HomeMy WebLinkAbout1005 BLACK HAWK RD INVOICE DATE DUE DATE INVOICE# TOTAL DUE
AIL
�# � 05/16/2018 06/20/2018 2018-00000328 $100.00
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Customer#: 4653 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
BLACK HAWK TENNIS CLUB 715 Mulberry St
PO BOX 26 WATERLOO, IA 50703
WATERLOO, IA 50704
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1005 BLACK HAWK RD - 5-3-18 FOR BILLING INQUIRY: (319)291-4323
Description I_ Total Price J
INSPECTION 20,000 $90.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
4653 05/16/2018 06/20/2018 2018-00000328 $100
Less Prepayment $'
Total Due
City of Waterloo
•
Commercial Fire Inspection Report
. ,
Inspection Number 1435
Prior Inspection 336
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* 1005 Black Hawk Road
Business name Black Hawk Tennis Club
Inspection Date* 5/3/2018
Proprietor Chris Sagers
Business Phone 319-235-7512
Email* Chris.Sagers@uni.edu
Email 2
Property Owner Chris Sagers
Emergency Contact Chris Sagers
Information
Phone 319-290-2765
Violations
Ref# CODE Violation &Location Corrected
1 Provide annual service for fire extinguishers
2 Remove obstructions to electrical panel by tennis court. Maintain a
minimum of 36"clearance at all times.
3 Provide documentation of dryer vent cleaning to the outside with
date and signature.
4 Remove propane tanks by court 5 from building and store secured
in an upright position outside of the building.
5 Repair egress light by court 5
CODE Violation &Location Corrected
Ref#
6 Repair reflective cape on exit curtain on court 6,
7 Properly re-attach conduit to electrical panel on sand volleyball
court south of snack shack.
8 Provide access to outdoor facility for inspection,.
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
Comment
Inspection Fee S 90.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 100.00
Received By Beth
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 5/24/2018