HomeMy WebLinkAbout820 E DONALD ST • a $
INVOICE DATE DUE DATE INVOICE# TOTAL DUE
IAlga;� 04/12/2018 05/30/2018 2018-00000297 $80.00
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Customer#: 9551 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
GATES PARK PRO SHOP 715 Mulberry St
820 E DONALD ST WATERLOO, IA 50703
WATERLOO,IA 50703
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 820 E DONALD ST-4-12-18 FOR BILLING INQUIRY: (319)291-4323
LDescription Total Price j
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
9551 04/12/2018 05/30/2018 2018-00000297 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1399
Prior Inspection 312
Number Fill this field if it is available, it will auto-fill business name and address.
Inspector* Jeff Siebel
Waterloo Fire Rescue
715 Mulberry Street Waterloo, IA 50703
Phone(319)-230-1224 Fax. (319)-291-4262
Email:Jeff.Siebel@waterloo-ia.org
File Upload
Address* 820 East Donald
Business name Gates Park Golf Shop
Inspection Date* 4/12/2018
Proprietor Nate Lubs
Business Phone 319-883-9363
Email* Natelubs@gmail.com
Email 2 JAMES.BOLGER@WATERLOO-IA.ORG
Property Owner Nate Lubs
Emergency Contact Nate Lubs
Information
Phone 883-9363
Violations
Ref# CODE Violation &Location Corrected
1 Repair exit/egress light above main door.
2 Provide documentation of dryer vent cleaning to the outside of the
building with signature and date.
3 609.3.3.1 Provide current semi-annual kitchen hood exhaust system
cleaning/inspection report with all deficiencies corrected.
Comments:
If violations noted during the inspection are not corrected by the given re-inspection date,additional fees
are as follows:
$100.00-First Re-inspection I$150.00-Second Re-inspection I$200-Third and subsequent Re-inspections
Reports
Reports Semi-Annual Kitchen hood Fire Suppression for all Hoods
Comment Superior 3/1/18
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Nate Lubs
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 5/3/2018