HomeMy WebLinkAboutEHPR- 04-2018-28956.tif Ait A , t1atawna Lounty ruunc neaitn
www.catawbacountyncv/environmennnta�lhealtth��y��Q QQ /
COUNTl' ON. 6ir;a y IN!l Environmental Health
P.O. Box 389, 100-A South West Blvd., Newton, NC 28658
North—;;; Phone (828) 465-8270. Fax (828) 465-8276
PLAN REVIEW APPLICATION FOR A MOBILE FOOD UNIT
Submit application form, a complete proposed menu of food items for sale, and a scaled drawing to the
Health Department for approval before beginning any construction or renovation. Applications must be
reviewed and approved before we can look at your unit. Insufficient information will delay plan
review.
• Attach a proposed menu of food items for sale.
• Attach a diagram of unit containing location of all equipment, storage areas, sinks, and
tanks.
• Does supporting restaurant or commissary have a well and septic system? If so, a tank
check and water sample will be required.
A "mobile food unit" means a vehicle-mounted food service establishment designed to be readily moved.
All units must report daily to the restaurant or commissary for supplies, cleaning and servicing. Facilities
shall be provided at the restaurant or commissary for all aspects of function of a mobile unit including food
storage, dry storage, obtaining fresh water, sewage disposal and garbage disposal. An operator is not
allowed to maintain foods and products sold in a mobile unit to be stored at their personal residences. If a
permitted restaurant or food stand is not capable of handling the extra needs of a mobile food unit a
permit will be denied. rrII
Name of Business: U�lQtJ TSI I
Owner & mailing address: , `th-M\ son V\l a5anvl
2(03 La NV) /3IV
Nu, ton ^NC ZS1 2S S' �( � v 6�i
Telephone #(s): (gZ�S 2%-i J`7 1(9 (SAricsvin UZ y(,
Oolts(4V1 )
(J
Email Address: wou (UII11(;T @, prripI� Com
Q
Restaurant or Commissary supporting unit: t p Ian-- c111PQ�/ Vek
State ID # of Restaurant or Commissary: 6' w //�'Yln(,5-2 Ln./
Applicant Signature & Date: % /!i � ���� 1-f0_04 Tj
"Leading the Way to a Healthier Community"
thAMC 9^
EFlealth
Mobile Food Unit Diagram
Draw to scale, identifying and describing all equipment, including handwash facilities,
equipment, washing facilities, cooking equipment, refrigeration, worktables, storage, hot
and cold holding units, water source and storage. Describe the floor, wall and ceiling
surfaces of the unit.
.w
II �.
L rii
O O
f 2Yai lr• Bwv.;c jYJJ c G
1
5i
5 — _y - - 3
r , L_____
3Ci 50,116 n s }
CI, v)
WGst1 � 5 ti
L1 r
�U11k
vnciel' j- -CAiKi J
h
3 i— —.
;Iva ✓c 31,1 m li
. jrp e (uuref•— 5f C etwj-er he,eA trid9e `
COk (1,19a r d I
Icab r2
„�rl' vie_ iv,, IL 2) p ,t i I —..
Iin T.
, LAA re 3p-
V' L' 3 4 S l„ '7 4 `i I" i, IL 1 3 ' LI 15 Id
lee 1-
"Leading the Way to a Healthier Community"
nrm
a
8sHeaElth ,:. _3
L
FOOD HANDLING PROCEDURES
Explain the following with as much detail as possible. Provide descriptions of the
specific areas of the kitchen and corresponding items on the plan where food will
be handled.
Explain the handling procedures for the following categories of food. Describe the
process from receiving to service including:
• How the food will arrive (frozen, fresh, packaged, etc.)
• Where the food will be stored
• Where (specific pieces of equipment with their corresponding equipment
schedule numbers) and how the food will be handled (washed, cut, marinated,
breaded, cooked, etc.)
