HomeMy WebLinkAbout1407 INDEPENDENCE AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
l"�1� ,�„, 11/16/2018 01/17/2019 2019-00010189 $80.00
Gterloo �o
Customer#: 4650 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
GRIN&GROW DAYCARE 715 Mulberry St
1407 INDEPENDENCE AV WATERLOO, IA 50703
WATERLOO,IA 50703
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1407 INDEPENDENCE AVE- 10-16- FOR BILLING INQUIRY: (319)291-4323
18
L Description I Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
4650 11/16/2018 01/17/2019 2019-00010189 $80.00
Less Prepayment $0.00
Total Due—* $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1849
Prior Inspection 911
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* 1407 Independence Ave
Business name Grin And Grow
Inspection Date* 10/16/2018
Proprietor Melissa Ellis
Business Phone 319-291-2424
Email* grinandgrow10@gmail.com
Email 2 rgeving@co.black-hawk.ia.us
Property Owner Black Hawk County
Emergency Contact Melissa Ellis
Information
Phone 319-
Violations
Ref# CODE Violation &Location Corrected
1 NFPA 25 Provide current annual fire sprinkler system inspection/testing
report with all deficiencies corrected by a contractor certified to
perform work in the State of Iowa.
2 NFPA 72 Provide current annual fire alarm inspection/testing report with all
deficiencies corrected by a contractor certified to perform work in
the State of Iowa.
3 NFPA 110 Provide current annual generator test/inspection report with all
and 111. discrepancies corrected. Operational emergency power systems,
including all appurtenant components shall be inspected and
tested under load in accordance with NFPA 110 and 111.
Provide current annual generator service report
•
Ref# CODE Violation &Location Corrected
4 NFPA 110 Provide current annual generator test/inspection report with all
and 111. discrepancies corrected. Operational emergency power systems,
including all appurtenant components shall be inspected and
tested under load in accordance with NFPA 110 and 111.
Provide current annual generator load bank test report
5 Provide documentation of dryer vent testing with a signature and
date.
6 Repair exit light at main entrance.
7 Reduce storage to a minimum of 18"below fire sprinkler deflectors
in basement storage area.
Comments: Keep fire doors to class rooms closed at all times.
Daycare licensed for 54 children. 8 children on premises today. No children under
age of 2.5 years on premises today. Usually 5 max and are in room.
Fire drills practiced monthly, last 9/25/18 with 6 staff and 11 children.
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 $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Melissa Ellis
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 11/6/2018