HomeMy WebLinkAbout1918 HAWTHORNE (2) INVOICE DATE DUE DATE INVOICE# TOTAL DUE
M�C.��.•, 12/17/2018 01/30/2019 2019-00010208 $80.00
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Customer#: 5230 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
LOCKER ROOM 715 Mulberry St
1918 HAWTHORNE AV WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1918 HAWTHORNE- 11-28-18 FOR BILLING INQUIRY: (319)291-4323
C Description _ Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
5230 12/17/2018 01/30/2019 2019-00010208 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
Corn -rcial Fire Inspection Report
Inspection Number 1924
Prior Inspection 160
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
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Address* 1918 Hawthorne
Business name Locker Room Lounge
Inspection Date* 11/28/2018
Proprietor Andrew Martin
Business Phone 319-236-1941
Email* AJMartin76@hotmail.com
Email 2
Property Owner Andrew Martin
Emergency Contact Andrew Martin
Information
Phone 319-540-2236
Violations
Ref# CODE Violation &Location Corrected
1 Exits 1010.1.3
The force for pushing or pulling open interior swinging egress
doors, other than fire doors, shall not exceed 5 pounds. For other
swinging doors, as well as sliding and folding doors, the door latch
shall release Mien subjected to a 15 pound force.The door shall
be set in motion when subjected to a 30 pound force.The door
shall swing to a full-open position when subjected to a 15 pound
force.
Repair exit gate from outdoor service area.
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 70 00
Occupancy Fee S 10 00
Re-inspection Fee S
Total Fee*
S 80.00
Received By Bartencer
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 12/17/2018