HomeMy WebLinkAbout1050 FLAMMANG AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/ ����* �I06/20/2018 2018-00000337 $80.00
`/NIA •o,,'.•� 05/16/2018
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Customer#: 20707 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
LEGACY MANOR 715 Mulberry St
1050 FLAMMANG WATERLOO, IA 50703
WATERLOO, IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION - 1050 FLAMMANG AVE- 5-16-18 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
20707 05/16/2018 06/20/2018 2018-00000337 $80.00
Less Prepayment $0.00
Total Due --+ $80.00
City of Waterloo
Commercial Fire Inspection Report
r y
Inspection Number 1475
Prior Inspection Fill this field if it is available, it will auto-fill business name and address.
Number
Inspector* Brock Weliver
Waterloo Fire Rescue
425 E 3rd Street Waterloo, IA 50703
Phone(319)883-1615
Email: Brock.Weliver@waterloo-ia.org
File Upload
Address* 1050 Flammang Ave
Business name Legacy Manor
Inspection Date* 5/16/2018
Proprietor Jane Obermeier
Business Phone 319-233-1887
Email* legacymanorwaterloo@newburyliving.com
Email 2
Property Owner Newbury Living
Emergency Contact
Information
Phone
Violations
Ref# CODE Violation &Location Corrected
1 2015 IFC Section 315 General Storage
315.3.3 Equipment rooms. Combustible material shall not be stored
in boiler room, mechanical rooms, electrical equipment rooms or in
fire command centers.
*3rd and 2nd floor mechanical rooms had combustible material
stored them. Corrective action, remove storage from these areas.
2 Provide current Inspection/Repair reports for Fire Alarm and Fire
Sprinkler systems.
*Fire Alarm report needed
*Fire Sprinkler report did have deficiencies noted, 5 year inspection
is due and not notated on corrections list
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 Annual Fire Sprinkler
Comment 11/30/2017, Tri-State Sprinkler
5 year inspection is due
Reports Fire Extinguisher Service
Comment 02/2018. Midwest Alarm, Des Moines, IA
Reports Annual Fire Alarm
Comment Provide current alarm service
Inspection Fee S 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 80.00
Received By
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
6/6/2018