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428 FRANKLIN ST
INVOICE DATE DUE DATE INVOICE# TOTAL DUE �I III. /������■�. -Ir.'•; 02/09/2018 03/15/2018 2018-00000162 $80.00 .Arip alre %r �o Customer#: 13289 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable X-O FOODS &LIQUOR 715 Mulberry St 428 FRANKLIN ST WATERLOO, IA 50703 WATERLOO,IA 50703 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION-428 FRANKLIN ST- 1-3-18 FOR BILLING INQUIRY: (319)291-4323 LDescription I Total Price J INSPECTION 2,000 $70.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 13289 02/09/2018 03/15/2018 2018-00000162 $80.00 Less Prepayment $0.00 Total Due $80.00 City of Waterloo t rcial Fire Inspection ReportComme 1 d address. 164 name an Inspection Numberwill auto"fiil business 145 ilable,it Prior Inspection Fi11 this field if it is a`� Number Jeff Siebel Rescue ►re IA 50703 Inspector* Waterloo Waterloo, 291.4262 1nsP 15 Mulberry Street W Fax-.(3 )rr 19 hone�319)-230-1e�e1@�terloo-ia.or9 P Email•.Jeff•S► File Upload* 8 Franklin Street 42 Address Xp food and Liquor Business name * 11312018 Inspection Date Andrea puinto Enrique Proprietor 31 g_234-8977 Business phone com kaur777 @aol. Email* Email 2 Kashmir Kaur Property Owner c Contact Kashm►r Kaur Emergen y Information 319_450-5422 Corrected Phone Violations &Location system Vi0 Violation e gust Y l kitchen hood corrected. CD©E deficiencies corre nt semi-annual 11 deficien stem Refit provide current report vnth a d fire suppression system 609 3.3.1 cleaninglinsp semi-annual kitchen hood tad by a contractor 1 nt sem- cies corrected Provide current all deficiencies 904.11.6. inspectionitest gn he State of low 2 2 certified to WOO( ht above front door. panel ressleXit light 36"to electrical l X coVer under Repair eg of inimum Maintain a m unction bo Remove es.(b rests properly fasten junction obstructions 3 and remove es lne re th proper hardware ataiitim 4 electrical panel with Ref# CODE Violation &Location Corrected s 5 Remove obstructions. Maintain a minimum of 36"clearance to fire extinguisher at all times. 6 Remove extension cord from ceiling above stock room. (repeat violation). Install permanent power. 7 Remove storage from mezzanine above kitchen or provide engineers approval of storage capacity. 8 Install missing lamp in light fixture above kitchen mezzanine. 9 Remove portable electric heater from heater or provide documentation of proper uses and clearances 10 Remove obstructions. Maintain a minimum of 36"clearance to electrical panel in kitchen at all times. 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 8/17 Inspection Fee $ 70.00 Occupancy Fee $ 10.00 Re-inspection Fee $ Total Fee* $ 80.00 Received By Kashmir Khar AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM. File Upload(for long inspections) Reinspection Re-inspection# Date Time 1 1/24/2018