HomeMy WebLinkAboutLARSON MANOR, LLC Waterloo Fire Rescue
Inspection Report ?D• X ciA3 425 E.3rd Street
BLDG 425 Allen Street-425 Allen ST,Waterloo IA 50701 S o
INSPECTION DETAILS �-�-/ �-F
'
Inspection Date Inspection Type Inspection Number
0610912026 Residential Common Areas Inspection 1145 i 4 ito i 16986
Lead Inspector Shift
Station Unit
JEREMIAH VANDYKE N/A N/A NIA
Other Inspectors
N/A
SUMMARY OF INSPECTION
024 01 ® 6
Passed codes Failed codes N/A codes
NEXT STEPS
Please direct questions about your Inspection to:
JEREMIAH VANDYKE Reinspection Date
jeremiah.vandyke@waterloo-ia.org 07/0912026
GENERAL NOTES
JEREMIAH VANDYKE-06/09/2026 @ 12:29
4/28/2026 S-(Annual)Fire Alarm HAWKEYE ALARM Reviewed Compliant
JEREMIAH VANDYKE-06/09/2026 @ 12:29
2/26/2026 S-(Annual)Fire Sprinkler BLACKHAWK AUTOMATIC SPRINKLERS,INC.Reviewed Compliant
JEREMIAH VANDYKE-06/09/2026 @ 12:30
Extinguisher serviced by Hawkeye Fire May 2026.
JEREMIAH VANDYKE-06/09/2026 @ 12:32
Inspection fee:$100.00 to be mailed out by city.
SIGNATURES
Contact signature Inspector signature
No signature
Report completed post inspection
3/0
Dave Larson Date: JEREMIAH VANDYKE
06/09/2026
CHECKLISTS
GENERATED ON 6/9/26, 12:32 PM
1 OF 3
Residential Common Areas Inspection
Sta:Ls Code Descopto;i
Fail 1104.5-Illumination emergency power.
Where means of egress illumination is provided,the power Location:Top of middle stairway near room#304.
supply for means of egress illumination shall normally be Comments:Egress light tested and failed.Send pic after repaired.
provided by the premises'electrical supply.In the event of
power supply failure,illumination shall be automatically
provided from an emergency system for the following
occupancies where such occupancies require two or more
means of egress:1.Group A having 50 or more occupants.
Exception:Assembly occupancies used exclusively as a
place of worship and having an occupant load of less than
300.2.Group B buildings three or more stories in height,
buildings with 100 or more occupants above or below a level
of exit discharge serving the occupants or buildings with
1,000 or more total occupants.3.Group E in interior exit
access and exit stairways and ramps,corridors,windowless
areas with student occupancy,shops and laboratories.
4.Group F having more than 100 occupants.Exception:
Buildings used only during daylight hours and that are
provided with windows for natural light in accordance with
the International Building Code.5.Group I.6.Group M.
Exception:Buildings less than 3,000 square feet(279 m2)in
gross sales area on one story only,excluding mezzanines.
7.Group R-1.Exception:Where each sleeping unit has direct
access to the outside of the building at grade.8.Group R-2.
Exception:Where each dwelling unit or sleeping unit has
direct access to the outside of the building at grade.
2 OF 3
GENERATED ON 6/9/26, 12:32 PM
'® Statement of Fees
FEE
Invoice Date Inspection Fee Date Paid Amount Paid
NIA $100.00
Invoice Number Check Number Transaction Number
N/A NIA NIA
GENERATED ON 6/9/26, 12:32 PM 3 OF 3
F W qr� INVOICE DATE DUE DATE INVOICE# TOTAL DUE
- - off.: ,Q
06/10/2026 07/15/2026 2026-00000525 $100.00
•iiisif •
44. ,vilN5
Customer#: 14251 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
LARSON MANOR LLC 715 Mulberry St
P.O. BOX 943 WATERLOO, IA 50703
Waterloo, IA 50704
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL FIRE INSPECTION-425 ALLEN ST-06/09/2026 FOR BILLING INQUIRY: (319)291-4323
Description Total Price
INSPECTION 20,000 $90.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
14251 06/10/2026 07/15/2026 2026-00000525 $100.00
Less Prepayment $0.00
Total Due—> $100.00
City of Waterloo
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.