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HomeMy WebLinkAbout51 E TOWER PARK DR (2) INVOICE DATE DUE DATE INVOICE# TOTAL DUE fieir111�\ .,�� � 12/17 2018 01/30/2019 2019-00010217 $80.00 �� -gym 9111,1 %Too \o Customer#: 13774 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable CASEY'S GENERAL STORE#2866 715 Mulberry St P.O. BOX 3001 WATERLOO, IA 50703 ANKENY, IA 50021 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION- 51 E TOWER PARK DR- 11-16-18 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 13774 12/17/2018 01/30/2019 2019-00010217 $80.00 Less Prepayment $0.00 Total Due— $80.00 City of Waterloo CL mmercial Fire Inspection Report Inspection Number 1909 Prior Inspection 143 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* 51 East Tower park Drive Business name Caseys General Store#2866 Inspection Date* 11/16/2018 Proprietor Amy Smock Business Phone 319-232-7200 Email* Melissa.schmit@cgsretaii.com Email 2 Jessica.Fisher©caseys.com Property Owner Mellissa Schmidt Emergency Contact Mellissa Schmidt Information Phone 319-464-2115 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 Repair egress light by sign that says Beer Cooler 4 Provide documentation of dryer vent cleaning to the outside of the building with signature and date. 5 Cr-nments: Listed oily waste receptacle onsite. 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 Iowa Fire Equipment Inspection Fee $ 70.00 Occupancy Fee $ 10.00 Re-inspection Fee $ Total Fee* $ 80.00 Received By Amy Smock AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM. File Upload (for long inspections) Reinspection Re-inspection# Date Time 1 12/7/2018