The URL can be used to link to this page

Home My WebLink About946 Sullivan Avenue (12) °*" SF"<� Town of South Windsor — Health Department 1540 Sullivan Ave., South Windsor, CT 06074— Mailing Address 1530 Sullivan Avenue, South Windsor, CT 06074—Office Address Phone Number: (860) 337-6173 Fax: (860) 644-1930 I�SOR.cv. Establishment Information New Permit❑ Permit Renewal Type: Mobile/Itinerant Vendor❑ Temporary Event❑ Permanent Food Service Establishment❑ ***(Please Print Clearly)*** CLASS:2 FEE DUE: 125 Name of Establishment: Giiuuseppina's Italian Bakery Name of Person in Charge: G�n��+Necz `Vge__ Establishment Street Address: 946 Sullivan Ave. City, State, Zip Code: South Windsor, CT 06074 Phone#: g 60, Z12d V Cell Phone#: 96a- V/6- 5-�79 j Fax#: _ E-Mail Address: jenny b �'ly 9rv�ct,$� 1 Capacity: Please submit latest copy of the Certified Flood Protection Manager/ServSafe certificates to the office. Certified Food Protection Manager YES NO ❑ Certificate#: (CFPM) (Required for ALL Class 2,3&4) Iv a Name: G'e•7e�1� eau,rj\l%Expiration Date: 0 313//"uJ /C Testing Organization: Phone#: E-Mail Address: Je►-,-jbtRy,5Y,0-m t i(- Aernate Phone#: Alternate Person In Charge Phone#: Restaurant Owner Contact Information Please check one of the following for ownership Owner's Name: O L V Q'c�//(�'� �Gi 1G status: Mailing Address: ? 40 54/11 Vcrl �,, Individual ❑ Association ❑ Corporation ❑ Partnership City, State, Zip Code: i'ncjSd►- 6'jr a6fU7y Other Legal Entity❑ Phone#: gjX- VJcPL— Fax #: E-Mail Address: j e o vx J 6 42y �7` C�_jma: dvn Cell Phone#: '2i6o- �/6 Renovations - Were there any renovations made last year? YES❑ NO Will there be any renovations? YES❑ NOS' If Yes, please list all renovations that were done/to be done: RECEIVED JAN ?, 8 ZOIS SOUTH WINDSOR HEALTH DEPARTMENT Restaurant Menu/List of All Items Served/Sold Latest Menu Attached? YES[/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. � ee 6 1 Restaurant Food Prep (check all that apply) ❑ Cook to order ONLY [:]Advanced catering for specific quantities ❑ Uses Time as a Public Health Control ❑ Cooking/cooling/reheating/thawing/freezing/hot or cold holding ❑ Prepares food to serve at another site ❑ Prepares food for Highly Susceptible Population(preschoolers or-the elderly_) ❑ Prepackaged non TCS Food Only ❑ Non TCS Food only (food that does not require refrigeration) Additional Information Please check all that apply: State Licenses: Bakery ❑ Liquor Permit ❑ None Water Supply (check only one): t/Public _ Private Well Wastewater Disposal (check only one): ZPublic Septic 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 and that I will comply with the ordinances and regulations of the Town of South Windsor and State of Connecticut. I also affirm to allow the Town of South Windsor Health Department access to the establishment as required. 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): '� Z` y( . _c2u/)`v L Date of Birth: f/--/12 Applicant Address: l/6 c,//1'vG,r� o (�1inct/5�,� Phone#: �366--4 Applicant Signature: Date: Office Use Only Inspector Name (Print): Inspector Signature: Date: Food Class: Expiration Date: Date Received: Date Approved: z Italian Loaf $2.50 Portuguese Roll $.80 Artisan Roll $.80 Pastries 946 Sullivan Avenue South Windsor CT 06074 Cannoli; ricotta, vanilla, 860-432-025I chocolate $3.00 Menu Breakfast pastry w . Or-, 771% -. Chocolate brownie $2.75 Turnovers; apple, Lobster tail stuffed with