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Home My WebLink About2017-11-30 - 19 John Fitch Boulevard - Food Permit Application 0,4h s`,<Q 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 Restaurant Establishment Information New Permit❑ Permit Renewal ❑ ***(Please Print Clearly)*** Name of Establishment: S L__T0)eW "%N) Manager's Name: ZCb6k- puj r;A Street Address: l q Tf i Uj n..*_14- 2 LO) City, State, Zip Code: 1;O vic642 Phone#: —X9 Cell Phone#: Fax#: E-Mail Address: �pg�j(�p,f3(L ( A;j��;�"1 Seating Capacity: �o $ Please submit latest copy of the Qualified Food Operator/ServSate certificates to the office. Qualified Food Operator: YES[a NO ❑ (Required foe Certificate#: Class 3&4) Name: Z050po__ DUN* Date: Testing Organization: IV/44t PwC—'M&r-/N5T- Phone#: E-Mail Address: .5 AM 6' Alternate Phone#: g6o-?q3-W 17 Designated Alternate 1: 6OW PUl`I?A- Designated Alternate2 : AVW Wp Restaurant Owner Contact Information Owner's Name: a5i�PA- DO t)',A- Street Address: 130 6Q UAwkk ep City, State, Zip Code: Sd_7vr}- (,U"SO4 l 0-j- - Phone#: -40 6 q 3- d.. Fax #: E-Mail Address: SDe Dot-t)pk D24F-,4m 4j, 64eA Cell Phone#: Renovations Were there any renovations made last year? YES❑ NO'�+/ Will there be any renovations? YES❑ NO,� If Yes, please list all renovations that were done/to be done: Mailing Address to send Food License Renewal Permit to: RECEIVED Name of Restaurant/Company: petweoj nWJ05 Attention: 6>U j l\A_ SOUTH WINDSOR Address: IC, zow }•-O:{ 6w n HEALTH DEPT. City, State, Zip Code: lj0OTP iLAt,,050n 1 &7- , 060-7`F Phone#: -Mo— 0111 — Z 774P 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 a copy of a menu attached is applicable. Additional Information Please check one only: State Licenses: ZBakery ❑ Liquor Permit ❑ None Water Supply: ,el 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): _0 _ {�v i \P, Applicant Signature: Date: Office Use Only Inspector Name (Print): S Inspector Signature: Date: AU_z>& Food Class: 1 ❑ 2 ❑ 3 [V 4 ❑ Expiration Date: Z 1 \ $ Date Received: Date Approved: � ,2 �j 2<-b �� 8b 1 ��l ►�t� I 064-56-1322 06/ 24/97 PUIIA9-- JOSEPH V 19 JOHN FITCH BLVD . 50. WINDS R9 CT - 06074 Signature Breakfast Sandwiches Hot Drinks Catering Menu (Served All Day) Small Medium Large Morning Rounders On a Bagel or Roll(Croissant99d more) Coffee 12 oz 16 oz 20 oz BREAKFAST PLATTER-large Serves 14-16...................................................... $49.99 small Serves 8-10................................ .... ................. $32.99 Egg and Cheese............................................................................................... $3.69 Regular er Flavors............................................................................. $1.99 $2.19 $2.39 An assortment of Mini Danish,Mini Bagels and Mini Muffins Egg and Cheese with Bacon,Ham or Sausage.........................................$4.59 a on ed latter.Includes Cream Cheese. Hot Chocolate.................................................................. $3.29 $3.59 $3.89 arranged P Rich Chocolate Milk Steamed,Frothed and FRESH FRUIT PLATTER- large Serves 18 20................................................. $56.99 Morning Wrap Arounds Plain,or Whole Wheat Wrap Topped with Whipped Cream Western-Egg with Ham,Peppers,Onions and Cheese........................ $4.89 small Serves 10-12................................................. $39.99 Mexican-Egg topped with Salsa and Pepper Jack Cheese................. $4.89 Choi Tea........................................................................... $3.29 $3.59 $3.89 An assortment of Fresh Seasonal Fruits served on a platter. Jenkins-Egg,Portobellos,white onions,ham,Swiss cheese............. $4.89 A Spicy Tea blended with Steamed Milk FRESH Faun BOWL- Serves 10-12................................................................... $39.99 Woodstock-Egg,Portobellos,peppers,tomatoes,Amer cheese....... $4.89 Latee(16 ounce)..................................................................................$3.89 Espresso,Steamed Milk,with a thin Layer of Frothed Milk DELT PLATTER- large Serves 24-26..............................................................$139.99 small Serves 14-16............................................................... $89.99 Bagels* Bagel Rolls Mochaccino(16 ounce)........................................ ..............................$3.89 All Deli Platters come wrapped and garnished,and include Pickles, Espresso,Steamed Milk,Chocolate Syrup, Whipped Cream Lettuce,Tomato,Mustard and Mayo.Plus your choice of bagels, Sticks breads or rolls. HotTen.............................................................................. $2.19 $2.19 $2.19 Each $1.29 $.89 $.99 • Great American Ham,Turkey Breast,Roast Beef,American Cheese 1/2 dozen $6.49 $5.34 $5.94 A variety of Regular,Decaf and Herbal Teas available (or choice of any 3 meats and one Cheese) Dozen $9.99 $7.49 $8.99 Joe To 60 (12 Cups)........................................................................................ $17.99 *Premium Bagels $.40 extra Includes cups,creamers,sugars,stirrers,and napkins. GIANT PARTY BAGEL SANDWICH-large 16 pieces....................................... $79.99 w/Cream Cheese $2.99 $2.09 no small 8 pieces.............................................. $49.99 (Plain or Low Fat) A 2 lb.plus Bagel filled with your choice of Meats Flavored Cream Cheese $3.29 $2.29 na Cold Drinks and Cheeses complete with a Garlic Bagel Chip filled center. w/Butter or Jelly $2.19 $1.89 $2.09 16 oz 24 oz w/PB&Jelly or just PB $3.29 $2.29 no Fountain Soda...................................................................................