HomeMy WebLinkAbout3535 MARIGOLD DR * W 1 INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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12/06/2023 01/10/2024 2024-00000215 $80.00
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Customer#: 10887 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
PRIME MART 715 Mulberry St
3535 MARIGOLD DR WATERLOO, IA 50703
WATERLOO, IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL PROPERTY-3535 MARIGOLD DR- 11-29-23 FOR BILLING INQUIRY: (319)291-4323
[Description I Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
10887 12/06/2023 01/10/2024 2024-00000215 $80.00
Less Prepayment $0.00
Total Due -f $80.00
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.
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WATERLOO FIRE RESCUE \�
INSPECTION REPORT % ii
PRIME MART,3535 MARIGOLD DR,BLDG 3535 MARIGOLD DR,WATERLOO IA 50701
DETAILS
Inspection Date: 11/29/2023 Inspection Type:Annual Inspection(1Yr) I Inspection Number:9484 Shift: N/A ' Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A I Fee:$80.00
STATUS CODE DESCRIPTION
FAIL 1010.2.5-Bolt locks. Manually operated flush bolts or surface bolts are not permitted. Exceptions: 1.On
doors not required for egress in individual dwelling units or sleeping units.2.Where a
pair of doors serves a storage or equipment room,manually operated edge-or
surface-mounted bolts are permitted on the inactive leaf.3.Where a pair of doors
serves an occupant load of less than 50 persons in a Group B, F or S occupancy,
manually operated edge-or surface-mounted bolts are permitted on the inactive
leaf.The inactive leaf shall not contain doorknobs,panic bars or similar operating
hardware.4.Where a pair of doors serves a Group B, F or S occupancy,manually
operated edge-or surface-mounted bolts are permitted on the inactive leaf provided
that such inactive leaf is not needed to meet egress capacity requirements and the
building is equipped throughout with an automatic sprinkler system in accordance
with Section 903.3.1.1.The inactive leaf shall not contain doorknobs,panic bars or
similar operating hardware.5.Where a pair of doors serves patient care rooms in
Group 1-2 occupancies,self-latching edge-or surface-mounted bolts are permitted on
the inactive leaf provided that the inactive leaf is not needed to meet egress capacity
requirements and the inactive leaf shall not contain doorknobs, panic bars or similar
operating hardware.
Inspector:JEFF SIEBEL-Comments:REEAT OFFENSE Permanently remove slide bolt
from back exit door OR have reviewed by a licensed architect to see if 2nd exit
required and remove signs.
Location: Not Provided
FAIL 603.6-Extension cords. Extension cords and flexible cordsshall not be a substitute for permanent wiring and
shall be listed and labeled in accordance with UL 817.Extension cords and flexible
cordsshall not be affixed to structures,extended through walls,ceilings or floors,or
under doors or floor coverings,nor shall such cords be subject to environmental
damage or physical impact.Extension cords shall be used only with portable
appliances. Extension cords marked for indoor use shall not be used outdoors.
Inspector:JEFF SIEBEL-Comments: Remove extension cord.
Location: Behind counter by exit to restroom hall
Printed on 11/30/2023 @ 11:08
Page 1 of 3
STATUS CODE DESCRIPTION
FAIL 603.6-Extension cords. Extension cords and flexible cordsshall not be a substitute for permanent wiring and
shall be listed and labeled in accordance with UL 817.Extension cords and flexible
cordsshall not be affixed to structures,extended through walls,ceilings or floors,or
under doors or floor coverings,nor shall such cords be subject to environmental
damage or physical impact.Extension cords shall be used only with portable
appliances.Extension cords marked for indoor use shall not be used outdoors.
Inspector:JEFF SIEBEL-Comments: Remove extension cord.Pepsi and Ghost coolers
must plug directly into wall outlet, now power strip or extension cord.
Location: By ATM
FAIL 906.2-General requirements. Portable fire extinguishers shall be selected,installed and maintained in accordance
with this section and NFPA 10. Exceptions:1.The distance of travel to reach an
extinguisher shall not apply to the spectator seating portions of Group A-5
occupancies.2.Thirty-day inspections shall not be required and maintenance shall be
allowed to be once every 3 years for dry-chemical or halogenated agent portable fire
extinguishers that are supervised by a listed and approved electronic monitoring
device,provided that all of the following conditions are met:2.1.Electronic monitoring
shall confirm that extinguishers are properly positioned,properly charged and
unobstructed.2.2.Loss of power or circuit continuity to the electronic monitoring
device shall initiate a trouble signal.2.3.The extinguishers shall be installed inside of a
building or cabinet in a noncorrosive environment.2.4.Electronic monitoring devices
and supervisory circuits shall be tested every 3 years when extinguisher maintenance
is performed.2.5.A written log of required hydrostatic test dates for extinguishers
shall be maintained by the owner to verify that hydrostatic tests are conducted at the
frequency required by NFPA 10.3.In Group 1-3,portable fire extinguishers shall be
permitted to be located at staff locations.
Inspector:JEFF SIEBEL-Comments:provide annual service for fire extinguishers.
Location: Not Provided
GENERAL NOTES
JEFF SIEBEL-11/30/2023 @ 11:04 Pump 4 91 Octane out of service at this time.
JEFF SIEBEL-11/30/2023 @ 11:04 annual inspection$80
REINSPECTION DATE
12/19/2023
Printed on 11/30/2023 @ 11:08
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CONTACT SIGNATURE
Shahid Chatha
Signed on:11/30/2023 @ 11:05 / 61 27
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INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on: 11/30/2023 @ 11:05
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 11/30/2023 @ 11:08
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