HomeMy WebLinkAbout600 PARK LANE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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ill�■N. r�r 11/21/2022 12/26/2022 2023-00011077 $50.00
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Customer#: 23984 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
COPPERTOP BAR 715 Mulberry St
600 PARK LANE WATERLOO, IA 50703
WATERLOO, IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION - 600 PARK LANE - 10-19-22 FOR BILLING INQUIRY: (319)291-4323
LDescription Total Price j
INSPECTION 1 $40.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
23984 11/21/2022 12/26/2022 2023-00011077 $50.00
Less Prepayment $0.00
Total Due--* $50.00
City of Waterloo
WATERLOO FIRE RESCUE
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INSPECTION REPORTi\A
COPPERTOP BAR,600 PARK LANE,BLD6 600 PARK LN, WATERLOO IA 50702 440
DETAILS
Inspection Date: 10/19/2022 Inspection Type:Annual Inspection(1Yr) Inspection Number:9022 Shift: N/A Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL Other Inspectors: N/A
STATUS CODE DESCRIPTION
FAIL 5.2.1 -Annual sprinkler Sprinklers shall be inspected at least annually by licensed contractor
system inspection
Inspector:JEFF SIEBEL-Comments:Annual fire sprinkler system inspection by Black
Hawk Sprinkler dated 7/29/22 lists many discrepancies that require correction.
Contractor must upload corrections online to the compliance engine.
GENERAL NOTES
JEFF SIEBEL-10/21/2022 @ 11:11 Pizza oven must plug directly into a wall outlet. Not into power strip or extension cord.
JEFF SIEBEL-10/21/2022 @ 10:48 Bar area and exits only inspected. Rest of building requires annual inspection soon.
JEFF SIEBEL-10/21/2022 @ 10:48 Bar only annual inspection fee$50
REINSPECTION DATE
11/21/2022
CONTACT SIGNATURE
Chad Wagner /
Signed on: 10/21/2022 @ 11:11 t !
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on: 10/21/2022 @ 11:11
Printed on 10/21/2022 @ 11:13
Page 1 of 2
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 10/21/2022 @ 11:13
Page 2 of 2