HomeMy WebLinkAbout3535 MARIGOLD DR INVOICE DATE DUE DATE INVOICE# TOTAL DUE
2018-00000152 $80.00
02/09/2018 03/15/2018
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Customer#: 10887 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
PRIME MART 715 Mulberry St
3535 MARIGOLD DR WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed.
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 3535 MARIGOLD DR- 1-8-18 FOR BILLING INQUIRY: (319)291-4323
LDescription Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
10887 02/09/2018 03/15/2018 2018-00000152 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
-- Com rciai Fire Inspectioni Report
Inspection Number 1178
Prior Inspection 161
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* 3535 Marigold Drive
Business name Prime Mart
Inspection Date* 1/8/2018
Proprietor Roxanne Maeyaert
Business Phone 319-296-2113
Email* Cindy.young@waterloo-ia.org
Email 2
Property Owner Shahid Chatha
Emergency Contact Shahid Chatha
Information
Phone 319-290-5843
Violations
Ref# CODE Violation &Location Corrected
1 Remove extension cord behind Red Bull cooler and microwave.
Each must plug directly into a wall outlet.
2 Provide annual service for fire extinguisher
3 Remove snow blower and gas from building
4 Remove electric heater from office or provide documentation of
proper uses and clearances.
5 Remove surface mount lock off the back door. Use only panic
hardware or have reviewed by an architect and obtain a building
permit from the City of Waterloo to remove.
CODE Violation &Location Corrected
Ref#
6 Repair gas pump hose on pump 3, 87 octane. Hose is broken.
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 $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Shahid Chatha
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload(for long
inspections)
Reinspection
Re-inspection# Date Time
1 1/29/2018