HomeMy WebLinkAbout650 STEPHEN INVOICE DATE ` DUE DATE INVOICE# TOTAL DUE
itilf ■ ,�;,; 04/03/2018 05/10/2018 2018-00000257 $80.00
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Customer#: 3456 Please Make Check Payable and Remit To:
City of Waterloo
ATTN. City Clerk/Accounts Receivable
BLESSED SACRAMENT 715 Mulberry. St
650 STEPHEN AV WATERLOO, IA 50703
WATERLOO,IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-650 STEPHEN-3-14-18 FOR BILLING INQUIRY: (319)291-4323
[Description Total Price j
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
3456 04/03/2018 05/10/2018 2018-00000257 $80.00
Less Prepayment $0.00
Total Due-* $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1352
Prior Inspection Fill this field if it is available, it will auto-fill business name and address.
Number
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* 600 Stephen
Business name Blessed Sacrament
Inspection Date* 3/14/2018
Proprietor Maranda Reuter
Business Phone 319-236-6131 Ext 3112
Email* mreuter@cvcatholic.org
Email 2
Property Owner Cedar Valley Catholic Schools
Emergency Contact Maranda Reuter
Information
Phone 319-415-3856
Violations
Ref# CODE Violation &Location Corrected
1 Residential Range in building:
A. Install a type 2 hood that covers the entire cooking surface.
B. Install a 2A-10BC fire extinguisher in room.
D. Sign a light duty kitchen hood user agreement with City of
Waterloo(attached).
2 Fire doors to room 106 must completely self-close and latch.
3 Remove obstructions to water heater, maintain a minimum of 36"
clearance to water heater at all time.
4 Remove portable electric heater
CODE Violation & Location Corrected
Ref#
5 Room 116/118:
All corridor doors must completely self-close and latch.
All corridor doors must have smoke seals in place
All corridor doors must have louvers in door covered with a non-
combustible material to seal against smoke infiltration.
6 Remove hollow core wood door from room 118. Install properly
rated fire door. Consult with Building Official Greg Ahlhelm 319-
291-4319 for proper rating before replacing any more doors.
Comments: Children Present today: 3 less than 2,5 years of age and 14 over the age of 2.5.
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 Alarm
Comment Hawkeye 2/25/18
Reports
Comment Fire Drills practiced monthly, last 2/3/18. Recommend staggering times of day
alarms practiced.
Reports
Comment Dryer vent cleaned by Judy Ann Macound 3/1/18
Reports Fire Extinguisher Service
Comment Proshield 7/17
Inspection Fee S 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 80.00
Received By Maranda Reuter
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long Hood Agreement.pdf 90.2: KB
inspections)
Reinspection
Re-inspection# Date Time
1 4/10/2018