• When (time of day and frequency/day) food will be handled
1. READY-TO-EAT FOOD HANDLING (edible without additional preparation
necessary, e.g., salads, cold sandwiches, raw molluscan shellfish)
R11 0f t-r,Q, INCH 10 Qat foods Will be/ p(-Tared In Aht cKike ) at
-t tit Commi$Sa('j -01, night arcA 14101t111 be{v'k, Salt- 1111 IMO (OG S 1rtd
in 111, -1-nolo Ut Cdvnnl15S0- �t until %AR- mot to 1u°"d unit" I1) S&L
2. PRODUCE HANDLING J
a. Will produce be washed or rinsed prior to use?
Yes No n
b. Is there an approved location used for washing or rinsing produce?
Yes r% No n
c. Will it be used for other operations?
Yes n No 14)31
Please indicate location of produce washing equipment and describe the procedures.
Include time of day and frequency for washing or rinsing the produce at this location:
praduCt WIII be bou5 ' in momn befvrt u t • Aw w
\\ pfodu ‘11 be, waSk
and Gt./4 1-sen jf-"red Iv1 Cuwlwlrssa icrld� vii LI we tome d- ,u ftic rtz,,r'(c.
WG wvie* 4-ht e produce, h, pra� cC /c{/r1K at Cvwrr�r's3Arr , wti C� is,
znd SINK. Iron 1I� (elf mow fits Wh /'a(IctYtdr .
3. POULTRY HANDLING !/
a. Will p !try be washed or rinsed prior to use?
Yes 1 No n
b. Is they an approved location used for washing or rinsing poultry?
Yes ] No n
II\\ "Leading the Way to a Healthier Community"
a?ubrcM,NI^A•,
c. Will itb used for other operations?
�/ �1nn
Yes Nom_ — �6l/ 0Nq ( et t ' 2,4-
Please indicate location of poultry washing equipment and describe the procedures.
Include time of day and frequency for washing or rinsing the poultry at this location:
Me Stnk Is Iocc&ked new the v4 ‘n fnd • First s'ntfvvhi tt..c IeftjyJ' a'/ ,rill P
urcipiz
pre. tnew71
f 't iN C tho+ vie nerd fi 0. 7tall/ Cam, Ce CLC1t4 rid ihm“tei. (NQ
L,ii 11 e,elle f cii- Ike rr+eal/. 7 t- frill t!-er be ilered/it %,/"
,
1, l eI wt 1 pout l f to 14 fi v/cv Ir ,.r€ f o,f s, Ore 0i"1, �
4. MEAT HANDLING (/
a. Will por nd red meats be washed or rinsed prior to use?
Yes/ No n
b. Is thereapproved location used for washing or rinsing pork and red meats?
Yes �k No El
c. Will it beed for other operations?
Yes l No ❑
Please indicate location of seafood washing equipment and describe the procedures.
Include time of day and frequency for washing or rinsing the seafood at this location:
\J p k\ 1autkAse line Imerni \l " PYIofninu en -i-ht clow vuel ne&- -I+, L F ,,, f(
be 0_ t t 1 sted. 11-01 C v f ovi c( S hired i r, -l-ive 6-(017( vin-1, ( we vile/ye
11- D0 -ply -►-Wa,l lav 6v S,t./e. We. -011I "5C fire Vii✓llc b l ji-e wri It i n
frt dye . Firs+- c vIC -#n r' ti„e, leP .
5. SEAFOOD HANDLING
a. Will se.fo.• be washed or rinsed prior to use?
Ye A No n
b. Is there t approved location used for washing or rinsing seafood?
Yes LL/ NoD
c. Will it bei sed for other operations?
Yes iF. No n
v
Please indicate location of seafood washing equipment and describe the procedures.
Include time of day and frequency for washing or rinsing the seafood at this location:
Seafocal v)M to rortlt&z1 to mcrnInA before use . T t will Our vt -e-
{ � Serf v6J l `
j-r0�n. �/�1� will `4�aw, E e n 6ic� vn �i/
reccol j t- ur&- . ,S'CcnfoocJ (NI i1 k yluixo/ be e use.
