HomeMy WebLinkAbout100 Evergreen Way (6) Dec 18 1 T 10:27a Burtons Grill 8604324717 p.2
't°"" Town of South Windsor — Health Department
o 1540 Sullivan Ave., South Windsor, CT 06074-Mailing Address
i � 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: •� Gam,�r
Manager's Name: TU�n CJG-)Lee
Street Address: - /� �Za_'
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City, State, Zip Code: 5,- ., .. C -.--_ arflp�,/
Phone#: Cell Phone#:
Fax#: )
E-Mail Address: (-•f„Y,rllc�c�@ _` I,Ctfn_ Seating Capacity:
Please submit latest copy of the Qualified Food perator/servSafe certificates to the office.
YES 1� N, ❑ (Required for
Qualified Food Operator: Certificate#:
- _Class 3&4) -
Name:
fiJrcl Date:
Testing Organization: i Phone#:
E-Mail Address: I e Alternate Phone#:
-
Designated Alternate 1: Designated Altemate2
Restaurant Owner Contact Information
Owner's Name: ,, j�Gn 1 -LLC
Street Address: 3C* 13r� h�4zx
City, State, Zip Code: i,,*AV.J d-- ( ��
Phone#: ��-c.�o9_ Fax #;
E-Mail Address: Cell Phone#:
Renovations
Were there any renovations made last year? YES®NO ❑ Will there be any renovations? YES El NO ❑If Yes, please list all renovations '
that were done/to be done: I ' "�� r^' A=- ru�
Mailing Address to send Food License Renewal Permit to:
Name of Restaurant/Company: i r63 &
Attention: 4__ n L.l a. .IC -_-MCE�
Address: ; _ -
I �rcen L,1c�..- 27 20
City, State, Zip Code: 5.(,J� (1—1 - - .: -
Phone#: � --- -- - -- - -----
SOUTH W{ND
_.... _ __. NEAUH-DEPT:-
Dec 18 17, 10:28a Burtons Grill 8604324717 p.3
Restaurant Menu/List of All Items Served/Sold
Latest Menu Attached? YEs V"'F40 ❑
1i0?Fs*0d7Ust have 1ah.9ss Copy on n!e)
Please list all m nu ;terns in as much detail as possible o;a copy of a menu attached is applicable.
Please Check one only: Additional Information
State Licenses: ❑ Bakery E Llquor Permit
I � El None
Water Supply:Y tiPublic —private Well
Wastewater Disposal: zpublic _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): ——
ApplicantSignature:
Office Use Only
[Inspector Name (Print):
nspector Signature:
Date:
Food Class: ? ❑ 2 (] 3 4 ❑
Expiration Date:
Date Received:
Date Approved:
BURTONS BUTCHER BLOCK
We are proud to offer you a selection of in house handcut steaks daily.
Our chefs select the most tender,well marbled cuts of
angus beef from mld-westem family fame.
Our steaks are expertly aged for a minimum of 21 days.
FILET MIGNON`
center cut aged beef,mashed potatoes,
broccoli,{BG}steakhouse butter
(medium well&well filets will be served as two medallions)
6 oz...29.95 9 oz...35.95
NY STRIP'
aged certified angus beef,mashed potatoes,
broccoli,{BG}steakhouse butter
10 oz...27.95 14 oz...31.95
add caramelized wild mushrooms,caramelized onions,
and blue cheese sauce to any steak...4.95 or 1.95 each
Do you want a special size steak just for you?
Call ahead when making your reservation
and reserve your customized steak.
PALEO
no sugar,no dairy,no gluten
SPINACH SALAD
spinach,red and yellow bell peppers,english cucumbers,
red onion,grape tomatoes,oregano vinaigrette...10.95
PAN SEARED SALMON`
bronzed gulf of maine salmon,charred tomato salsa,
julienne vegetables,romesco sauce...18.95/26.95
substitute shrimp...16.95/23.95
MIT BURGER'
hand packed certified angus beef,saut6ed mushrooms,
tomato,iceberg lettuce"bun",broccoli...15.95
add avocado...1.95
GRILLED NY STRIP'
aged certified angus beef,caramelized wild mushrooms
and onions,marinated tomatoes,broccoli...28.95
substitute chicken...22.95
VEGETARIAN
WILD MUSHROOM RISOTTO
snap peas,goat cheese,lemon butter sauce...17.95
9UINOA BOWL
jullenne vegetables,dried cranberries,candied walnuts,
roasted beets and carrots,shredded cheddar,
maple dljonnaise...16.95
THAI BOWL
seltan,cremini mushrooms,roosted carrots,snap peas,
that chili bbq soy sauce,herbed jasmine rice...16.95
BLACK BEAN BURGER
chipotle mayo,shredded lettuce,guacamole,tomato jolopeno relish,
boja sauce,griddled bun,cucumber salad...13.95
(contains egg)
ENTREES
MEDITERRANEAN CHICKEN RISOTTO
pan seared chicken,artichoke hearts,marinated tomatoes,
spinach,basil,feta,lemon butter sauce,pesto...15.95/22,95
CHESHIRE PORK CHOP"
heritage farm center cut bone-in pork chop,
roasted red peppers,herbed parmesan,
mashed potatoes,broccoli...24.95
SHORT RIBS
aged certified angus beef,mashed potatoes,broccoli,
red wine Jus,horseradish cream...27.95
CRAB CRUSTED HADDOCK
Icelandic haddock,super lump blue crab stuffing,
herbed Jasmine rice,Julienne vegetables,
lemon butter sauce...18.95/27.95
FRESH CATCH RISOTTO'
bronzed fish,corn,snap peas,
lemon butter sauce...6oz/9oz Mkt$
SALMON ROMESCO`
bronzed gulf of maine salmon,romesco sauce,
herbed jasmine rice,Jullenne vegetables,
citrus fennel slow...18.95/26.95
MARKET CATCH'
simply prepared grilled or bronzed,
herbed jasmine rice,julienne vegetables...6oz/9oz Mkt$
CRAB CAKES
super lump blue crab,vegetable slaw,
fresh cut french fries,mustard sauce...15.95/26.95
LOBSTER SHRIMP PASTA
fresh tomatoes,snap peas,parmesan,
fettuccine,tomato cream sauce...18.95/28.95
Before Placing Your Order,Please Inform Your Server
If A Person In Your Party Has A Food Allergy,
Gluten Sensitive and Children's Menus Available Upon Request.
'These Menu Items May Be Served Raw or Under Cooked.Consuming Raw
Or Under Cooked Meat,Shellfish,Eggs or Poultry May Result In
Food-Borne Illness,Especially If You Have Certain Medical Conditions,
Not All Ingredients Listed On Menu.
EXAM FORM No. 4935
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TO ROBYN WALLACE
for successfully completing the standards set forth for the ServSafe'Food Protection Manager Certification Examination,
which is accredited by the American motional Standards Institute(ANSI)-Conference for Food Protection(cFp).
05/14/2014
DATE OF EXAMINATION
05/14/2019
DATE OF EXPIRATION
Local laws aPPIY-Check vvith your local regulatory agency for recertification requiremeribi.
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Sherman Brown
SVP,j%lational Restaurant Association Solutions
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