HomeMy WebLinkAbout585 John Fitch Blvd. (2) Town of South Windsor - Health Department
o 1540 Sullivan Ave., South Windsor, CT 06074— Mailing Address
.. 1530 Sullivan Avenue, South Windsor, CT 06074—Office Address
s Phone Number: (860) 337-6173 Fax: (860) 644-1930
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Restaurant Establishment Information New Permit❑ Permit Renewal
***(Please Print Clearly)***
Name of Establishment: J(.t��fi GL,; t -Id e
Manager's Name: �T GIt'.�1 ./',c,
Street Address: f✓
City, State, Zip Code: Sl�.'l t� GL,,, jb�,!' 6'/ C(yG)7,/
Phone#: �> 3 YL4 Cell Phone#:
Fax#: &�G 1J��3
E-Mail Address: �—(,mn Seating Capacity: y01
Please submit latest cony of th Qualified Food OPerator/ServSafe certificates to the office.
Qualified Food Operator: YES ❑ NO ❑ (Required for Certificate#:
Class 3&4)
Name: j�; �h�,� fj lec Date:
Testing Organization: i/ =�C{ ` J Phone#: �616) `i ? yJ
E-Mail Address: Alternate Phone#:
Designated Alternate 1: (p'1:9611 4, 6s,, Designated Alternate2 .
Restaurant Owner Contact Information
Owner's Name:
Street Address: 5� A/_V
City, State, Zip Code: �5t: �-t L7 vn �(S� 7` ,(�& 7�/I
Phone#: (�G] s/�j� Fax #:
E-Mail Address: mitt)a CCU Cell Phone#:
Renovations
Were there any renovations made last year? YES❑ NO [-I Will there be any renovations? YES❑ NO [
If Yes, please list all renovations
that were done/to be done:
RECEIVED
JAN 0 12018
SOUTH WINDSOR
Mailing Address to send Food License Renewal Permit to: HEALTH DEPT.
Name of Restaurant/Company: :5e_-/1-7 16), Xy,;�. ` C-7-i �,,,�{ (�'�;��dr,lc
Attention: �t'uC C/', � !' C.
Address:
City, State, Zip Code: eE c,.4c-) ;�,C�`_aC.!' (.�f L L'�7 Y
Phone#: (�L� 7j y L '
Restaurant Menu/List of All Items Served/Sold
Latest Menu Attached? YES R' NO ❑ NOTE"'(Must have latest copy on file)
Please list all menu items in as much detail as possible or a copy of a menu attached is applicable.
Additional Information
Please check one only:
i
State Licenses: Bakery ❑ Liquor Permit ❑ None
Water Supply: Public _ Private Well
Wastewater Disposal: Public On-Site _Other(please use space below to explain)
Agreement and Signature
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 South Windsor.
Applicant Name (Print):
Applicant Signature: J,\ LAV t 5� a7
Office Use Only
Inspector Name (Print): J-
Inspector Signature: Date:
Food Class: 1 ❑ 2 ❑ 3 y 4 ❑ Expiration Date:
Date Received: Date Approved: k
SOUTH WINDSOR GIANT GRINDER and PIZZA
SOUTH WINDSOR ARENA Located Inside the South Windsor Arena
585 John Fitch Blvd. * Route 5 * South Windsor
289-3403 fax 282-9423 GRINDER, SALAD AND SANDWICH MENU
Whole (16") Half(8")
1. Chicken Cutlet................................................................................................9.95..........5.95
2. Meatball (oven).............................................................................................9.95..........5.95
3. Link Sausage (oven).............................................................................. ......... 9.95..........5.95
4. Roast Beef...................................................................................................9.95..........5.95
5. Imported Ham................................................................................................9.95..........5.95
6. Capicola.................. .....................................................................................9.95..........5.95
7. Cooked Salami...............................................................................................9.95..........5.95
8. Turkey Breast................................................................................................9.95..........5.95
9. Genoa Salami............ ... ... ..............................................................................9.95..........5.95
10. Pepperoni................. ...... ........................ ..................................................... .9.95..........5.95
11. Tuna........................ ............................ ..................................................... .9.95..........5.95
12. Veggie & Cheese......... ............................ ........................................................9.95..........5.95
13. Combo-2 Deli Selections........................ . ...................................................... .9.95..........5.95
* MEAT LOVERS OVERSTUFFED GRINDER 1 V2 TIMES THE MEAT * +4.00 +2.00
Extra Cheese on grinders $1.00 Add Bacon $1.00
Grinders served w/lettuce, tomato, cheese, sweet peppers, salt & pepper & oil
All of the above available on Wheat or White * Also available: green peppers, onion, olives, pickles, mushrooms
