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257 ANSBOROUGH AVE
INVOICE DATE DUE DATE INVOICE# TOTAL DUE � $100.00 kgight* ;oAR! 04/03/2018 05/10/2018 2018-000002.,3� :41 r °Ierto�o Customer#: 20826 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable McELROY AUDITORIUM 715 Mulberry St 257 ANSBOROUGH 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-257 ANSBOROUGH AVE-3-14-18 FOR BILLING INQUIRY: (319)291-4323 [Description I Total Price INSPECTION 20,000 $90.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE_ DUE DATE INVOICE# CHARGES 20826 04/03/2018 05/10/2018 2018-00000253 $100.00 Less Prepayment - $0.00 Total Due- $100.00 City of Waterloo Commercial Fire Inspection Report Inspection Number 1356 Prior Inspection 280 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* 257 Ansborough Business name Mcelroy Auditorium Inspection Date* 3/14/2018 Proprietor Jim Koch Business Phone 319-415-7361 Email* Jim@nationalcattlecongress.com Email 2 Property Owner Jim Koch Emergency Contact Jim Koch Information Phone Jim 319-415-7361 Dan 319-415-6174 Violations Ref# CODE Violation &Location Corrected 1 NFPA 25 Provide current annual fire sprinkler system inspection/testing report with all deficiencies corrected by a contractor certified to perform work in the State of Iowa. Provide reports for all wet, dry systems as well as any private fire hydrants. 2 NFPA 72 Provide current annual fire alarm inspection/testing report with all deficiencies corrected by a contractor certified to perform work in the State of Iowa. 3 609.3.3.1 Provide current semi-annual kitchen hood exhaust system cleaning/inspection report with all deficiencies corrected. Corrected Violation&Location system CODEfire suppression Ref# a sontracto Provide current semi-annu l ' hoodcorrected by 904.11.6. ectionitestmg with all deficiencies r � insp 2 certified to work in the State of Iowamissing hose Replace missing sign for remote FOG .Replacoe 5 connection caps. room. Replace missing lamps in dressing 6 7 Remove obstructions to electrical panel in 4h office.Maintain a minimum of 36"clearance at all times. Re air egress e)t light by restrooms by NE hall. p 8 egress/exit light in NE restroom: 9 Repair A.Men's rest room B.Women's rest room. Repair egress/exit light by SE restrooms 10 resslexit light South East entrance. Repair eg 11 light by south entrance. 12 Repair egress given re-inspection date,additional fees Comments: the and subsequent Re-inspections n the inspection are not corrected Y d Second Re-inspection 1$200-'Third If violations noted during are as follows Re-inspection $150.00 $100.00-First Re-insp Reports Fire Extinguisher Service Reports Comment Superior 4117 Inspection Fee $ 90.00 Occupancy Fee $ 10.00 Re-inspection Fee $ $ 100.00 Total Fee* Received BY Dan THIS FORM. AN INVOICE OF THIS CHARGE WILL FOLLOW.DO NOT PAY FROM File Upload(for long inspections) ReinspeCtion Time Re-inspection# Date 4/5/2018 1