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INVOICE DATE
DUE DATE
INVOICE #
TOTAL DUE
05/20/2025
06/25/2025
2025-00000350
$100.00
Customer #: 14251
LARSON MANOR LLC
P.O. BOX 943
Waterloo, IA 50704
Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
715 Mulberry St
WATERLOO, IA 50703
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION - 425 ALLEN ST - 5-8-25
FOR BILLING INQUIRY: (319)291-4323
Description
INSPECTION 20,000
OCCUPANCY FEE
Total Price
$90.00
$10.00
CUSTOMER #
BILLING DATE
DUE DATE
INVOICE #
CHARGES
14251
05/20/2025
06/25/2025
2025-00000350
$100.00
Less Prepayment
Total Due —>
City of Waterloo
$0.00
$100.00
Failure to pay in full debts listed herein within ninety days of the due date will result in an additional twenty-five percent
late fee applied to any outstanding balance. The delinquent account will be forwarded to Municipal Collections of
America for further collection efforts. Debts shall also be subject to collection through the Iowa Department of
Administrative Services Offset Program if not paid in full within ninety days.
Waterloo Fire Rescue
Inspection Report
BLDG 425 Allen Street - 425 Allen ST, Waterloo IA 50701
INSPECTION DETAILS
Inspection Date
05/08/2025
Lead Inspector
JEREMIAH VANDYKE
Inspection Type
Residential Common Areas Inspection
L 0. oo n maim r (.�G
et.&\r
Other Inspectors
N/A
425 E. 3rd Street
Inspection Number
13883
Shift Station Unit
N/A N/A N/A
SUMMARY OF INSPECTION
0 25
0 2 0 5
Passed codes Failed codes N/A codes
NEXT STEPS
Please direct questions about your Inspection to:
JEREMIAH VANDYKE
jeremiah.vandyke@waterloo-ia.org
FEE
Invoice Date Inspection Fee Date Paid Amount Paid
N/A $100.00
Invoice Number Check Number
N/A NIA
GENERAL NOTES
JEREMIAH VANDYKE - 05108/2025 @ 17:33
Fire extinguishers serviced May 2025 by Hawkeye fire and safety.
JEREMIAH VANDYKE - 05/08/2025 @ 17:33
Boilers serviced by Plumb Tech. 11/30/2024.
JEREMIAH VANDYKE - 05/08/2025 @ 17:34
Clothes dryers cleaned in house and logged 5/7/2025.
Reinspection Date
06107/2025
Transaction Number
NIA
JEREMIAH VANDYKE - 05/08/2025 @ 17:49
Contact Black Hawk County Dispatch of any changes for emergency 24 hour contacts in the event of an emergency at that address. Phone # 319-291-
2515.
JEREMIAH VANDYKE - 05/08/2025 @ 17:49
Re -inspection dates are automatically generated 30 days out from the initial inspection. Normal operating hours for inspections & re -inspections are
Monday A€" Friday, 8:00 a.m. a€" 5:00 p.m. If the automatically generated re -inspection date lands on a weekend, the re -inspection will typically be
performed the following Monday or Tuesday. If all corrections are mad., before the 30 days, you can call to set up an earlier re -inspection.'*"* Re
inspection fees may be assessed for subsequent re -inspections. Re -inspection fees start at $100, then $150, and $200 for all subsequent re-inspections.-
JEREMIAH VANDYKE - 05/0812025 @ 17:49
Lt. Van Dyke - jeremiah.vandyke@waterloo-ia.org A€" Work: 319-291-4460 - CeII: 319-883-1615
JEREMIAH VANDYKE - 05108/2025 @ 17:49
GENERATED ON 5/8/25, 12:50 PM 1 OF 2
Inspection Fee = $100.00 (To be mailed out by City via snail mail.)
SIGNATURES
Contact signature Inspector signature
No signature
NA
Dave Larson
Date: JEREMIAH VANDYKE
CHECKLISTS
Additional Codes
Status Code Description
05/08/2025
Fail 102.4
OThe design and construction of new structures shall comply Location: Marked fire rated door tags on all floors.
with the International Building Code , and any alterations,
additions, changes in use or changes in structures required Comments: Please remove paint from door frame and door fire rated
tags. Need to be able to read information on rating of fire doors.
by this code, which are within the scope of the International
Building Code , shall be made in accordance therewith.
Residential Common Areas Inspection
Status Code Description
Fail 705.2.4
0 Swinging fire doors shall close from the full -open position Location: Hallway door near room 314.
and latch automatically.
Comments: Door does not close properly. Will need to repair. Please
send video closing properly. 319-883-1615.
GENERATED ON 5/8/25, 12:50 PM 2 OF 2