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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 - 1540 Sullivan Ave., South Windsor, CT 06074 - Mailing Address r 1530 Sullivan Avenue, South Windsor, CT 06074-Office Address Phone Number: (860) 337-6173 Fax: (860)644-1930 R s'ta-u3'ant Establishment info rnatlZi1 New Permit❑ Permit Renewal ***(Please Print Clearly)*** Name of Establishment: 'Bc,r +C'n'S Manager's Name: 17 joyf, - �G1IOloc, street Address: Ever• Mqe_j City, State, Zip Code: S.L) CT OCAS Phone#: S-IoO_ �3Z- �/s7,�- Cell Phone#: Fax#: E-Mail Address: �x' V eatin C. a i` � �o? I gUY}S 9 C. P cltY _f'7q Qualified Food Operator: YES R<NO p Certificate,#: , ` Name: n WA Uos 6a vr. I'Coe Date: t- Testing Organization: ((' St'rJ-"�Ja Phone: �_5f3Z-qs�S E-Mali Address: r-WG from@ L 1 __6�r,11��Alternate Phone#: Designated Alternate 1: �� Designated Alternate2 ; l Owner's Name: `I LC Street Address: City, State, Zip Code: ��- Phone#: (778-_c� _ �� Fax #: E-Mail Address: Cell Phone#: Were there any renovations made last year? YES❑ NO P-�-Will there be any renovations? YES Ii�NO p If Yes, please list all renovations 1 that were done to be done: I !b q, • -.�iSl:i9 Aii`�.::1'-E�Ss �-v ��-.4.iit. S��'��: r..f C.�:.� --y- s�v_ - - __ Name of Restaurant/Company: Sur- Gel Attention: : K. Gin 16 Address: 6 Jer, �e_ ! City, State, Zip Code: 5. �*r, C I ��or?r/ Phone#-: g(Do- viz-vs7; Apr 25 17,02:11 p Burtons Grill 8604324717 p.2 �tC•NN Ssq`� Town of South Windsor — Health Department a _ 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 f il�htlk•C��� Restaurant N,enu/Ust cIF"ill 7terjs �z ervadfSw3d YES F" No ❑ Please list all nenu items in as much detail as possible •a copy of a menu attached is applicable. -dd ia,:,Ig-a 0 i^:14,N1•d ation Please check one only; State Licenses: ❑ Bakery Liquor Permit ❑ None Water Supply; +Public — Private Well Wastewater Disposal; (Public On-Site _ Other(please use space below 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 South Windsor,. Applicant Name (Print): I _ - - - - - - - - --- - - - - - - _ Applicant Signature: Date: Office Use on!y Inspector Name (Print): 1 Amu � z- Inspecto n ire* Date: Food Clas . 1 ❑ 2 ❑ 3 4 ® Expiration Dat Date Received: Date Approved: Apr 2517,02:11 p Burtons Grill 8604324717 p.3 CLASSIC CHEESE BURGER' hand Packed certified OnguSDoel.choice of cheese, griddled bun, fresh cu-vencr files...14.95 i,-e d C; 1 MAXX BURGER hand Pocked certified angus beef,emericon cheese, shredded[ef'UCO,iOMWC,1`10LSe mode pickles, turtons special sauce,crispy onion strings.griddled bin, fic-sh cut"encn fees. 15.95 CALIFORNIA CHICKEN bronzed chicken,black forest ham,chlootle mayo,guacamole, cheddar, griddled ciabatic, fres-i cu• french fries...14.95 MAPLE CHICKEN grillec chicken,applewood sm.^;i(ecl bCCCn,COMMeILed red onions, cirugula,cronberiV,maple dijonnuise. griddled ciclootto, fresh cut french fries. 14,95 SHORT RIB GRILLED CHEESE braised certified O"gus beef short r1b,pickled c?n,ons,maple srirocha, vermort cheddar,9'i<Jdled CiGOOtta.red wine 14s.vesh cut french Fries...17.95 REUBEN certified angus corned bee',local sauerkraut,imported swiss, russian cl-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- steak or bronzGc fisr,tornato jaJaper5o relish, shaved cabbage, guacamcle, bola sauce, cirugula sclad...It.95 Eirtons Grill& Bar Proudly Supports and Serves Locally Grown and Wild Caught Product When Available. Vermont Creamery • Natragcnseft Creamery - Heritcge Farm North Country Smokehouse - 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 Bubb-ad ar maple%riracha sauce. buttermilk blue cheese dressing. .-3 95 GENERAL TSO'S CAULIFLOWER that chili sauce,ginger aloli...12.95 PHILLY SPRING ROLLS .ender 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...5.95/8,95 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 icelcndic 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 Ok,r chefs sc sect the most fender.wel marbled curs of Clack ones beef Iran-ld•western fa rly farms. Ok.r steaks are emeriy coed for a minimum of 21 cloys FILET MIGNON center cut aged beef mashed pofatees,broccoli, (BG)steakhouse butter 1rneul• m ,vel'&well filets will be served as two rnedollions} b oz..28-95 9 cz..34.95 NY STRIP aged certified emus deer,mashed potatoes, broccoli,iBGI steakhouse butter II 10 oz...26.95 14 oz;..30.95 Call ahead when m3,ing your reservation aid reserve yuJr custorn-L'ed steak. I E)( AM FORM No. 4935 CERTIFICATE NO. 11056248 tf-7 1Z, _'A17 -Em C3 00 � Q , To ROBYN WALLACE for successfully cojjj[)iejir?g L110 standards set forth for the ServSafe'Food Protec'riorj Manager Certification Examination, which is accredited by the American National Standards institute(ANSI)-Conference for rood Protectioll(UP). 05/14/2014 DATE Or EXAM INATIO N 05/14/2019 DAT I OF EXPIRATION Local laws apply.Check with Your local regulatory agency for recertification requirements. 0 CID -4.7 1 4 Sherman Brown SVP,National Restaurant Association SOILItions 40655 L"2014,Nat;wUl Rcbt&jr.lnl Amcratiol,Educational Fa le (NRAEF).All rir:lit. C\I The 16L,'PPQA"ng rich I tu SVP vSafe Is a Indernoik of tile N,,Uon.11 Rpjur""t�q �, -,eme(l.Scn'SD[c i3il rej,isl ered todmarl;of tile NRAEF,USUCI under Veme by Natfomil P-stalmiit Assockht ion 50111liuns,LILC 0 7hiv doLumml rii"110%be rc prod,iced orallcred. Soclof Inn. 14013002 V.1401 L0