Y AR smks will Le dew-4 athici scw, ti-lta+
"Leading the Way to a Healthier Community" I„o y�r C r� �
�zPub [C ky.se . ` 'N
PC
I
CIIEuiiiycjy
•
ptCorporate Address: F.845.352.2700
@esign
2 Melnick Drive E.customerservice®culinarydepotbiz
@esign @uiid @upply Monsey,NY 10952 Visit www.culinarydepotinc.com
COMMERCIAL FOOD SERVICE EQUIPMENT AND SUPPLIES
03/08/2018 341742
Invoice
Project: NC-Charlotte-Wok N Roll -Truck 3/8 From: Culinary Depot
Jermmanee Lambert
Sales Assistant to Lee Chappell
3025 McNaughton Drive
Suite B
Columbia, SC 29223
803-636-2600
Job Reference Number: 22506
Item Qty Description Sell Sell Total
1 1 ea GAS FLOOR FRYER $740.00 $740.00
Pitco Frialator 35C+S
Fryer,gas, floor model, 35-40 lb. oil capacity, millivolt control,
stainless steel tank, door& front, 90,000 BTU, CSA, NSF, CE
1 ea 1 year parts and labor warranty from the date of installation up to a
maximum of 15 months from the date of manufacture (with
appropriate documentation), standard
1 ea LP gas
1 ea P6072145 Basket, (2) oblong/twin size, 13-1/2" x 6-1/2" x 5-1/2" deep,
long handle, regular mesh (shipped std (n/c) with models "T" SG14,
SG14R,SSH55,SE14, SE14X, SE14B,SG14T, 35+, 45+, fryer batteries
shipped with (1) per fryer
Extended Total: $740.00
2 1 ea SANDWICH/SALAD PREP TABLE $1,102.00 $1,102.00
Arctic Air AST28R
Sandwich/Salad Prep Table, (8) 1/6 size pans (included), 6.5 cubic feet,
electronic thermostat, digital temperature display, (1) self-closing
door, stainless steel top/front/sides, 11.5"D cutting board, white ABS
interior with stainless steel floor, (1) shelf, 3" castors, 3/8 hp, 5.0
amps, 115v/60/1-ph, 8' cord, NEMA 5-15P, cULus, UL EPH Classified
ANSI/NSF 7
1 ea 2 year parts & labor, 5 years on compressor warranty standard
1 ea Arctic Air freight program - (2-4 units), ea (NET)
Extended Total: $1,102.00
Item Qty Description Sell Sell Total
•
2 1 ea REACH-IN UNDERCOUNTER REFRIGERATOR $1,266.00 $1,266.00
Arctic Air AUC48R
Undercounter Refrigerator, reach-in, two-section, 12.0 cubic feet
capacity, electronic thermostat with digital LED display, (2) self-closing
doors, (2) epoxy coated adjustable wire shelves, self-contained
refrigeration, stainless steel exterior, white aluminum interior,
casters, 115v/60/1,5.0 amps, 3/8 hp, 8' cord, NEMA 5-15P, cUL, NSF
1 ea 2 year parts & labor, 5 years on compressor warranty standard
1 ea Arctic Air freight program - (2-4 units), ea (NET)
Extended Total: $1,266.00
3 1 ea REACH-IN FREEZER $1,321.00 $1,321.00
9 Admiral Craft GRFZ-1D/19
U-STAR Freezer, reach-in, 29" wide one-section, narrow, 19.0 cu. ft.,
bottom mounted self-contained refrigeration with slide out, (3)
removable plastic coated wire shelves, front digital temperature
controller with LED display, automatic defrosting, self-closing door
with recessed handle, removable door gasket, painted aluminum
interior, 430 stainless steel exterior, (4) 6" casters, 115v/60/1-ph, 8.1
amps, 1/2 HP, 7' cord & NEMA 5-15P, cETLus (NET price, no additional
discount available)
1 ea 1 year warranty on parts & labor, standard
1 ea 5 year compressor warranty
Extended Total: $1,321.00
5 1 ea RANGE,36", 6 OPEN BURNERS $1,323.00 $1,323.00
Garland/US Range X36-6R
Sunfire® Restaurant Range, gas, 36", (6) 30,000 BTU open burners, cast
` `'i III iron top & ring grates, standard oven, (1) oven rack, 2 position rack
_ 1 guides, stainless steel front, sides, plate rail, backguard, & high shelf,
6" steel core legs, 213,000 BTU, NSF, CSA
1 ea One year limited parts and labor warranty, covers products purchased
and installed in the USA only, standard
1 ea LP gas, specify elevation if over 2,000 ft
