HomeMy WebLinkAbout728 COMMERCIAL ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
�l r r.:; 05/16/2018 06/20/2018 2018-00000336 $80.00
4rerloo
Customer#: 6422 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
AMERICAN LEGION 715 Mulberry St
728 COMMERCIAL 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- 728 COMMERCIAL ST- 5-16-18 FOR BILLING INQUIRY: (319)291-4323
l Description Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
6422 05/16/2018 06/20/2018 2018-00000336 $80.00
Less Prepayment $0.00
Total Due — $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1483
Prior Inspection 355
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* 728 Commercial Street
Business name American Legion
Inspection Date* 5/16/2018
Proprietor Dale Hixson
Business Phone 319-234-8511
Email* Cindy.young@waterloo-ia.org
Email 2 Geminisarah79@gmail.com
Property Owner Jim Hoffman
Emergency Contact Sarah Hoffman
Information
Phone Sarah 319-433-5416
Violations
Ref# CODE Violation &Location Corrected
1 609.3.3.1 Provide current semi-annual kitchen hood exhaust system
cleaning/inspection report with all deficiencies corrected. Install
missing grease catch pans on hood and fan as outlined in report
from AKA dated 1/24/18
2 Remove extension cord from front window going to flag light.
3 Remove multi-plug adapters behind video poker machines.
Properly mounted and circuit protected power tap may be use for
computer generated machines.
4 Remove extension cord attached to ceiling by juke box.
Ccmrnents: Verify approved listed oily waste receptacle on site.
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 Semi-Annual Kitchen hood Fire Suppression for all Hoods
Comment Superior 5/3/18
Reports Fire Extinguisher Service
Comment Superior 5/18
Inspection Fee S 70.00
Occupancy Fee $ 10,00
Re-inspection Fee S
Total Fee* S 80.00
Received By Sarah Hoffman
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 6/6/2018