raspberry, blueberry, ricotta cheese 3.50 lemon and cherry $2.00 $ Danish; cheese, cheese, Rum roll; chocolate or raspberry and apple vanilla pudding $2.75 $2.00 Peach $2.75 (sweet dough soaked with peach juice and rum and filled with vanilla pudding) Cranberry Orange Tiramisu Slices $3.50 Scone $2.00 Lemon Mousse Slices Blueberry Scone $2.00 $3.50 Bread Chocolate Mousse Amaretto Cake Slices Slices $3.50 $3.75 Raspberry Mousse Limoncello Cake Slices Slices $3.50 $3.95 Eclair $2.75 Chocolate Brownie Chocolate Peanut Cake Slices $4.00 Butter Cake Slices $3.50 Lemon Squares $3.00 Pyramids $2.75 Cherry Squares $3.00 Cream Horn $2.75 Large Cream Puff $2.75 Specialty Cakes Small Cream Puffs Italian Rum Cake $7.50/lb (Ricotta,Vanilla or Tiramisu Chocolate) Zeppole (seasonal) $2.75 Lemon Mousse New York Style Raspberry Mousse Cheesecake $3.50 Chocolate Mousse Fruit Cake Slices $3.50 Fresh Fruit Cake Pasticiotti $2.75 (Ricotta, Cannoli Cake Vanilla, Chocolate,or Lemon) Carrot Cake Cappuccino Cake Slices $3.50 Chocolate Derby Cake Giuseppina's Italian Chocolate Cake z Coconut Dream Cake Black Forrest Cake Chocolate Peanut Butter Cake Red Velvet Rainbow Cake Cappuccino Cake photo Cakes Boston Cream Custom Cakes Ricotta Cake Pistachio Cake Cherry Walnut Cake t German Chocolate Mint Chocolate Chip r Cake Chocolate Cake Wedding Cakes � Yellow Cake Marble Cake Unicorn Cake 3 Sizes 1 • l� w 7" serves 6-8 starting at $25 8" serves 8-10 starting at $30 9" serves 12-15 starting at $35 10" serves 18-20 starting at $40 Barbie Cake 12" serves 25-30 starting at $55 • 1/z sheet serves 50-75 starting at $90 Full sheet serves 90-100 starting at $150 Pies Ricotta Coffee Cake (almond,pecan or walnut) $10.75 Apple Pie (2 crust) r.. $12.99 Apple Lattice $11.00 4 Carmel Apple Walnut Ricotta Pie $7.50/lb $15.99 Ricotta Nutella Pie Coconut Cream Pie $12.50 Blueberry Lattice $11 Italian Cookies Peach Lattice 11 $11.00/lb Pumpkin Pie $11.75 Pignoli cookies $18.75/lb Pineapple Lattice $11 Apricot Lattice $11 Stuffed Breads $11.00 Strawberry Lattice $11 •r- . �• „ (Special Order) $11 r i Cherry Lattice $11.00 Raspberry Lattice _ $11.00 Lemon Lattice $11.00 Spinach Sausage andPotato Chocolate Cream Pie Spinach Sausage $12.50 g Lemon Meringue $12.50 Spinach Potato Spinach (special order Banana Cream $12.50 only) Key Lime $12.50 Potato and Sausage Pecan Pie $15.00 (special order only) 5 Broccoli Potato Sausage Broccoli Potato Broccoli Sausage Pepperoni Sandwiches Chicken Parmesan Genoa Salami, Roasted Chicken Spinach and peppers and Provolone Feta Cheese $7.75 Eggplant Parmesan Meatball Parmesan Italian Meatball Sandwich $7.75 Chicken Parmesan Fig Prosciutto and Sandwich $7.75 Asiago Eggplant Parmesan Sandwich $7.75 Pepperoni and Mozzarella Pizza cheese Sandwich roll Full sheet $20 (24 slices) $7.75 Half Sheet $12 (12 slices) Arancini $2.50 One Slice $1.50 Extra toppings on Full sheet $5.00 Extra topping on Half sheet $2.50 6 41b tray $48 Pepper Biscuits 51b tray $60 R + 61b tray $72 Ell L kCupcakes Coffee/Tea* Italian Ice and Gelato (seasonal) 12oz. $1.75 small $2.00 large $3.00 16 oz. $2.25 20oz $2.50 cappuccino 12 oz. $3.25 Store Hours 16oz. $4.00 Monday CLOSED 20oz. $4.95 Tuesday 7am-7pm Single Espresso $2.50 Wednesday 7am-7pm Double Espresso $4.00 Thursday 7am-7pm Cookie Trays (can be shipped Friday 7am-7pm anywhere in the U.S.) Saturday 7am-5pm 21b tray $25 Sunday 8am-2pm 31b tray $36 7 *We proudly serve Lavazza Coffee g