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Customer #: 7011
COUNTRY INN & SUITES
4025 HAMMOND AVE
WATERLOO, IA 50702
INVOICE DATE
DUE DATE
INVOICE #
TOTAL DUE
04/07/2026
05/12/2026
2026-00000418
$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 - 4025 HAMMOND AVE - 04/03/2026
FOR BILLING INQUIRY: (319)291-4323
Description
Total Price
REINSPECTION 1
$100.00
CUSTOMER #
BILLING DATE
DUE DATE
INVOICE #
CHARGES
7011
04/07/2026
05/12/2026
2026-00000418
$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
Country Inn & Suites - 4025 Hammond AVE, BLDG 4025 Hammond Ave, Waterloo IA
50702
INSPECTION DETAILS
Inspection Date
04/03/2026
Lead Inspector
JEREMIAH VANDYKE
Inspection Type
Annual Inspection (1Yr) t REINSPECTION,
Other lnspectors
NIA
425 E. 3rd Street
Inspection Number
15852-R4
Shia: Station Unit
N/A NIA N/A
SUMMARY OF INSPECTION
O o 0 1 0
Passed codes Resolved violations Failed codes
NEXT STEPS
Please direct questions about your Inspection to:
JEREMIAH VANDYKE
jeremiah.vandyke@waterloo-ia.org
GENERAL NOTES
JEREMIAH VANDYKE - 02/26/2026 @ 13:02
No re inspect fee at this time, since some corrections were made.
JEREMIAH VANDYKE - 02/26/2026 @ 13:02
Fire extinguisher serviced by Pro Shield Jan 2025.
JEREMIAH VANDYKE - 02/26/2026 @ 13:02
11/3/2025 S - (Annual) Fire Alarm HAWKEYE ALARM Reviewed
JEREMIAH VANDYKE - 02/26/2026 @ 13:02
912/2025 S - Private Fire Hydrants BLACKHAWK AUTOMATIC SPRINKLERS, INC. Reviewed Compliant
JEREMIAH VANDYKE - 02/2612026 @ 13:02
Reinspection Date
05/03/2026
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 - 02/26/2026 @ 13:02
Lt. Van Dyke - jeremiah.vandyke@waterloo-ia.org - Work: 319-291-4460 - Cell: 319-883-1615
JEREMIAH VANDYKE - 0212612026 @ 13:02
Inspection Fee = $100.00 (To be mailed out by City via snail mail.)
JEREMIAH VANDYKE - 02/26/2026 @ 13:02
No re inspect fee a this time.
JEREMIAH VANDYKE - 04/03/2026 @ 11:39
Re - Inspection Fee = $100.00 (To be mailed out by City via snail mail.)
GENERATED ON 4/3/26, 11:40 AM 1 OF 3
a
SIGNATURES
Contact signature
Jay Patel
CHECKLISTS
Reinspection
Status
Fail
No signature
Report completed post inspection
Date:
Code
Inspector signature
/iD
JEREMIAH VANDYKE 04/03/2026
704.1- Maintaining protection.
Where required when the building was originally constructed,
materials and systems used to protect joints and voids in the
following locations shall be maintained. The materials and
systems shall be securely attached to or bonded to the
adjacent construction, without openings visible through the
construction. 1.Joints in or between fire -resistance -rated
walls, floors or floor/ceiling assemblies and roof or
roof/ceiling assemblies. 2.Joints in smoke barriers. 3.Voids at
the intersection of a horizontal floor assembly and an exterior
curtain wall. 4.Voids at the intersection of a horizontal smoke
barrier and an exterior curtain wall. 5.Voids at the intersection
of a nonfire-resistance-rated floor assembly and an exterior
curtain wall. 6.Voids at the intersection of a vertical fire
barrier and an exterior curtain wall. 7.Voids at the intersection
of a vertical fire barrier and a nonfire-resistance-rated roof
assembly. Unprotected joints and voids do not need to be
protected where such joints and voids were not required to
be protected when the building was originally
constructed. Where the system design number is known, the
system shall be inspected to the listing criteria and
manufacturer's installation instructions.
Description
Location: Sprinkler riser room/Main electrical on 1st floor.
Comments: Hole in ceiling needs repaired near elevator room. A
BUILDING PERMIT and inspection will be required due to hole in fire
wall.
Additional comments: Contractor has been contacted, but no permit
has been pulled for the repair.
GENERATED ON 4/3/26, 11:40 AM
2 OF 3
Statement of Fees
FEE
Invoice Date Inspection Fee Date Paid Amount Paid
NIA $100.00
Invoice Number
NIA
Check Number Transaction Number
NIA NIA
GENERATED ON 4/3/26, 11:40 AM
3 OF 3