14. Wraps (made with any deli selection)..............................................................................4.95
15. Breakfast bagel (egg, cheese, ham or bacon)... . ... . .... ....... .. ... ..... ... ........ . .. . ... ...............3.99
16. Grilled Cheese..................add bacon $1.00.........add tomato $.50........................... ............4.95
17. B.L.T............................... ................. .................. ...............................................4.95
18. Club Sandwich........................................... ................ . .............. ........................... .6.95
19. Spicy Chicken Strips.............................................................................. ......... .........5.95
20. Pizza-slice w/cheese.................................................. ............... ..............................2.25
21. Pizza-slice w/pepperoni................................................ .. ........................................2.75
22. Pizza-slice of daily special............................ ................. .............. ............................. 2.95
CUP BOWL
23. Chili (our own)................... .. .................................................................2.95.............4.95
24. French Fries............................................................................................................2.00
25. Bagel.........................................................................................2.50 w/cream cheese 3.00
26. Garlic Bread (1/2 of a grinder roll)......................................................2.50 w/cheese .........3.00
HERE -_ TO GO - PHONE IN ❑ WALK IN
NAME: TIME:
SOUTH WINDSOR GIANT GRINDER and PIZZA
SOUTH WINDSOR ARENA Located Inside the South Windsor Arena
>4,
585 John Fitch Blvd. * Route 5 * South Windsor
289-3403 fax 282-9423
PIZZA
Large 16"
Mozzarella.................................................................... . .... ........................................10.00
OneItem........................................................................ ............................................11.75
TwoItems........................................................................ ..........................................13.50
ThreeItems.................................................................................................................15.25
FourItems........................................................................ ..........................................16.95
Extra Cheese $1.50
Items Available:
BACON * GREEN PEPPERS * HAM * HAMBURGER* JALAPENO PEPPERS * MEATBALL * MUSHROOMS
OLIVES * ONIONS * PEPPERONI * PINEAPPLE * ROASTED PEPPERS * SAUSAGE * TOMATOES
SPECIALTY PIZZAS
Large 16" Sheet
GIANT SPECIAL
(PEPPERONI, SAUSAGE, HAMBURGER,MUSHROOMS, ONIONS, PEPPERS) .............. .. 18.95.........39.95
MEATLOVER'S PIZZA
(SAUSAGE, HAM, BACON,PEPPERONI)....................................................... ..16.95 .32.50
FAMOUS 5 PEPPER PIZZA
(RED, GREEN, ROASTEDS, SWEET AND JALAPENO PEPPERS)................................... ..16.95..........32.50
BARBECUE CHICKEN PIZZA
(BARBECUE CHICKEN& SAUCE, BACON, CHEDDAR&MOZZARELLA)....................... 16.95..........32.50
BREAKFAST PIZZA
(SCRAMBLED EGGS, HAM, BACON, 2 CHEESES).......................................................16.95..... . ..32.50
HAWAIIAN PIZZA
(HAM, BACON, PINEAPPLE)............................................................... .... ............15.25. .... ...29.95
SPECIAL VEGGIE PIZZA
(LIMIT 4 ITEMS).................................................................... .. . .. ........ 16.95..........29.95
WHITE PIZZA (WITH OR WITHOUT CHEESE)....................................... . ... .......... 9.95
PARTY TRAYS (cut into 16 or 24 pieces)
Taxes not included in prices
MOZZARELLA (18"X 26" SHEET).................................................................................16.50
EACHADDITIONAL ITEM............................................................................................ 1,00
HERE TO GO —. PHONE 1N WALK IN
NAME: TIME:
kgo 77'N
'-,'I'ATE OF CONNECTICUT + DEPARTMENT OF CONSLIMER PROTECTION
Be it known that
SOUTH WINDSOR GIANT GRINDER
585 JOHN FITCH BLVD
PO BOX 88
SOUTH WINDSOR, CT 06074
has been certified by the Department of Consumer Protection as a licensed
BAKERY
or
Number of Production Employees: 3
License #: BAK.0002635
Effective Date: 07/01/2017
L Expiration Date: 06/30/2018
Michelle Seagull,Commissioner
verify online at ww-w.elicense.ct.gov
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American Food S.-gil"ety Institute
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