HomeMy WebLinkAbout1956 LAFAYETTE ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
�;��i\ �„ 04/12/2018 05/30/2018 2018-00000274 $80.00
ar t fit
otenoo vz.
Customer#: 3312 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
CORK'S GROCERY 715 Mulberry St
1956 LAFAYETTE 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- 1956 LAFAYETTE ST-4-9-18 FOR BILLING INQUIRY: (319)291-4323
[Description Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
3312 04/12/2018 05/30/2018 2018-00000274 $80.00
Less Prepayment $0.00
Total Due—} $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1383
Prior Inspection 305
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* 1956 Lafayette
Business name Corks Grocery
Inspection Date* 4/9/2018
Proprietor Chuck Corchran
Business Phone 319-233-6785
Email* corkbrim@gmail.com
Email 2
Property Owner Chuck Corchran
Emergency Contact Chuck Corchran
Information
Phone 319-239-1054
Violations
Ref# CODE Violation &Location Corrected
1 Provide annual service for fire extinguishers
2 Remove keyed dead bolt from back door.The only hardware
allowed on exit door is the panic hardware.
3 Properly secure all compressed gas cylinders in basement with
CHAIN.
4 Remove obstructions. Maintain a minimum 36"clear path in
basement.
Comments: Tripped and fell over obstructions in basement at 1:50 PM
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
Comment
Inspection Fee $ 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 80.00
Received By Vallerie Herman
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long Corks 1956 obstrctuion.JPG 109.25KB
inspections)
Corks 1956 basement.JPG 107.97KB
Corks 1956 Iock.JPG 70.08KB
Reinspection
Re-inspection# Date Time
1 4/30/2018