HomeMy WebLinkAbout2780 CROSSROADS BLVD INVOICE DATE SUE DATE INVOICE# TOTAL DUE
/611 16 got 06/04/2018 07/10/2018 2018-00000347 $80.00
°Ierloo
Customer#: 9993 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
APPLEBEE'S 715 Mulberry St
2780 CROSSSROADS BLVD WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2780 CROSSROADS BLVD. -6-15-18 FOR BILLING INQUIRY: (319)291-4323
LDescription Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
9993 06/04/2018 07/10/2018 2018-00000347 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 14883
Prior Inspection 375
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* 2780 Crossroads Blvd.
Business name Applebee's
Inspection Date* 6/15/2018
Proprietor Marc Van Buren
Business Phone 319-287-4700
Email* wloo1021@sasnak.com
Email 2
Property Owner Scott Graham
Emergency Contact Scott Graham
Information
Phone 319-287-4700 •
Violations
Ref# CODE Violation &Location Corrected
1 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.
2 609.3.3.1 Provide current semi-annual kitchen hood exhaust system
cleaning/inspection report with all deficiencies corrected.
3 904.11.6. Provide current semi-annual kitchen hood fire suppression system
2 inspection/testing with all deficiencies corrected by a contractor
certified to work in the State of Iowa
4 Provide an approved, listed metal container with a self-closing lid
for all grease laden materials.
CODE Violation &Location Corrected
Ref,
5 Reduce storage in outdoor shed to a minimum of 24"below ceiling.
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 $150.00 -Second Re-inspection $200 -Third and subsequent Re-inspections
Reports
Reports Fire Extinguisher Service
Comment Proshield 6/17
Inspection Fee $ 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 80.00
Received By Scott Graham
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 6/8/2018