HomeMy WebLinkAboutCASEY'S GENERAL STORE pF WA? INVOICE DATE DUE DATE
INVOICE#' TOTAL DUE
16 ,�- p 07/24/2026 08/28/2026 2027-00000031 $200.00
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Customer#: 15371
Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
CASEY'S GENERAL STORE#2867 715 Mulberry St
1 SE CONVENIENCE BLVD WATERLOO, IA 50703
ANKENY, IA 50021
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL FIRE INSPECTION-2424 RANCHERO RD-
07/17/2026 I FOR BILLING INQUIRY: (319)291-4323
IDescription
F Total Price;I
REINSPECTION 3
$200.00
I
CUSTOMER# BILLING DATE DUE DATE
15371INVOICE;# CHARGES
07/24/2026 08/28/2026 2027-00000031
$200.00
Less Prepayment $0.00
Total Due—p $200.00
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
1, gk Inspection Report
°� s' Casey's General Store#2867-2424 Ranchero RD,BLDG 2867 Ranchero Rd,
Waterloo IA 50701 a2s E.3rd Street
INSPECTION DETAILS
Inspection Date Inspection Type
07/17/2026 Annual Inspection(lYr) —
REINSPECTION Inspection Number
Lead Inspector , 16971-R4
BRAD BALDWIN Shift Station
N/A Unit
Other Inspectors N/A N/A
N/A
SUMMARY OF INSPECTION
00 02 04
Passed codes Resolved violations Failed codes
NEXT STEPS
Please direct questions about your Inspection to:
BRAD BALDWIN
brad.baldwin@waterloo-ia.org,3192914319 Reinspection Date
08/11/2026
GENERAL NOTES
BRAD BALDWIN-06/26/2026 @ 08:24
$200 Re-inspection fee for failure to complete all corrections on scheduled 6/25/26 inspection.Complete corrections to avoid fees at following
inspections.
BRAD BALDWIN-06/26/2026 @ 08:24
$80 annual inspection fee
BRAD BALDWIN-06/26/2026 @ 08:24
•Commercial Fire Inspector-brad.baldwin@waterloo-ia.org-Work:319-291-4319(#5)-Cell:319-230-1224
BRAD BALDWIN-06/26/2026 @ 08:24
•Provide corrections to avoid progressive re-inspection fees beginning at$100.Beer/Liquor application will not be signed until violations and hazards
corrected
BRAD BALDWIN-06/26/2026 @ 08:24
•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$200 for all subsequent re-inspections.
BRAD BALDWIN-06/26/2026 @ 08:24
$100 re-inspection fee,failure to complete corrections on 5/12/26.Complete corrections to avoid possible fees at following inspections.
BRAD BALDWIN-06/26/2026 @ 08:24
$150 re-inspection fee for failure to complete corrections on scheduled 6/3/26 inspection.Complete corrections to avoid fees at following inspections.
BRAD BALDWIN-07/17/2026 @ 10:43
$200 re-inspection fee for failure to complete corrections on scheduled 7/17/26 re-inspection.Complete corrections to avoid fees at following inspections.
SIGNATURES
GENERATED ON 7/17/26, 11:01 AM
1 OF 3
Contact signature Inspector signature
No signature
Report completed post inspection
0711712026
_____-----
Karri Dorsey 2026 Date: BRAD BALDWIN
CHECKLISTS
Reinspection Description
S:a*sue Code
Fail 102.4-Application of building code. Location:Waste cooking oil room near bathrooms
The design and construction of new structures shall comply
with the International Building Code,and any alterations, Comments:Licensed electrical contractor shall obtain permit and
additions,changes in use or changes in structures required
inspection for outlet added,currently used for compressor.
by this code,which are within the scope of the International
Building Code,shall be made in accordance therewith. Additional comments:No inspection on record as of 7117126.
Fail 1203.2.6-Exit signs. Location:North exit
Emergency power shall be provided for exit signs as required
in Section 1013.6.3.The system shall be capable of powering Comments:Repair or replace exit sign that failed to illuminate during
the required load for a duration of not less than 90 minutes. test.
Fail 1203.2.6-Exit signs. Location:Main exit(west)
Emergency power shall be provided for exit signs as required
in Section 1013.6.3.The system shall be capable of powering Comments:Repair or replace exit sign that failed to illuminate during
the required load for a duration of not less than 90 minutes. test.
Fail 606.3.3-Cleaning. Location:Kitchen hood exhaust
Hoods,grease-removal devices,fans,ducts and other
appurtenances shall be cleaned at intervals as required by Comments:Exhaust system cleaning 75 days past due as of 4120126.
Provide cleaning and report to be uploaded to Compliance Engine
Sections 606.3.3.1 through 606.3.3.3. with any deficiencies corrected.
Additional comments:No report has been uploaded to Compliance
Engine as of 7/17126
2 OF 3
GENERATED ON 7/17/26, 11:01 AM
Po Statement of Fees
FEE
Invoice Date Inspection Fee Date Paid Amount Paid
N/A $200.00
Invoice Number Check Number Transaction Number
N/A NIA N/A
GENERATED ON 7/17/26, 11:01 AM 3 OF 3