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HomeMy WebLinkAbout100 Evergreen Way (2) Apr 25 17, 02:11 p Burtons Grill 8604324717 p.1 Town of South Windsor — Health Department w, 1540 Sullivan Ave., South Windsor, CT 06074 - Mailing Address v - 1530 Sullivan Avenue, South Windsor, CT 06074-Office Address Phone Number: (860) 337-6173 Fax: (860)644-1930 Ftccsta-u3'ant Establishment in#orrnatizn New Permit❑ Permit Renewal H ***(Please Print lClearly)*�** Name of Establishment: 'Bc.�r +C'n'S Gr' lI Manager's Name: '?pbyf, - (,JG�ICoCe Street Address: Apo I,Evet' Merl City, State, Zip Code: S.�Ir j, CT OCAS Phone# S-ZoCi- q3Z- VS-21— Cell Phone#: Fax#: "�&p_ y32 _ 5/717 E-Mail Address: 6CrfW-k-Zjr,jj.00re)Seatin,gCapacity:. Qualified Food Operator: YES R<NO p Certificate.,#: Name: ]�,n �G I'oc lros�a v� ,e Date: t- Testing Organization: ~�^'r � Z5r' Ja Phone: _10Z-qs�S E-Mail Address: r-WG from@ 1 L __6�r,11��Alternate Phone#: Designated Alternate 1: �� Designated Alternate2 ; l Owner's Name: Cc Street Address: Sop uere - - /03 City, State, Zip Code: Ando'lec iv, A I i Phone#: (7 7a-_c� _ �� Fax #: E-Mail Address: Cell Phone#: Reno a.UuF'.';s Were there any renovations made last year? YIEs❑ NO Will there be any renovations? YES f�nfO ❑ If Yes, please list all renovations 1 1 that were done to be done: f=1 19cI n e !b q, Fo rn c • -..aS6:i�� u^lii F..::i'-C-.T� �.v �-.4.iit, y''Y'��.: 4..f C.a:. __ __y_ s�v_ _ _ __ Name of Restaurant/Company: -BLI Gel Attention: : K. Gin 16e— Address: City, State, Zip Code: Phone#-: g(Do- '13Z-vs 7; RECEIVED APR 2 7 2017 SOUTH WINDSOR HEALTH DEPT. Apr 25 17,02:11 p Burtons Grill 8604324717 p.2 Town of South Windsor — Health Department 1540 Sullivan Ave., South Windsor, CT 06074— Mailing Address 1530 Sullivan Avenue, South Windsor, CT 06074—Office Address I Phone Number: (860) 337-6173 Fax: (860)644-1930 Restaurant I" enu/Ust of All 7tems Servadf So d YES 0 No ❑ Please list all menu items in as much detail as possible •a copy of a menu attached is applicable. �_::�dia,��-a±l i^:��1•d a:iior Please check one only; State Licenses: ❑ Bakery Liquor Permit ❑ None Water Supply; - Public — Private Well Wastewater Disposal; (Public On-Site _ Other(please use space beiew to explain) By submitting this application,I affirm that the facts set forth in it are true and complete.I understand that any false statements or other misrepresentations made on this application may result in immediate shutdown or revocation of my Food Service License for the Town of Soutr Windsor. Applicant Name (Print): , Applicant Signature: Date: 2j Office Use on!y Inspector Name (Print): Inspecto nat;are• / Date• Food Gas . 1 ❑ 2 ❑ 3 4 ® Expiration Dat Date Received: / Date Approved: Apr 2517,02:11 p Burtons Grill 8604324717 p.3 CLASSIC CHEESE BURGER' hand Pa--i,d certified angus-%Gel,choice of cheese, gr, f,,'led bun, fresh cu-1'enct, fl:es...l 4.95 MAXXBURGER* hand pocked certified angus berzt,americon cheese, shredded fe"UCO,IiOMWC,t'OLSO mode pickles, turtons sPeciOt sauce,crispy onion strings.griddled bin, flesh cut"encn fees. 15.95 CALIFORNIA CHICKEN bronzed chicken,black forest ham, r u -tie mayo,guacamole, cheddar, griddled ciabatic, fre french fries...14.:?5 MAPLE CHICKEN grillec chicken,appiew:)od smoked bc:ccn,c0ramelzed red onions, cifugula,cronberiV,maple dljonnaTse, griddled ciciratta, fresh cut french fries. 14,95 SHORT RIB GRILLED CHEESE braised Ce(Titled angus beef short rib.pickleJ c)n,ons,maple srirocha, vernior-i cheddar,griddled ciaocitta.iedw7ne 1".Vesh cut french Fries...17.95 REUBEN certified angus corned bee',local sauerkraut,imported swiss, russian d-essing,griddled marble rye,fresh cut french fries...14.95 FISH SANDWICH fried haddock, pickled onion,house made fried pickles, srirocho,tartar sauce,griddled 3ur),fresh cut french fries. 14.95 STREET TACOS­ ste,cw r bronzed fiv,tornWo joiciper5o relish., shaved gucycCrIncle. 