HomeMy WebLinkAbout4000 UNIVERSITY AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/hp.11��,` imr�- 02/09/2018 03/15/2018 2018-00000161
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Customer#: 4122 Please Make Check Payable and Remit To
:
City of Waterloo
A TTN: City Clerk/Accounts Receivable
HY-VEE#4 715 Mulberry St
4000 UNIVERSITY AV WATERLOO, IA 50703
WATERLOO,IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-4000 UNIVERSITY AVE- 1-26-18
FOR BILLING INQUIRY: (319)291-4323
I
LDescription
I Total Price j
INSPECTION 50,000
OCCUPANCY FEE $225.00
$10.00
CUSTOMER# I BILLING DATE DUE DATE INVOICE#
4122 02/09/2018 03/15/2018 2018-00000161 CHARGES
$235.00
Less Prepayment $0.00
Total Due--4 $235.00
City of Waterloo
Cc n rcial Fire Inspection Report
Inspection Number 1232
Prior Inspection 224
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* 4000 University Avenue
Business name l-ly-Vee Foods
Inspection Date* 1/26/2018
Proprietor Anthony Lee
Business Phone 319-236-0580
Email* 1869asstdirsop@hy-vee.com
Email 2
Property Owner Matt Nelson
Emergency Contact Matt Nelson
Information
Phone 319-929-4373
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
3 Provide documentation of testing of all emergency egress/exit lights
with all discrepancies corrected with signature and date.
4 Replace missing ceiling tile in closet by employee locker room.
5 Cafeteria Exit:
A. remove all obstructions from exit path (plants, chairs)
B. Repair exit light
Ref# CODE Violation &Location Corrected
6 Refrigerator in Catering office must plug directly into wall outlet.
7 Replace missing ceiling tile in main kitchen.
8 Maintain a minimum of 36"clearance to the electric panel on loft
behind main kitchen.
9 Maintain a minimum of 36"clearance to electric panel behind Deli.
10 Replace missing ceiling tile above rotary oven.
11 Remove obstructions to outside exit door and fire extinguisher
behind bakery.
12 Back dock door:
A. Properly contain exposed wiring in junction box with listed cover
B. Repair exit sign.
13 Reduce storage to a minimum of 18"below fire sprinkler deflectors
in all coolers and freezers including 2 frozen meat freezers.
14 Secure dead man panel on G Panel in loft.
15 Remove boxes from trusses in upstairs storage area. Reduce
storage to a minimum of 18"below fire sprinkler deflectors.
16 Install fire sprinkler head guard under duct by old freezers.
17 Reduce storage to a minimum of 18"below fire sprinkler deflectors
in liquor cage.
18 Remove obstructions and maintain a minimum of 36"clear path to
fire sprinkler riser.
19 Reduce storage to a minimum of 18"below fire sprinkler deflector
in dairy cooler.
20 Remove extension cord from Balance TV by Can redemption.
Install permanent power with inspections and permits.
21 Reduce storage to a minimum of 18"below fire sprinkler deflector
in Customer service.
22 Remove extension cords and install permanent power with proper
permits and inspections. Reach in Coolers must plug directly into
wall outlet.
A.Aisle 1
B.Aisle 10
23
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 Black Hawk 5/30/17
Reports
.
Comment Private Hydrant Black Sprinkler 5/8/17
Reports Annual Fire Alarm
Comment A Plus 12/14/17
Reports Annual Generator Service
Comment 4/25/17 EEE
Reports Annual Generator Load Test
Comment EEE 4/25/17
Reports Semi-Annual Kitchen hood Fire Suppression for all Hoods
Comment Iowa Fire 12/14/17
Reports Fire Extinguisher Service
Comment Iowa Fire Dec 2017
Inspection Fee $ 225.00
Occupancy Fee $ 10.00
Re-inspection Fee
Total Fee* $ 235.00
Received By Anthony Lee
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 2/16/2018