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HomeMy WebLinkAbout707 BROADWAYCustomer #: 3323 KWIK STAR #723 1626 OAK ST LA CROSSE, WI 54602 INVOICE DATE DUE DATE INVOICE # TOTAL DUE 08/18/2025 09/20/2025 2026-00000086 $100.00 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 - 707 BROADWAY - 8-8-25 FOR BILLING INQUIRY: (319)291-4323 Description REINSPECTION 1 Total Price $100.00 CUSTOMER # BILLING DATE DUE DATE INVOICE # CHARGES 3323 08/18/2025 09/20/2025 City of Waterloo 2026-00000086 Less Prepayment Total Due —> $100.00 $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 Kwik Star #723 - 707 Broadway ST, BLDG 707 Broadway St, Waterloo IA 50703 INSPECTION DETAILS Inspection Date Inspection Type Annual Inspection (1Yr) 0810812025 — Shift Lead Inspector NIA BRAD BALDWIN Other Inspectors NIA SUMMARY OF INSPECTION 00 Passed codes 01 Failed codes Station NIA 425 E. 3rd Street Inspection Number 14990-R2 Unit NIA NEXT STEPS Reinspection Date Please direct questions about your Inspection to: einspe BRAD BALDWIN 0812912025 brad.baldwin@waterloo-ia.org, 3192914319 GENERAL NOTES BRAD BALDWIN - 0711512025 @ 13:17 'N $804Anpuai Inspection, fee BRAD BALDWIN - 0711512025 @ 13:17 Cell: 319-230.1224 -Commercial Fire Inspector - brad.baldwin@waterloo-ia.org - Work: 319-291-4319 (#5) - BRAD BALDWIN - 0711512025 @ 13:17 ou can call to set up an earlier re -inspection. Normal operating acons. hours for inspections n If all corrections are made ay - Friday, the scheduled:00m. r 4:00p .m. ** date, inspection fees may be assessed for subsequent re-insp s & re -inspections are Monday -9:00 a.m. - 4:00 p.m. start at $100, then $150, and $200 for all subsequent re -inspections. BRAD BALDWIN - 0711512025 @ 13:17 Hood suppression system due serviced 8115125 BRAD BALDWIN - 0711512025 @ 13:17 potential spontaneous ignition in the building. Use of disposable kitchen rags shall be routinely discarded out of the building to avoid from p BRAD BALDWIN - 0711512025 @ 13:17 Corrections made during 7115125 i tinn Re oved multi -plug adapters in office and near front entrance. RAD BALDWIN - 08/0812025 @ 14:41 $100 re -inspection fee, failure to complete violations. SIGNATUR Inspector signature Contact signature No signature Report completed post inspection GENERATED ON 8/8/25. 2:44 PM 1 OF 3 r Alicia (2025) District Manager Date: CHECKLISTS Reinspection Status Fail f 1203.2.15 - Means of egress illumination. Emergency power shall be provided for means of egress illumination in accordance with Sections 1008.3 and 1104.5.1. BRAD BALDWIN 08/08/2025 3s r :non Location: Lighting near bathrooms Comments: Repair or replace emergency lighting that did not illuminate during testing GENERATED ON 8/8/25, 2:44 PM 2 OF 3 Statement of Fees FEE Invoice Date Inspection Fee N!A $100.00 Invoice Number NIA Date Paid Amount Paid Check Number Transaction Number NIA NIA GENERATED ON 8/8/25, 2:44 PM 3 OF 3