HomeMy WebLinkAbout2935 LOGAN AVE (2) IlWOICE DATE DUE DATE INVOICE# TOTAL DUE
,4 1�■��r 02/09/2021 03/15/2021 2021-00000193 $80.00
Customer#: 12631 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
DOLLAR GENERAL 715 Mulberry St
100 MISSION RIDGE WATERLOO, 1A 50703
GOODLETTSVILLE,TN 37072
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2935 LOGAN AVE- 1-11-21 FOR BILLING INQUIRY: (319)291-4323
Description I Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
12631 02/09/2021 03/15/2021 2021-00000193 $80.00
Less Prepayment $0.00
Total Due—* $80.00
City of Waterloo
WATERLOO FIRE RESCUE �piER(oo
INSPECTION REPORT ii
DOLLAR GENERAL#4698,2935 LOGAN AVE,BLDG 2935 LOGAN AVE, WATERLOO IA 50703 IkIVO
DETAILS
Inspection Date:01/11/2021 Inspection Type:Annual Inspection(1Yr) I Inspection Number:4302 I Shift: N/A Station: N/A I
Unit: N/A I Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A I Fee:$80.00
STATUS CODE DESCRIPTION
FAIL 315.3.1 -Ceiling clearance Storage shall be maintained 2 feet(610 mm)or more below the ceiling in
nonsprinklered areas of buildings or not less than 18 inches(457 mm)below
sprinkler head deflectors in sprinklered areas of buildings.
Inspector:JEFF SIEBEL-Comments: reduce storage at back of store to a minimum of
24"below ceiling at back of store.
FAIL 605.4-Multiplug adapters Multiplug adapters,such as cube adapters, unfused plug strips or any other device
not complying with NFPA 70 shall be prohibited.
Inspector:JEFF SIEBEL-Comments: Remove multi-plug adapter at front of store to
Gatorade and Dr. Pepper coolers.Coolers must plug directly into wall outlet.
GENERAL NOTES
JEFF SIEBEL-01/12/2021 @ 17:40 annual inspection$80
REINSPECTION DATE
02/01/2021
CONTACT SIGNATURE
Katie Durham Oc_cf d
Signed on:01/12/2021 @ 17:41
OK,
Printed on 01/12/2021 @ 17:43
Page 1 of 2
i ! F
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:01/12/2021 @ 17:41
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 01/12/2021 @ 17:43
Page 2 of 2