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INVOICE DATE
DUE DATE
INVOICE #
TOTAL DUE
01/27/2025
02/28/2025
2025-00000250
$50.00
Customer #: 24656
WATERLOO PEDIATRIC DENTISTRY
112 W PARK LN
WATERLOO, IA 50701
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 - 112 W PARK LANE-1-21-25
L Description
FOR BILLING INQUIRY: (319)291-4323
INSPECTION 1
OCCUPANCY FEE
Total Price J
$40.00
$10.00
CUSTOMER #
BILLING DATE
DUE DATE
INVOICE #
CHARGES
24656
01/27/2025
02/28/2025
2025-00000250
$50.00
Less Prepayment
Total Due —
City of Waterloo
$0.00
$50.00
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
`D\453
WATERLOO PEDIATRIC DENTISTRY, 112 W PARK LN, BLDG 112 PARKLANE, WATERLOO IA
S0701
Inspection Date: 01/21/2025 ; Inspection Type: Annual Inspection (1Yr Inspection Number: 15983 I Shift: N/A I Station: N/A I
Unit: N/A j Lead Inspector: JEREMIAH VANDYKE I Other Inspectors/ /A I Fee: $50.00 /
VIOLATIONS AND COMPLIANCES
Showing only violations and images for this inspection. Please reach out to the lead inspector for more details.
Resolved Violations: 0 I Passed Codes: 36 I Violations: 1 I N/A Codes: 36
STATUS CODE
DESCRIPTION
FAIL 1203.2.6 - Exit signs. Emergency power shall be provided for exit signs as required in Section 1013.6.3.
The system shall be capable of powering the required load for a duration of not
less than 90 minutes.
GENERAL NOTES
JEREMIAH VANDYKE - 01/21/2025 @ 15:19
JEREMIAH VANDYKE - 01/21/2025 @ 15:19
Location: 2 Exit/egress lights in basement.
Original Comment: Exit/egress light was tested and failed. Send picture of
exit/egress light working while pushing test button after repaired or replaced.
Discussed getting Clothes Dryer Exhaust Duct system DOCUMENTED for cleaning from
back of dryer to the outside by who and when serviced. ----Per the 2021 Code - 610.1.2
Maintenance. The lint trap, mechanical and heating components, and the exhaust duct
system of a clothes dryer shall be maintained in accordance with the manufacturer's
operating instructions to prevent the accumulation of lint or debris that prevents the
exhaust of air and products of combustion.
Re -inspection dates are automatically generated 30 days out from the initial
inspection. Normal operating hours for inspections & re -inspections are Monday -
Friday, 8:00 a.m. - 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 made 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. -
Printed on 01 /21 /2025 @ 15:21
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GENERAL NOTES
JEREMIAH VANDYKE - 01/21/2025 @ 15:19 Lt. Van Dyke - jeremiah.vandyke@waterloo-ia.org - Work: 319-291-4460 - Cell: 319-883-
1615
JEREMIAH VANDYKE - 01/21/2025 @ 15:19 Fire extinguishers serviced by Proshield Jan 2025.
JEREMIAH VANDYKE - 01/21/2025 @ 15:20 Inspection Fee = $50.00 (To be mailed out by City via snail mail.)
REINSPECTION DATE
02/20/2025
CONTACT SIGNATURE
Alison Christensen, DDS Reason for not collecting a signature: NA
INSPECTOR SIGNATURE
JEREMIAH VANDYKE
Signed on: 01/21/2025 @ 15:16
QUESTIONS ABOUT YOUR INSPECTION?
JEREMIAH VANDYKE
jeremiah.vandyke@waterloo-ia.org
No phone number available
Printed on 01 /21 /2025 @ 15:21
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