HomeMy WebLinkAboutKFC 3115 KIMBALL AV WA PF INVOICE DATE DUE DATE INVOICE# TOTAL DUE
co 07/15/2026 08/19/2026 2027-00000009 $50.00
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Customer#: 3919 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
KFC 715 Mulberry St
PO BOX 1428 WATERLOO, IA 50703
HOULTON, ME 04730
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL FIRE INSPECTION - 3115 KIMBALL AVE- FOR BILLING INQUIRY: (319)291-4323
07/08/2026
Description Total Price
REINSPECTION 3 $200.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
3919 07/15/2026 08/19/2026 2027-00000009 $200.00
Less Prepayment $150.00
Total Due---> $50.00
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.
Waterloo Fire Rescue
Inspection Report425 E.3rd Street
Kentucky Fried Chicken-3115 Kimball AVE,BLDG 3115 Kimball Ave,Waterloo IA
50702
INSPECTION DETAILS
Inspection Date Inspection Type Inspection Number
07/08/2026 Annual Inspection(1Yr) LREINSPECTION Q ' V�1 21221-R4
Lead Inspector Shift Station Unit
BRAD BALDWIN N/A NIA N/A
Other Inspectors
N/A
SUMMARY OF INSPECTION
0 0 0 2 0 1
Passed codes Resolved violations Failed codes
NEXT STEPS
Please direct questions about your Inspection to: Reinspection Date
BRAD BALDWIN
07/24/2026
brad.baldwin@waterloo-ia.org,3192914319
GENERAL NOTES
BRAD BALDWIN-06111/2026 @ 13:13
Withholding re-inspection fee on 6111/26 due to progress made,complete corrections to avoid fees at following inspections
BRAD BALDWIN-06111/2026 @ 13:13
$100 re-inspection fee,failure to complete corrections
BRAD BALDWIN-06111/2026 @ 13:13
•$80 annual inspection fee
BRAD BALDWIN-0611112026 @ 13:13
Fire extinguishers due annually serviced in November 2026
BRAD BALDWIN-06111/2026 @ 13:13
•Commercial Fire Inspector—brad.baldwin@waterloo-ia.org—Work:319-291-4319(#5)-Cell:319-230-1224
BRAD BALDWIN-06/1112026 @ 13:13
•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 S200 for all subsequent re-inspections.
BRAD BALDWIN-06/11/2026 @ 13:13
$150 re-inspection fee,failure to complete corrections on 5114/26.All repairs shall be completed to avoid possible fees at following inspections.
BRAD BALDWIN-07/10/2026 @ 07:54
$200 re-inspection fee,failure to complete all corrections on scheduled 7/8/26 inspection.Complete corrections to avoid fees at following inspections.
SIGNATURES
Contact signature Inspector signature
GENERATED ON 7/10/26, 7:59 AM 1 OF 3
No signature
Report completed post inspection
Shannon Cannon(2026) Date:
BRAD BALDWIN 0711012026
CHECKLISTS
Reinspection
Code Description
Fail 606.3.1-Ventilation system.
The ventilation system in connection with hoods shall be Location:Kitchen hood exhaust
operated at the required rate of air movement,and grease Comments:Replace or repair broken hood filters.
filters listed and labeled in accordance with UL 1046 shall be
in place where equipment under a kitchen grease hood is Additional comments:Filter still broken on 7/8/26 inspection
used.
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GENERATED ON 7/10/26, 7:59 AN _ 2 OF 3
'® Statement of Fees
FEE
Invoice Date Inspection Fee Date Paid Amount Paid
NIA $200.00
Invoice Number Check Number Transaction Number
NIA NIA NIA
GENERATED ON 7/10/26, 7:59 AM 3 OF 3