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HomeMy WebLinkAboutApps-CertsDetails Lodging/Motel lnformation Establishment Name* The Mariner Resort Tax lD # FEIN Establishment Skeet Address' 573 route 28 Owner's Name* Gunvantrai Patel I Check if Mailing Address is different Email Address* info@marinercapecod.com 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 #' 508-771-7887 FEIN- -.-.*5766 Establishment City, State, ZIP- West Yarmouth,MA 02673 Owner's Phone #* 508-771-7887 Owner's Street Address Owner's Adress City, State, ZIP -l Corporation Name Maa Gayatri Mariner LLC Manage/s Phone ff 508-771-7887 Manager's Name* Dennis Patel B&B Lodge Trailer Park I I I I ! Lodging Type lnn I Cabin Motel DoCUMENT Expiration Dale' 12t31t2026 Conditions 100 One bedroom Units 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 I acknowledge that I have read and understand the conditions of 521 CMR 8 regarding transient lodging facilities. Transient lodging shall include but not be limited to hotels, motels, bed and breakfasts, inns, boarding houses, dormitories and resorts,' Dennis Patel Ocl22, 2025 For purposes of the limitations of Motel or Hotel use, Transient occupancy shall be limited to the temporary and short-term 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. sf,&* trffiu'" Certiffed Fool / Spa Operatoro ,&lrz-e-r" ^l /o, €rrrrrrr- tQ"il as an Operator of Aquatic Eacilities CPo€ Registration No. 02-/095,95 ,is hereby Certified and Reglistercd by the NATIONAL SWIIUDIING POOL FIOI,,NDAMON q.Ut{**rl tmtRucrux u tiitot DATE CFfrIIFIED ,ffi Security C 2L3 //( "'/ 't', cofllpleted theNSC Finst Ald Gounso OSHA [! lru;lrttt:trorr,tl Ir il l0-l0l) It r,lrrtr lrrr N!,' Arre tlrl crl :!ry9od$WTrrhlrr12t03t2022 12t03t2026 -w---rrLL dllrmmTTITW*^T.(7r Details Business lnformation Applieant Name* Owner Establishment Name* The Mariner Resort Cape Cod Mailing Address. City, State, ZIP- Establishment Email Address- info@marinercapecod.com Manager's Name' Dennis Patel Manager's Mailing Address - Street, City, State, ZIP Tax lD (FEIN or SSN) FEIN or SS #- FEIN Legal Business Name' Maa gayatri Mariner LLC Mailing Address - Street' Establishment Phone Number* 508-774-7887 Owner's Name. U nknown ilanager's Phone #. 508-771-7887 FEIN - ..--..5766 Type of Facility Please select ALL that apply lndoor PooF Yes Outdoor Pool* Yes lndoor Hot Tub* Yes Outdoor Hot Tub* No lndoor Wading- No 0utdoor Wading* No lndoor Pool' Outdoor Pool* 1 1 1 lndoor Hol Tub' Outdoor Hot Tub* 0 lndoor Wading* 0 0utdoor Wading* 0 2 Pool lnformation Type of Pool* Public How many Lifeguards?* 0 Length of Pool # of Pools Do you have Lifeguards?* No Source of Water Public Width of Pool Type of Finishes Gunite Pool Capacity (Volume in Gallon) 2 # of Pools Sampling Frequency - Must be min 4x times daily* 4 time daily Method of Water Treatment Chlorine Water Filtration System Sand Filter Hours of Operation Certified Pool Operator lnformation ln the State of Massachusetts, it is required to have a certified pool operator for all public and semi-public swimming pools. Section 435.17: Pool Supervision states: All public and semi-public swimming pools when open for use shall be under the management of a supervisor, who shall be responsible for all phases ofthe pool operation. The pool supervisor may be the property owner, a facility employee or an employee ofa contracted pool service. The pool supervisor shall be available to respond to mechanical and maintenance problems, and to detect the potential ofsuch problems before they occur. It is not required that the pool supervisor be on the premises at all times. The pool supervisor shall be: (a) at least 2l years ofage (b) knowledgeable of 105 CMR 435.00, and (c) responsible for all phases of the operation. Certified Pool Operator #1t Gunvant Patel Certified Pool Operator #2 Certificale Number #1* cPo-525525 Certificate Number #2 Telephone #1 EmailAddress #1 Expiration Date of Certificate #'l Expiration Date of Certificate #2 Each Pool Operator Must List Minimum of Two Employees Who are Certified in Standard First Aid and CPR. Certified CPR #1* Dennis Patel Certified CPR #2 Certified CPR #3 Certified CPR #4 Pool Opening/Closing POOL OPENING: All swimming, wading and whirlpools which have been closed for the season must be inspected by the Health Department prior to opening. Contact the Health Department to schedule the inspection three (3) days prior to opening. PLEASE NOTE: People are NOT allowed to sit in the pool area until the pool has been inspected and opened. POOL WATER TESTING: The water must be tested for pseudomonas, total coliform and standard plate count by a State certified lab and submitted to the Health Department three (3) days prior to opening, and quarterly thereafter. POOL CLOSING: Every outdoor in ground swimming pool must be drained or covered within seven (7) days of closing Acknowledgment I have read and understand the Board of Health regulations as they pe ain to pools.