HomeMy WebLinkAbout506 W 9TH STCustomer #: 7635
KWIK STAR #380
1626 OAK ST
LA CROSS, WI 54602
INVOICE DATE
DUE DATE
INVOICE #
TOTAL DUE
10/17/2025
11/25/2025
2026-00000160
$80.00
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 - 506 W 9TH - 10-13-25
FOR BILLING INQUIRY: (319)291-4323
Description
INSPECTION 2,000
OCCUPANCY FEE
Total Price
$70.00
$10.00
CUSTOMER #
BILLING DATE
DUE DATE
INVOICE #
CHARGES
7635
10/17/2025
11/25/2025
2026-00000160
$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.
Waterloo Fire Rescue
Inspection Report
Kwik Star #380 - 506 W 9th ST, BLDG 506 W 9th St, Waterloo IA 50702
INSPECTION DETAILS
inspection Date
10/13/2025
Lead Inspector
BRAD BALDWIN
Inspection Type
Annual Inspection (1Yr)
Other Inspectors
N/A
425 E. 31d StrAet
Inspection Number
15312
Shift Station Unit
NIA NIA N/A
SUMMARY OF INSPECTION
i._) 47
Passed code
NEXT STEPS
0 4
Failed codes
Q 23
NIA codes
Please direct questions about your Inspection to:
BRAD BALDWIN
brad.baldwin@waterloo-ia.org, 3192914319
GENERAL NOTES
BRAD BALDWIN - 10/13/2025 @ 14:51
Fire extinguishers due annually serviced in March 2026
BRAD BALDWIN - 10/1312025 @ 14:51
$80 annual inspection fee
BRAD BALDWIN - 10113/2025 @ 15:00
• Commercial Fire Inspector - brad.baldwin@waterloo-is-org - Work: 319-291-4319 (#5) - Cell: 319-230-1224
BRAD BALDWIN - 10/13/2025 @ 15:00
Reinspection Date
11/07/2025
• Provide corrections to avoid progressive re -inspection fees beginning at $100. Beer/Liquor application will not be signed until violations and hazards
corrected
BRAD BALDWIN - 10/13/2025 @ 15:01
• If all corrections are made before the scheduled re -inspection date, you can call to set up an earlier re -inspection. Normal operating hours for
inspections & re -inspections are Monday - Friday, 9:00 a.m. - 4:00 p.m. *****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.
SIGNATURES
Contact signature Inspector signature
No signature
Report completed post inspection
R
Alicia 2025-store leader Date: BRAD BALDWIN 10/13/2025
CHECKLISTS
GENERATED ON 10/13/25, 3:03 PM 1 OF 3
Emergency Equipment
Status Code
Fail
Fail
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.
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.
Commercial Cooking Hood Suppression System
Status Code
Fail
606.3.3.2 - Grease accumulation.
If during the inspection it is found that hoods, grease -removal
devices, fans, ducts or other appurtenances have an
accumulation of grease, such components shall be cleaned in
accordance with ANSIIIKECA C1O.
Portable Fire Extingusihers
Status Code
Fail
906.7 - Hangers and brackets.
Hand-held portable fire extinguishers, not housed in cabinets,
shall be installed on the hangers or brackets supplied.
Hangers or brackets shall be securely anchored to the
mounting surface in accordance with the manufacturer's
installation instructions.
Description
Location: Near manager's office
Comments: Repair or replace egress lights that failed to illuminate
during testing
Location: Exit sign in carwash mechanical room
Comments: Repair or replace egress lights that failed to illuminate
during testing
Description
Location: Kitchen hood exhaust filters
Comments: Clean grease filters. currently dripping grease.
Description
Location: Behind checkout counter
Comments: Empty fire extinguisher sitting on floor shall be removed
from building.
GENERATED ON 10/13/25, 3:03 PM
2 OF 3
Statement of Fees
FEE
Invoice Date Inspection Fee
NIA $80.00
Invoice Number
NIA
Date Paid Amount Paid
Check Number Transaction Number
NIA NIA
GENERATED ON 10/13/25, 3:03 PM 3 OF 3