HomeMy WebLinkAbout225 W 4TH ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
, . $80.00
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Customer#: 22280 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
BASAL WOOD FIRED PIZZA CO 715 Mulberry St
225 WEST 4TH ST - WATERLOO, IA 50703
WATERLOO,IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-225 W 4TH ST-4-9-18 FOR BILLING INQUIRY: (319)291-4323
L Description Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
22280 04/12/2018 05/30/2018 2018-00000272 $80.00
Less Prepayment $0.00
Total Due--> $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1379
Prior Inspection 317
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, A 50703
Phone(319)-230-1224 Fax. (319)-291-4262
Email:Jeff.Siebel@waterloo-ia.org
File Upload
Address* 225 West 4th Street
Business name Basal Wood Fired Pizza Co
Inspection Date* 4/9/2018
Proprietor Tony Eischeid
Business Phone 319
Email* basalpizza@gmail.com
Email 2
Property Owner JSA
Emergency Contact Tony Eischeid
Information
Phone 319-229-4765
Violations
Ref# CODE Violation&Location Corrected
1 609.3.3.1 Provide current semi-annual kitchen hood exhaust system
cleaning/inspection report with all deficiencies corrected.
2 Provide annual service for fire extinguishers.
3 Remove extension cord to toaster oven/soup warmers. Install
permanent outlet with permits and inspections.
4 Repair egress/exit light in kitchen.
Ref# CODE Violation &Location Corrected
5 223 Side:
A. Obtain final building inspection for remodel.
B. Remove combustible/flammable material from the lamps on
cables along ceiling.
C. Remove power strip to coolers in bathroom. Coolers must plug
directly into wall outlets.
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 Annual Fire Sprinkler
Comment Black Hawk 4/20/17 with corrections completed 5/11/17
Due this month
Reports Annual Fire Alarm
Comment Hawkeye Alarm 4/28/17
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Tony Eischeid
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 5/1/2018