HomeMy WebLinkAbout2225 E SHAULIS RD INVOICE DATE DUE DATE INVOICE# TOTAL DUE
1` il� 2018-00000326 $80.00
1i ,�.•, 05/16/2018 06/20/2018
rerloo �o
Customer#: 10030 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
LOST ISLAND WATER PARK 715 Mulberry St
2225 E SHAULIS RD WATERLOO, IA 50703
WATERLOO, IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2225 E SHAULIS RD - 5-14-18 FOR BILLING INQUIRY: (319)291-4323
I Description Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
10030 05/16/2018 06/20/2018 2018-00000326 $80.00
Less Prepayment $0.00
Total Due -* $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1470
Prior Inspection 347
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* 2225 East Shaulis
Business name Lost Island Waterpark
Inspection Date* 5/14/2018
Proprietor Eric Bertch
Business Phone 319-233-8414
Email* Bill.Brousseau@thelostisland.corn
Email 2
Property Owner Eric Bertch
Emergency Contact Bill Broussea
Information
Phone 319-961-3414
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.
2 904.11.6. 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
3 NFPA 25 Perform annual tests of private fire hydrants.The test is to be in
7.3.2 compliance with NFPA 25 7.3.2.The test will include dry barrel test,
hydrants to be fully opened and water flowed to clear,confirm
proper drainage, properly lubricate caps,general inspection
4 Repair egress light in womens bathhouse
CODE Violation &Location Corrected
Ref#
5 Repair egress/exit light by Eric's office.
6 Replace missing weather tight outlet cover by castaway.
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 Fire Extinguisher Service
Comment Proshield 4/18
Inspection Fee S 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 80.00
Received By Bill Brousseau
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 6/4/2018