of certifications for all listed below: List all Certified Food Protection Managers' Peter Morey List all employees with Allergen Certification' Peter Morey Establishment Operations Length of Permit Annual Address '180 lndian Trail Dennis Port, MA 02639 Email peternmorey@gmai l.com Location is Permanent Structure? Yes Name and Title Peter Morey Telephone Number 5082748117 Establishment Type I I I I I I Continental Breakfast Non-Profit Residential Kitchen for Retail Sale Number of Seats lnside' 20 Total Seats 20 Retail Service Common Victualler Wholesale Number of Seats Outside * 0 Frozen Dessert Retail Square Footage* Less than 50 sq. ft. I I Food Service Vending Food Other Name Change 0nly I Affidavit New construction, remodel or conversion requires an Occupanry Permit from the Building Department in order to receive a valid Food Permit. I l, the undersigned, attest to the accuracy of the information provided in this application and latfirm that the food establishment operation will comply with 105 CMR 590.000 and all other applicable law. I have been instructed hy the Board of Health on how to oblain 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 returns and paid laxes required under law.' Peter Morey Dec 30, 2025 Submitted by Staff I tr Worker's Compensation insurance Affidavit I do hereby certify, under the pains and penalties of perjury, that the information provided above is kue and correct.* Peter Morey Dec 30, 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 Maximum lndemnity Company Policy # or Seliins Lic. # BDG-3086771-02 Business RestauranVBariEating Establishment lnsurer's Address 3655 North Point Parkway, Suite 500, Alpharetta, GA 30000s Expiration Date 0611412026 Food / Retail Service SEASONAL FOOD SERVICE OPENING:All food service establishments musl 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 prohlbited. I acknowledge thal I have read and understand the information above.' 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 EQUIPMENT, ETC.) MUST BE REPORTED TO AND APPROVED BY THE BOARD OF HEALTH PRIOR TO COMMENCEMENT. RENOVATIONS MAY REQUIRE MA ENGINEER SITE PLAN. ft i*Town of Yarmouth, MA Payment Record No.BOHF-25-21O status Active Type Payment Assignee Peter Morey lnvoice lD 1408673 Record No: BOHF-25-2lO Food Establishment Application Status: Active Submitted On: 1213C. I 2025 Primary Location 12 NORTH MAIN ST SOUTH YARMOUTH. MA 02664 Owner MITROKOSTAS NAFSIKA E TRS PO BOX 260 SOUTH YARMOUTH, MA 02664 Became Active December 30,2025 Due Date None January 16, 2026 ;l Peter Morey J sog-214-8111 @ peternmorey@gmail.com I l8O lndian Trail Dennisport, MA 02639 Applicant Fee Breakdown Fee Name Food Service Fees Common Victualler License Fee Frozen Dessert Caterer Farmers Market Retail Food Event Residential Kitcken for Retail sale Wholesale Non-Profit Mobile Vending Machines Temporary Food lce Cream Truck Total Total Fee Paid Due $t25.oo $o.oo $125.oo $60.00 $o.oo $60.00 $o.oo $O.OO $O.OO $o.oo $o.oo $o.oo $o.oo $o.oo $o.oo $ooo $O.OO $O.OO $o.oo $o.oo $o.oo $o.oo $o.oo $0.o0 $0,0o $0.00 $o.oo $o.oo $o.oo $o.oo $o.oo $o.oo $o.oo $o.oo $O.OO $O.OO $o.oo $O.OO $O.OO $o.oo $o.oo $o.oo Payment History $r85.OO $O.OO $l85.OO Retail Fees Continental Breakfast No payments to show. Messages Sara Provos December 3O,2O25 at llo pm Good afternoon, you can now go online and pay the application fee. Thank you. Sara Provos January 13, 2026 at 2:14 pm Good afternoon,.iust want to remind you that you have a payment due for your FY2O26 Food Establishment Application / License. Please go online and pay the required fee. lf you will be mailing in a payment (check), please mail to Town of Yarmouth, l'146 Route 28, South Yarmouth, MA 02664. Thank you. Step Activity OpenGov system activated this step 1213012025 at l:lO pm ServSafe National Restaurant Association Servsqfe' CERTIFICATION for successfully completing the stondords set lorth for the ServSobt tood Protection Monoger Certilicotion Exominotion, which is occredited by fie ANSI {Americon Notionol Stondords lnstitute) Notionol Accreditotion Boord (ANAB}- Conference [or Food Protection (CFP]. ER 10817 E XAM FORM NUMBER 6t17t2029 DATE OF EXPIRA]ION 6r recedificolion requiremenls- 6t17t2024 DATE OF EX tocol Iows opply. C ErEE!t}}ff:.jffi# ",.h"fd'*v/Md';M t((*omo rioctlf ANSI NalDnalA('ed trtron Eoed d rheCo.le,en.