$1.99 $2.29 SANDWICH PLATTER-large Serves 15............................................................$124.99 Cream Cheese & Sliced Nova Lox w/Tomato & Onion... $8.49 Iced Coffees....................................................................................$2.19 $2.59 small Serves 10............................................................. $84.99 Your choice of assorted Sandwiches cut in half and arranged Fresh Brewed Iced Tea.................................................................$2.19 $2.59 on a platter.Sandwiches are wrapped and come with Pickles and Chips. Bakery Items Fresh Brewed Flavored Iced Teas............................................. $3.19 $3.59 Muffins $2.49 each (3)$6.99 (6)$12.99 Iced Choi Tea...................................................................................$3.59 na BOWL of TossED SALAD-(serves 8-10)...................................................... $28.99 Iced Latte.........................................................................................$3.89 no Croissants(Buttered)....................................................................................... $2.49 COOKIE PLATTER-large Serves 14-16.............................................................. $35.99 Croissants(Filled)........................................................................................... $2.79 5napple(assorted flavors)........................................................... $2.29 each small Serves 8-10.............................................................. $25.99 Danish,Turnovers,Cinammon Buns............................................................ $2.49 Milk(assorted flavors).................................................................. $2.19 each An assortment of Premium Cookies arranged on a platter. Brownies..................................................................._...................................... $2.49 Bottled Water................... . $1.39 each .............................................................. Cookies-Assorted............................................................................. Prices Vary DESSERT PLATTER-large Serves 14-16............................................................ $39.99 Breads:Rye,Pumpernickel,Hone Wheat.................................... Prices Vary Tropicana Juices(assorted flavors)................10 ounce:$1.59 • carton: $2.49 Y P Y rY small Serves 8-10............................................................... $29.99 An assortment of Cookies and Brownies arranged on a platter. Take Home by the Pound Frozen Cocktails (16 ounce) Our Boar's Head Deli Meats and Cheeses,Deli Salads and Sliced Nova Frozen Cappuccino................................................................................................$4.89 Lox are available to take home.So are our Coffee Beans. Frozen Mochaccino...............................................................................................$4.89 Well Rounded Soups Plain&Low Fat Plain Cream Cheeses(8 ounce)...................................... $3.99 Frozen Vanilla Latte............................................................................................$4.89 Your choice of our Soups of the Day(seasonal). Flavored Cream Cheeses(8 ounce)............................................................ $4.59 Frozen Caramel Latte..........................................................................................$4.89 Served with a Bagel Stick. Soup Chowder Low fat Veggie,Scallion,Vanilla Raisin Walnut, Cu - .. ..... 3.99 4.99 Frozen Strawberry4.89 P - - - ....................................... Strawberry,and Featured Flavors .............................................................................................. Bowl ........ ............ ....__..................._. .... _........ $4.99 $5.99 FrozenPeach......................................................................................................... $4.89 Coffee Beans-Ground to order.......................................................... $10.99 lb Frozen Mango........................................................................................................ $4.89 Cup of Soup and 1/2 Well Rounded Sandwich (except Cutlet).......................................................... $7.79 $8.79 Well Rounded Sandwiches Wrap Arounds RO Our Sandwiches and Wraps are made from a 114 pound of Boar's Head Deli Each wrap is made from the very best Boar's Head Meats,Cheeses and Toppings and Meats and Cheeses with your choice of Toppings served on our own Fresh Bagels, is served with a Pickle and Potato Chips. Fresh Baked Rolls or Breads.Each Sandwich is wrapped for easy eating and Mediterranean... .... $6.99 .Roasted served with a Pickle Spear and Potato Chips.(Croissant-Add$.99) Fresh Mozzarella,Roasted Peppers,Lettuce and Tomato Maple Glazed Turkey Breast...................................................................... $7.29 drizzled with Balsamic Glaze in a Spinach Wrap Oven Roasted Turkey Breast...................................................................... $7.29 Buffalo Chicken................................................................................................... $7.29 Chicken Cutlet(served hot)...................................................................... $7.29 Sliced Breaded Chicken Breast drizzled with Buffalo Sauce, • • Roast Beef...................................................................................................... $7.79 Lettuce and Tomato topped with Bleu Cheese Dressing inside a ................................... $7.59 ► Corned Beef................................................................ Classic Flour Wrap 0Z Pastrami........................................................................................................... $7.59 Chicken Caesar..................................................................................................... $7.59 7C Ham(premium Boar's Head Grilled Chicken Breast and Crisp Romaine topped with Grated P )...................................................................... $7.29 Parmesan and Caesar dressing inside a Classic Flour Wrap Genoa Salami.............................. Q' ................................................................... $7.29 Tuna........................................................................................................................ $7.29 L BLT................ $6.49 • • .................................................................................................... Chicken Salad(All White Meat) $ Tuna Salad with Lettuce and Tomato topped with .............................................................. 6.99 American Cheese on a Whole Wheat Wrap TunaSalad....................................................................................................... $6.99 AmericanVeggie.................................................................................................. $6.49 .. Egg Salad......................................................................................................... $6.49 American Cheese,Lettuce, Tomato,Onion and Roasted Peppers, 1/2 Well Rounded Sandwich(on bread-no cutlet)............................. $5.29 with Between Rounds Vidalia Onion&Peppercorn Dressing inside a South Windsor, CT Extra American,Swiss,Provolone,Cheddar or Pepper Jack Cheese......... add: $.59 Sundried Tomato Wrap Extra Roasted Peppers.............................................................................add: $.59 19 John Fitch Boulevard, Route 5 Extra Bacon............................................. ............................. add: .79 Well Rounded Salads �� $ Monday-Friday 5:30am-7pm Toppings-Lettuce, Tomato,Onion,Spicy Mustard, Salads are made fresh,and come with your choice of Dressing: Golden Italian,Honey Mustard,Lo-Fat Zinfandel Vinagerette,Caesar, Saturday 5:30am-3pm Honey Mustard,Mayonnaise,and Russian Dressing Between Rounds Vidalia Onion d-Peppercorn,or Bleu Cheese Sunday y�am-2pm ClassicGarden Salad.......................................................................................... $5.79 86�-2 71-8�� Well Rounded Combinations A blend of Mixed Field Greens and Romaine Lettuce with Tomato, Each Sandwich is made from Boar's Head Deli Meats,Cheeses and Toppings,served on Red Onion,Carrot,Croutons or Bageltons fax: 860-289-2732 our own Fresh Bagels,Fresh Baked Rolls or Breads,and wrapped for easy eating. With a scoop of Chicken,Tuna,or Egg Salad......................................... add: $2.49 Convenient Drive Thru Window Served with a Pickle Spear and Potato Chips, CaesarSalad......................................................................................................... $5.79 AllAmerican................................................................................................... $9.59 Romaine Lettuce topped with Parmesan Cheese, A combined 6 ounces of Oven Roasted Turkey,Roast Beef,and Ham Croutons or Bageltons,and Caesar Dressing topped with American Cheese,Lettuce,Fresh Tomato and a dollop of •• Mayonnaise on your choice of Bagel,Bread or Roll Grilled Chicken Caesar Salad............................................................................ $7.99 Romaine Lettuce topped with Grilled Chicken,Parmesan Cheese, I III, III Tom Tom Club................................................................................................. $8.29 Croutons or Bageltons,and Caesar Dressing Sliced Maple Glazed Turkey Breast topped with Bacon,Melted Swiss, CobbSalad............................................................................................................ $8.49 Lettuce, Tomato,and Mayo on your choice of Bagel,Bread or Roll A blend of Mixed Field Greens,Romaine Lettuce, Tomatoes, Chicken Club................................................................................................... $8.29 Grilled Chicken,Bleu Cheese,Hard Boiled Egg,and Crumbled Bacon OTNER LOCATIONS Breaded Chicken Breast 6 Crispy Bacon topped with Lettuce, Vernon, CT • 860-870-1114 ChefSalad............................................................................................................ $7.99 Fresh Tomato and Mayonnaise on choice of Bagel,Bread or Roll Manchester, CT• 860-644-9025 A blend of Mixed Field Greens and Romaine Lettuce,Tomatoes,Sliced Hard Reuben Rounder........................................................................................... $8.59 Boiled Egg,topped with Asiago Cheese,Ham and Oven Roasted Turkey Tolland, CT(limited menu) • 860-872-8936 Hot Deli Corned Beef or Pastrami topped with Sauerkraut,Melted Swiss, Chicken Mozzarella Salad.......... .......... $8.49 and Russian Dressing on your choice of Bagel,Bread or Roll A garden salad topped with Fresh Mozzarella,roasted peppers, Lets Go Italy.................................................................................................. $8.29 and grilled chicken Delivery Available Ham and Genoa Salami topped with Provolone Cheese and Roasted Peppers Corporate Accounts Welcome Fresh Fruit Cup(seasonal).............................................................................. $4.29 Prices subject to change without notice. For Franchise Opportunities please call860-291-0323 Novemberzols Yogurt Parfaits(Low Fat Yogurt,Fruit,Granola)...................................... $4.29 www.betweenroundsbagels.com