HomeMy WebLinkAbout603 S HACKETT RDINVOICE DATE
DUE DATE
INVOICE #
TOTAL DUE
11/14/2025
12/19/2025
2026-00000211
$80.00
Customer #: 24848
SALVATION ARMY WOMEN'S SHELTER
603 S. HACKETT ROAD
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 FIRE INSPECTION-603 S. HACKETT RD.-11/03/2025
FOR BILLING INQUIRY: (319)291-4323
Description
Total Price
INSPECTION 2,000
OCCUPANCY FEE
$70.00
$10.00
CUSTOMER #
BILLING DATE
DUE DATE
INVOICE #
CHARGES
24848
11/14/2025
12/19/2025
2026-00000211
$80.00
Less Prepayment
Total Due —�
City of Waterloo
$0.00
$80.00
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.
31seit
Waterloo Fire Rescue
Inspection Report
Women's Shelter Salvation Arm 603 S Hackett R~D)BLDG 603 South Hackett
Road, Waterloo IA 50701
INSPECTION DETAILS
Inspection Date
11/03/2025
Lead Inspector
JEREMIAH VANDYKE
Inspection Type
Annual Inspection (1Yr)
Other Inspectors
N/A
425 E. 3rd Streer
Inspection Number
15861
Shitt Station Unit
NIA N/A NIA
SUMMARY OF INSPECTION
C0 62
Passed codes
NEXT STEPS
1
Failed codes
10
NIA codes
Please direct questions about your Inspection to:
JEREMIAH VANDYKE
jeremiah.vandyke@waterloo-ia.org
GENERAL NOTES
JEREMIAH VANDYKE - 11103/2025 @ 13:37
Need to exercise garage walk through exit doors.
JEREMIAH VANDYKE - 11/0312025 @ 13:38
Fire extinguishers serviced by Superior fire August 2025.
JEREMIAH VANDYKE - 11/03/2025 @ 13:38
Clothes dryer vents cleaned in house and logged 7/4/2025.
Reinspection Date
12/03/2025
JEREMIAH VANDYKE - 11/03/2025 @ 14:04
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.-
JEREMIAH VANDYKE - 11/03/2025 @ 14:04
Lt. Van Dyke - jeremiah.vandyke@waterloo-ia.org - Work: 319-291-4460 - Cell: 319-883-1615
JEREMIAH VANDYKE - 11/03/2025 @ 14:04
Inspection Fee = $80.00 (To be mailed out by City via snail mail.)
SIGNATURES
Contact signature Inspector signature
No signature
Report completed post inspection
GENERATED ON 11/3/25, 2:05 PM 1 OF 3
Martin Ainsworth - maintenance Date:
CHECKLISTS
Fire Alarm System
status cock:
Fail
Chapter 14 - Inspection, testing, and maintenance
Fire alarm system tested at least annually by licensed
contractor
////n
Descr/
Location: Fire alarm is past due 269 days. Contact fire alarm
contractor to upload report to compliance engine.
Comments: Contact fire alarm contractor to upload report to
compliance engine.
GENERATED ON 11/3/25, 2:05 PM
2 OF 3
Statement of Fees
FEE
Invoice Date Inspection Fee
N/A S80.00
Invoice Number
N/A
Date Paid Amount Paid
Check Number
NIA
Transaction Number
NIA
GENERATED ON 11/3/25, 2:05 PM 3 OF 3