1 ea Stainless steel backguard with shelf, standard
1 ea 6" steel core legs with adjustable feet, standard
Extended Total: $1,323.00
6 1 ea RANGE, WOK, GAS $950.00 $950.00
stiJ Turbo Air TAWR-I6-JB
tI Radiance Wok Range, gas, 17-7/8"W x 20-3/4"D x 34-1/8"H,jet burner,
ttlaRk; 16" opening, stainless steel front & side, stainless steel welded wok
top, anti-clogging burner, continuous pilot for instant ignition, 12"
heavy duty legs, total 125,000 BTU, CSA, CSA-Sanitation
1 ea 1 year labor and parts warranty, standard
lea LP gas
NOTE: Please note on ALL the PO's to please call ahead for delivery.
Jeff-704-735-4818
Paul-704-293-3129(backup#)
Item Qty Description Sell Sell Total
Delivery is ONLY during these hours before and after will not be
accepted.
Mon-Fri
9-12 and 1-5
Extended Total: $950.00
Tota I $6,702.00
Prices are valid for 30 days of date of quote. Any changes,including any freightchanges,will negate this quote. Changes
include but are not limited to quantities,omissions and addition of items. Returns must be initiated within 7 days of receipt
of order. All returned equipment are subject to a 25%restocking fee plus freight and must be in original carton. Culinary
Depot reserves the right to refuse return of any used and uncrated equip mens. Canceled orders that have already shipped
out,are also subject to restocking fees.Special order items are non-refundable and must be paid in full prior to production.If
you are unsure whether your order is considered'special order'please check with your salesperson prior to placing your
order. Due to the terms of liability of the trucking companies,customers must inspect their deliveries
upon receipt,prior to signing for the delivery. Should you have any issue with the item(s),please
contact us immediately and note the damages on the driver's paperwork. If any damages are not
reported before the truck departs,we will be unable to offer any credits for the damaged items as the
liability falls on the receiver.If you are unsure whether an item is damaged and are unable to properly
check the merchandise before the truck leaves,please refuse the delivery and contact us.Payment for all
orders are due prior to delivery,including installation fees. In the event ofa delivery delay,Culinary Depot can store the
equipment atno charge for 7 days;thereafter storage fees may apply. Delivery quotes are based on one-time delivery only.
Additional charges may apply should additional deliveries be requested. Culinary Depot reserves the right to make delivery
in installments. All such installments shall be separately invoiced and paid for when due,without regard to subsequent
deliveries. Delay in delivery of any installment shall not relieve buyer of its obligation to accept remaining installments.
Compliance to local health,plumbing,electrical and ventilation codes are the sole responsibility of the customer. Any
applicable sales taxes and/or freight charges are not included in quoted price unless otherwise noted. When installation is
included in quote,the price includes non-union liftgate delivery of all equipment to job site,including uncrating and set in
place. All final connections by others trades are riot included in the installation cost
TRT Trailer Sales
3302 Gastonia 1-Iwy.
Lincolnton, NC 28092 Purchase Agreement
Toll Free: 1-877-279-7465
www.trttrailersaIes.corn
trailers@trttrailersales.com
trttrailersales.com I � •
Customer: Jamison Kyle Wagoner �I�)I/� , t' LU\ t c& 1
4999 Three Forks Church Road r D*` h q S
Taylorsvillc, NC 28681
1
Contact- ; Date: i co G�01 e4 S C11111�In S S
Kevin Whitener j 12-1-17 Sk-eej voo K-Ihc 'bcLloci
St vc 'vricley hood cjstcm .