€ lo, tood foredio #o655 Sh tlRAtf, l.lotiqd Rabrqd Llo.idiio. dd f.{ofiml Redeot Alqirt Solrlionr uC ls.l,ti*lti. .:pli.it {iisr p.6i!!bo ol the *or ol *[ rcrlt. cdtoct u. wifi q6ii@ oi 233 S. wo.ld DiE, suit 3600, chi@so, lL. 60606€83 or s.ndlclcalouEntdg PETER N/OREY 2581b 1-o n,0\vo FICATE | 3 B.gd.rid 3. EI IZ' CTnTIFICATE OF ATTTNCEN AWNNEN E S S TNNIN IN G Name of ReciPiene PETER MoREY Certifi cate Num$sr3 5370015 Date of ComPletion' rrzszml Date of Expiratiofi' 11t2et202a Irrood Bv: Thc obotc-aanal iavn b htcly isnul tb* ccrt!fuau for omqlcciq on atlo4cn a7ltadtat ,laiiiT fmtumn*"ioi d * Un *ruat Dqrtaot of fublit Heottt' i, onilant, uith 105 CMR 590.N9(G)(3)(a). msl MTIONAL.REStruRANT ASSOCIATTON oM.tr.lurttr R..arunnt AtD.irtioa 333 Tuopib R.dA Suitc l@ Sotnl'borr.gl' MA 01n2 5(E-3Ui-9m5 viY.tllrtaataulaat..aocoll 8m.765.2122 ftvtaatIrruLo'rg This ccrtifeatc still bc oaHfufruc 6) 7unfiom da'c of @n?htiott' =ffi tr THE HARTFORD BUSINESS SERVICE CENTER 3600 WISEMAN BLVD SAN ANTONIO TX 78251 THE HARTFORD December 30, 2025 For lnformatronal Purposes 180 INDIAN TRL DENNISPORT MA 02639 Account lnformation: Policy Holder Details : PMJD Guys lnc DBA The Other Guys E Contact Us Need Help? Chat online or call us at (866) 467-8730. We're here Monday - Friday Enclosed please find a Certificate Of lnsurance for the above referenced Policyholder. Please contact us if you have any questions or concerns, Sincerely, Your Hartford Service Team WLTRO()5 6;b cERTIFTcATE oF LrABrLrry INSURANcE 1213012025 THIS CERTIFICATE IS ISSUEO AS A i'ATTER OF INFORIIATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXTENO OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEO REPRESENTATIVE OR PROOUCER, AND TIIE CERTIFICATE HOLOER. IMPORTANT: lf the c€rlificate holder is an ADDITIONAL INSURED, the policy(las) must be endorcod. lf SUBROGAT|oNIS WAIVED, subject to the terms and conditlons ofthe policy, certain pollcies may requirc an endo.sement. A statement on this ce ificate do€s not confer rights to lhe certificate holder in li6u of such endorsemenl(s). PRODUCER BRYDEN & SULLIVAN INS AGCY INC/PHS 08084306 The Hartford Business Service Centea 3600 Wiseman Blvd San Antonio. TX 7825'1 CONIACT (866) 467S730 AODRESS INSU RER(S) AFFOROING COVERAGE II{SURED PMJD Guys lnc DBA The Other Guys 180 INDIAN TRL DENNISPORT I,4A 02639 INSURERA: Twin City Fire lnsurance Company 29459 INSURER D : COVERAGES E HOLDER CERTIFICATE NUMBER REVISION NUMBER: @ 1988-2015 AcoRD CoRPORATION. All rlghts reservod. The ACORD name and logo are rcgistered marks of AcoRD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE AEEN ISSUED TO THE INSUREO NAMED AAOVE FOR THE POLICY PERIOD INDICATED.NO]WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACI OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCEO BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE t'.lsR s!aR LfiTS EACH OCCURRENCE OAMAGE IO RENTEO PREMISES lEa @ftnel COMMERCIAL GENERAL LIABILIry CLAIMS.MADE PERSONAL & AOV INJURY GENERAL AGGREGATE PROOUCTS. COMP/OP AGG GEN'L AGGREGAIE LIMITAPPLIES PER: OTH€R: JECI COMAINED SINGLE TIMIT BODILY INJURY (Por p6Bon) AODILY INJURY (Por aeid6.l) AUTOMOBILE LlAAILlrY AUIOS HIREO AUTOS scHEor.lLEo AUTOS NON.OWNEO AUTOS EACH OCCI]RRENCE EXCESS LIAB OCCUR MADE DEO nerempr $ oTt"r,X STATUTE E L EACH ACCIOENT $500,000 E L. O SEASE -EA EMPLOYEE $500,000 woRxERs cof PENsaTlolil AND E PLOYERS' IIABILITY PROPRIETOR/PARINEFYEXECUTIVE OFFICEF'MEMBER EXCLUDEO? OESCRIPIION OF OPERATIONS helow f 08 WEC AYgNTR 071122025 07112J2026 E L OISEASE - POLICY LIMIT $500,000 OESCNP,ON OF OFERATIONS / LOCA7IONS / VEHICLES (ACORO i Ol. Addnion.l R.m.rt. Sch.dul., m.y b. .tLch.d il morc 3p.a i. r.qulrod) Those usualto the lnsured's Operations. IIIII SHOULD AIIY OF THE ABOVE qESCRIBEO POLICIES BE CANCELLED AEFORE THE EXPIRATIOiI DATE THEREOF, NOTICE WIL AE OELIVERED II{ ACCORDA]ICE WITH THE POLICY PROVISIONS. li,"oan -f Caz6.u-or---, AUTHORIZED REPRESENTAIIVE For lnformational Purposes 180 INDIAN TRL DENNISPORT MA 02639 ACORD 25 (20r6/03) INSURER C: INSURERE: MED ExP (Any on6 p€6on)