* Dennis Patel Dec 10, 2025 Restrictions: Indoor Pool Whirl Pool Outdoor Pool Chemical Standards PERMIT EXPIRATION DATE Details lnternal Only License Restrictions/Conditions Continental Breakfast Only Expiration Date- 12t3112026 Business lnformation Business Name* The Mariner Resort Cape Cod Business Mailing Address (it different) Business E-Mail* info@marinercapecod.com Business Legal Entity Corporation Business Address in Yarmouth ' 573 Rt 28, West Yarmouth,MA 02673 Business Phone #* 508-771-7887 Business Type* Food Service Corporation Name (if applicable) Maa Gaytri Mariner LLC Tax lD (FEIN or SSN)- FEIN ls this a NAME CHANGE? No Owner / Manager lnformation Owner's Name* Gunvant Patel Manager/Contact Person Name' Dennis Patel FE IN ---*-5766 Owner's Phone Number 5087717887 Manager / Contact Person Phone Number* 5087717887 PLEASE LIST STAFF MEMBERS WHO HOLD THE FOLLOWING CERTIFICATIONS AND AITACH COPIES OF CERTIFICATIONS Name of Certified Food Prolection lttlanage(S) All food service establishments are required to have at least one (1) PERSON lN CHARGE on site during hours of operation Name and Title Address Telephone Number Email Emergency Telephone Number Please attach copies of certifications for all listed below: List all Certified Food Protection Managers' Dennis Patel List all employees with Allergen Certification* Den n is Establishment Operations Length of Permit Annual Establishment Type Location is Permanent Structure? Yes Continental Breakfast Common Victualler tr n r I I I I I r Non-Profit Wholesale Residential Kitchen for Retail Sale Food Service Frozen Dessert Retail Service Vending Food Other I Name Change Only Affidavit New construction, remodel or conversion requires an Occupancy 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 I atfirm that the food establishment operation will comply with ,l05 CMR 590.000 and all other applicable law. I have been instructed by 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, I certify under the penalties of perjury that l, to the best of my knowledge and belief, have filed all state tax returns and paid taxes required under law.* Dennis Patel Jan 13, 2026 Worker's Compensation lnsurance Affidavit Type of Business. I am an employer with employees * Submitted by Staff I Business Other Other Business Hotel/Motel I do hereby certify, under lhe pains and penalties of perjury that the information provided above is true and corect.* Denn is Patel Jan '1 3, 2026 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. lnsurance Company Name Hartford Casualty lnsurance Policy # or Seltins Lic. # lnsurer's Address One Park Place,300 South state Street,Tth fl oor,Syracuse,NY-1 3202 Expiration Date 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.* Notice PERMITS RUN ANNUALLY FROM JANUARY ,1 TO DECEIVBER 31. IT IS YOUR RESPONSIBILITY TO COMPLETE THIS APPLICATION EACH YEAR. ALL RENOVATTONS TO ANY FOOD ESTABLTSHMENT (PAINTING, NEW EQUIPMENT, ETC.) MUST BE REPORTED TO AND APPROVED BY THE BOARD OF HEALTH PRIOR TO COMMENCEMENI. RENOVATIONS IUAY REOUIRE MA ENGINEER SITE PLAN. I acknowledge that I have read and understand the Notice information above* I NOTNCE TO EMPLOYEES THE COMMONIUEALTH OF MASSACHUSETTS DEPARTMENT OF INDUSTRIAL ACCIDENTS IF YOU ARE INJURED ON THE JOB: c lmmediately notify your employer that you haye been iniured. Emplove. HRworkers Compensation Conlacl Phone Number c T€l! the medical provider lhat you have been inlured at work and give the information below: lnsurarce Carier {ffi '1a{.r'a Casualty lnsurance Company Address One Park Place, 300 South State St, 7th Floor, Syracuse, NY, 13202 tc61ag$ Phone Number (800) 327-3636 E-) cyer Address l.'AA Gzyatri Mariner, LLC 573 ROUTE 28 WEST YARMOUTH MA 0267}4948 It the employer fails to report the injury to the insurer, the omployee may file an Employee's Claim (Form 110 t. Additonat intormation regarding your righls and oligibility for benefils pursuant the Workers' Compensation law may be obtained by conlacling lho Oepadmenl of lndustrial Accidenls at 6t7.727.4900 or visiting www.mass.qov/dia.: IF MEDICAL TREATMENT IS NEEDED: lnjured workers may select their own medical provider. Medical treatmenl costs lhat are rsasonable, necessary, and rclaled to the work injury will be paid by lhe above-named insurer. ll rned;Lal tacrlity rnfo.mation is provided bslow, lhs abovs-namod insursr has a prclefied ptovidet atangemenl and lhe insuror has arrangod loa your initial treatrrrenl at: l.liedn,al F ael'ly Addres!, 1", rl !"t"t , .t t..". cr".. I t !r rh ."1'-. ...r l-" ' Ph.Jrre llumbe, t..:..." 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