HomeMy WebLinkAbout1005 BLACK HAWK RD INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/pi?si�i`��r�„ 06/15/2021 07/30/2021 2021-00000291 $100.00
Customer#: 4653 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
BLACK HAWK TENNIS CLUB 715 Mulberry St
PO BOX 26 WATERLOO, IA 50703
WATERLOO,IA 50704
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1005 BLACK HAWK RD-4-26-21 FOR BILLING INQUIRY: (319)291-4323
L Description Total Price J
INSPECTION 20,000 $90.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
4653 06/15/2021 07/30/2021 2021-00000291 $100.00
Less Prepayment $0.00
Total Due--� $100.00
City of Waterloo
CD3
WATERLOO FIRE RESCUE
INSPECTION REPORT
:
BLACK HAWK TENNIS CLUB, 1005 BLACK HAW, ,BLDB 1005 BLACKHAWKRD, WATERLOO
S0701 4410
DETAILS
Insp ction Date:04/26/2021 1 Inspection Type:Annual Inspection(1Yr) nspeetion Number:4515 1 Shift: N/A 1 Station: N/A
Unit: /A 1 Lead InspectoryJEFF SIEBEL 1 Other Inspectors: N/A 1 Fee:
STATUS CODE DESCRIPTION
FAIL 1031.6-Finishes,furnishings Means of egress doors shall be maintained in such a manner as to be distinguishable
and decorations from the adjacent construction and finishes such that the doors are easily
recognizable as doors. Furnishings,decorations or other objects shall not be placed
so as to obstruct exits,access thereto,egress therefrom,or visibility thereof.
Hangings and draperies shall not be placed over exit doors or otherwise be located
to conceal or obstruct an exit. Mirrors shall not be placed on exit doors. Mirrors shall
not be placed in or adjacent to any exit in such a manner as to confuse the direction
of exit.
Inspector:JEFF SIEBEL-Comments:Arrange curtains on court 5 so exit path to exit
door is easily identifiable with reflective tape.
FAIL 605.1 -Abatement of Identified electrical hazards shall be abated.Identified hazardous electrical conditions
electrical hazards in permanent wiring shall be brought to the attention of the responsible code official.
Electrical wiring,devices,appliances and other equipment that is modified or
damaged and constitutes an electrical shock or fire hazard shall not be used.
Inspector:JEFF SIEBEL-Comments: Provide repairs:A. broken conduit, mount outlet
outdoor tennis court#5 B.install missing cover on exposed wiring oudoor tennis
court#2.
GENERAL NOTES
JEFF SIEBEL-04/27/2021 @ 07:51 annual inspection$100
REINSPECTION DATE
05/17/2021
Printed on 04/27/2021 @ 08:43
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CONTACT SIGNATURE
Chris Sagers / `
Signed on:04/27/2021 @ 08:42
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:04/27/2021 @ 08:42
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 04/27/2021 @ 08:43
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