HomeMy WebLinkAbout425 LAFAEYETTE ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
r. 06/04/2018 07/10/2018 2018-00000349 $80.00
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Customer#: 5214 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
YWCA 715 Mulberry St
425 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-425 LAFAEYETTE ST- 5-30-18 FOR BILLING INQUIRY: (319)291-4323
[Description I Total Price j
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE _ DUE DATE INVOICE# CHARGES
5214 06/04/2018 07/10/2018 2018-00000349 $80.00
Less Prepayment $0.00
Total Due-* $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1511
Prior Inspection 412
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
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Address* 425 Lafayette Street
Business name YWCA
Inspection Date* 5/30/2018
Proprietor Margaret Hiestorman
Business Phone 319-234-7589
Email* finance@ywcabhc.org
Email 2
Property Owner Lucinda M. Mohr
Emergency Contact Margare Hiestorman
Information
Phone 319-504-2239
Violations
Ref# CODE Violation &Location Corrected
1 Patch hole in ceilings in Janitors closet.
2 Lower storage to a minimum of 18"below fire sprinkler deflector in
pop closet-(straw)
3 Lower storage to a minimum of 18"below fire sprinkler deflector in
basement multi-purpose room.
Comments: Fire drills practiced monthly when childcare area is occupied. Has been
unoccupied so last fire drill was 7/28/17.
If violations noted during the inspection are not corrected by the given re-inspection date,additional fees
I� are a,s 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 Alarm 5/24/18
Reports Annual Fire Sprinkler
Comment Black Hawk Sprinkler 4/11/18
Reports Fire Extinguisher Service
Comment Proshield 3/18
Reports
Comment Dryer vent cleaning by Thomas Crane 4/11/18
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Margaret Heisorman
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
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inspections)
Reinspection
Re-inspection# Date Time
1 6/20/2018