00.10 sauce, orugula scicid...it.95 Eirtons Grill& Bor Proudly Supports and Serves Locally Grown and Wild Caught Product When Available. Vermont Creamery • Natragcnseft Creamery - Heritcge Farm North Country SnIckehouse - Holly Form 4 Smithfield Farms -. Hill Feurn Apr 25 17,02:11 p Burtons Grill 8604324717 p.4 BUFFALO CHICKEN DIP grilled chicken,blue cheese,cheddar,corn tortilla chips...12.95 SIGNATURE WINGS memphis dry subbed ar maple%riracha sauce buttermilk blue cheese dressing. .-3 95 GENERAL TSO'S CAULIFLOWER that chili sauce,ginger aloli...12.95 PHILLY SPRING ROLLS tender sirloin,onions,provolone,american cheese, crispy onion strings,spicy ketchup..13.95 STUFFED GRILLED ZUCCHINI herbed cheese,zesty tomato sauce,parmesan..12 95 POINT JUDITH CALAMARI cherry peppers,tartar sauce...T3.95 TODAY'S SOUP freshly prepared MEDITERRANEAN cucumbers,grape tomatoes,peppers, red onions, feta,mixed olives,oregano vinaigrette...6 95/10 95 SUPERFOOD quinoo,baby spinach,dried cranberries,`eta, grape tomatoes, avocado,ju ienne vegetables, grilled lemon,lemon vinaigrette .3 95r 12.95 COBB romoine,grape tomatoes, blue cheese. red onions,croutons,epplewood smoked bacon,chopped egg, avocado,buttermilk torch dressing. .7.95/12.95 CAESA R •omoine, croutons,parmeson. .5.9518,95 HOUSE romaine,iceberc,cucumbers,grape tomatoes, peppers,blue cheese,appiewood smoked bacon, blue cheese dressing or mustard vinalgrette...6 95110.95 Apr 25 17,02:12p Burtons Grill 8604324717 p.5 MEDITERRANEAN CHICKEN RISOTTO Pori seared chicken.artichoke hearts roosted tomatoes, spinach,basil,feta,I-arno-1 butter sauce, pesto...15,95/22.95 CHESHIRE PORK CHOP heritage farm center cut bone-in pork chop roasted red peppers, nerbec parmesan, mashed potatoes broccoli...24.95 SHORT RIBS aged certi`ied ongus beef,mashed Dotatees,broccoli red wine jus,horseradish cream. '7.95/26.95 CRAB CRUSTED HADDOCK iceicndic haddock.super lump blue crab stuffing herbed jasmine rice,julienne vegetables, lemon butter Souce...l 7 95/25.95 FRESH CATCH RISOTTO'- bronzed fist;,roasted carrots,snop peas lemon butter sauce...6oz;9oz Mkt S SALMON ROMESCO bronzed gulf of mcine solrron,romesco sauce. herbed jasmine rice,julierne vegetables, citrus fennel slow.. 17.95/25.95 MARKET CATCH' simpiy prepared grillec or bronzed, herbed josmine rice,julienne vegetables. 6oz/9oz k.lkt S CRAB CAKES super lump blue crap,vegetable tole slaw, fresh cut frerch fries, mustard sauce ..15 95/24.95 LOBSTER SHRIMP PASTA fresh tomatoes,snap peas,parmesan, `eFuccine,tomato cream sauce...18 95/28.95 Apr 2517,02:12p Burtons Grill 8604324717 p.6 our chefs select the most fen er.well marbled c rs of t4ack ong"s beef Iran'Tlid-western foray!orms. ste OOuraMs are eKperiy aged for a minimum of 21 cloys FILET MIGNON center cut aged beef.masher Potatees,broccoli, {BG)steckho,.jse butter {medium'well&well filets will be served os two medallions} 6 oz..28 95 9 oz.,34.95 NY 5TRIP aged certified engus beef,mashed potatoes, broccoli,i8G)steakhouse butter 10 oz...26.95 14 o7 .30.95 ILCall ahead when rxw.Ing your reserva•lon aid rese ve your cw tom4_ed steak. EXAM FORM No. 4935 la CERTIFICATE NO. 11056248 r1D (D (0 __ 00 Q , Tn ROBYN WALLACE for successfully completing the standards set forth for the ServSafe'Food Protec'riorj Manager Certification Examination, which is accredited by the American National Standards institute(ANSI)-Conference for ruod Protectiol I(UP). 05/14/2014 DATE Or EXAMINATION 05/14/2019 DATE OF EXPIRATION Local laws apply.Check with Your local regulatory agency for recertification requirements. 0 14'a'O" -11-1111an Brown N-i SVP,National Restaurant Association 501LItions 40655 C\i The 16E Na tionji Rcilftnini AttOciation Educational Fguiidmion(URAEF).All riplits— to Sep vsafe Is a tr3dernink of theN,,vonal Scn'SD[c is a rej,islered todmarl;of the NRAEF,USUClunderlieme by Natfomil P-statmiit Assatiht ion 5altdiuns,LLC 0 'hi'doLument rennet be rcpfodaced or altered. 00011nn. P-: I 14013DOZ V.1401 L0