QTY. DESCRIPTION UNIT COSI' ( IX 3
(1) 8.5x16 Concession Trailer by Freedom Mfg.
1Black(030 aluminum exterior)
Tapered Front body stylc(16' plus 3'taper= 19'enclosed)
24"ATP gravel guard
LED tail lights& clearance lights
Steel tube construction on ceiling & walls
16" on center floor& walls
One piece seamless aluminum roof
12"extra height(7'6" height interior)
Adj coupler w/pintle coupler/ 7 way RV style plug
Double rear"barn style" doors
36" RV style door w/window & screen door(roadside)
(2) 5200 lb Dexter brand e-z lube axles (10.000 Ib GVWR)
4 way electric brakes
225/75/15" radial tires/load range D I
6 lug/ 15" silver steel wheels 1
12 volt LED dome light w/ wall switch
Scissor jacks under rear
3x8 concession door w/gas shocks(curbside)
Glass/screens to fit concession(4 vertical sliding windows)
"fold-out"counter atconcession(12"x96")
8 ft Base cabinet w/4 doors at concession(20"x96") 1 1
1 18" extended tongue upgradc(54" tongue length)
***All cabinets WHITE***
White aluminum interior ceiling & walls
_` .. X. ATP interior trim ------_ ---
ATP wheel wells
i Insulated ceiling& walls
I I O wiring pkg w/ 100 amp box/cord
(4) 3 ti LED interior lights w/wall switch(new style) ,_�
(6) interior 110 wall recepts
Roof vent(wired/braced for A/C)
2nd roof vent(I 10 wired w/ fan)
3
t8 ft commercial Series Hood w/ blower/exhaust
Triple Sink Pkg w/ hand-wash sink & base cabinets •
(houses 29gal-fresh,37.55gal-waaste,6gal water heater.pump)
15,000 btu A/C unit installed in existing roof vent (cd TRT)
_ ATP floor _-_.. —__
�� 8 ft overhead cabinets above sink pka
2°d 8 ft overhead cabinet(curbside over concession)
(2) exterior Gil recepts(I road/I curb)
36" access de a ( into taes on frcn behind sinks)
(2) 100 lb propane tank car cs on front ext. wall(no tanks)
-----]
5 year lulu warranty
I 4-5 week lead time/Th nk you _I
_-r._..._. 'lu .liveiy
*Down payments on orders arc non-refundable. Trailers must be paid in full within ID days of delivery to rRT-or urn can be sold.
TOTAL j $ 18,500.00
DOWN '
DUE 1 ___ .
(X)
�1Y'AcoCATAWBA COUNTY
'Till G� 100A souniwEsr euro
a NEWTON.NORTH CAROLINA 28658 RECEIPT
rai t•
�' ► PHONE: 828.465.8399
`C.,� '$ jSV "C Friday,April 20,2018
\ tw
I8 4 , SM wwo.calnwhacountvnc.gov
PAYOR:
Wagoner.Jamison
PAYMENTS
TRANSACTION NUMBER: TRC-3445736-20-04-2018
PAYMENT DATE: 04/20/2018
PAYMENT TYPE: Check 1115
NCDL-36740745 DOB- 11/9/93 EXP 11/9/22
INVOICE NUMBER FEE NAME FEE AMOUNT
04-18-352033 FLI Mobile Food Unit/Push Cart 5150.00
Plan Review Fee
TOTAL PAYMENTS: S 150.00
EHPR-04-2018-28956
CASE TYPE: Environmental Health Plan Review WORK CLASS: Other FL1
SITE ADDRESS: 2636 NORTHWEST BLVD,NEWTON NC 28658
Applicant JAMISON WAGONER,
C:8282443466
**NO PEOPLESOFFF ACCOUNT ASSIGNED**
receipt 01/2012018 14:51 Page 1 of 1