HomeMy WebLinkAboutHY-VEE FAST & FRESH-3700 UNIVERSITY AVE W 4 y. INVOICE DATE DUE DATE INVOICE # TOTAL DUE
, 09/17/2026 10/22/2026 2027-00000128 $80.00
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Customer #: 22164 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts. Receivable
HY-VEE GAS 715 Mulberry St
3700 UNIVERSITY AVE WATERLOO, IA 50703
WATERLOO, IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL FIRE INSPECTION - 3 700 UNIVERSITY AVE- FOR BILLING INQUIRY: (319)291-4323
09/01/26
Description Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
22164 09/17/2026 10/22/2026 2027-00000128 $80.00
Less Prepayment $0.00
Total Due - › $80.00
City of Waterloo
Failure to pay in full debts listed herein within ninety days of the due date will result in an additional twenty-five percent
late fee applied to any outstanding balance. The delinquent account will be forwarded to Municipal Collections of
America for further collection efforts. Debts shall also be subject to collection through the Iowa Department of
Administrative Services Offset Program if not paid in full within ninety days.
Waterloo Fire Rescue
Inspection Report 425 E.3rd Street
Hy-Vee Fast and Fresh•3700 University AVE,BLDG 3700 University Ave,Waterloo
IA 50701
INSPECTION DETAILS
Inspection Date „ : Inspection Number
0910112026 Annual Inspection(1Yr) .221 4.. _-_ _ � 18791
Lead Inspector Sliih Station Unit
BRAD BALDWIN NIA NIA NIA
Otherinstectors
NIA
SUMMARY OF INSPECTION
042 8 ® 26
Passed codes Failed codes N/A codes
NEXT STEPS
Please direct questions about your Inspection to: Reinspection Date
BRAD BALDWIN 0912312026
brad.baldwin@waterloo-ia.org,3192914319
GENERAL NOTES
BRAD BALDWIN-0910 212026 @ 08:07
•$80 annual inspection fee
BRAD BALDWIN-0910212026 @ 08:07
•Commercial Fire Inspector-brad.baldwin@waterloo-ia.org-Work:319-291-4319(#0)-Cell:319-230-1224
BRAD BALDWIN-0910212026 @ 08:07
•Provide corrections to avoid progressive re-inspection fees beginning at$100.Beer/Liquor application will not be signed until violations and hazards
corrected
BRAD BALDWIN-0910212026 @ 08:07
•If all corrections are made before the scheduled re-inspection date,you can call to set up an earlier re-inspection.Normal operating hours for
inspections&re-inspections are Monday-Friday,9:00 a.m.-4:00 p.m.*****Re inspection fees may be assessed for subsequent re-inspections.Re-
inspection fees start at$100,then$150,and$200 for all subsequent re-inspections.
BRAD BALDWIN-09102/2026 @ 08:08
Fire extinguishers due annually serviced in August 2027
SIGNATURES
Contact signature Inspector signature
No signature
Report completedetl post inspection
nspection
Corrine Winters Date: BRAD BALDWIN 09102/2026
CHECKLISTS
GENERATED ON B/2/26,8:33 AN 1 or s
Emergency Equipment
Status Code Description
Fail 1203.2.15 - Means of egress illumination.
Ox Emergency power shall be provided for means of egress Location: Back storage - above thermostat
illumination in accordance with Sections 1008.3 and 1104.5.1. Comments: Repair or replace emergency egress light that failed to
illuminate during test.
Fail 1203.2.15 - Means of egress illumination.
Emergency power shall be provided for means of egress Location: Women's Bathroom
illumination in accordance with Sections 1008.3 and 1104.5.1. Comments: Repair or replace emergency egress light that failed to
illuminate during test
Fail 1203.2.6 - Exit signs.
Emergency power shall be provided for exit signs as required Location: Main exit door near registers
in Section 1013.6.3. The system shall be capable of powering Comments: Exit sign and egress lights combo very dull when tested.
the required load for a duration of not less than 90 minutes.
Additional Codes
Status Code Description
Fail 2303.2 - Emergency disconnect switches.
0 An approved emergency disconnect switch shall be provided Location: Interior gas Emergency Fuel Shutoff
at an approved location to stop the transfer of fuel to the fuel Comments: Provide permanent signage indicating location of Fuel
dispensers in the event of a fuel spill or other emergency. The
Shutoff button in an approved location. Signage shall include white
emergency disconnect switch for exterior fuel dispensers lettering with red background, laminated paper will not be accepted.
shall be provided with ready access and shall be located
within 100 feet (30 480 mm) of, but not less than 20 feet (6096
mm) from, the fuel dispensers. For interior fuel-dispensing
operations, the emergency disconnect switch shall be
provided with ready access and be installed at an approved
location. Such devices shall be distinctly labeled as:
"EMERGENCY FUEL SHUTOFF." Signs shall be
provided in approved locations.
Fail 6107.3 - Clearance to combustibles.
Weeds, grass, brush, trash and other combustible materials Location: East exterior - LP tanks cabinet
shall be kept not less than 10 feet (3048 mm) from LP-gas Comments: Pile of pallets and all combustible materials shall be
tanks or containers. relocated from within 10 ft of LP tanks cabinet.
GENERATED ON 8/2/26, 8:33 AM 2 OF 5
Electrical Safety
Status Code Description
Fail 603.2.2-Unapproved conditionsOpen electrical terminations.
Open junction boxes and open-wiring splices shall be Location:Electric panels
prohibited.Approved covers shall be provided for all switch Comments:Install missing gutter cover to avoid exposed wires.
and electrical outlet boxes.
T �
Fail 603.4-Working space and clearancesclearance.
A working space of not Working space around electrical Location:Electric panels
equipment shall be provided in accordance with Section Comments:Remove storage within 36"in front of panels,maintain
110.26 of NFPA 70 for electrical equipment rated 1,000 volts or this area clear of storage at all times.
less,and Section 110.33 of NFPA 70 for electrical equipment
rated over 1,000 volts.The minimum required working space
shall be not less than 30 inches(762 mm)in width,36 inches
(914 mm)in depth and 78 inches(1981 mm)in height shall be
providedin front of electrical service equipment.Where the
electrical service equipment is wider than 30 inches(762
mm),the minimum working space shall be not less than the
width of the equipment.Storage of materials shall not be
located within the designated working space.Exceptions:1.
Where other dimensions are required or allowed by NFPA 70.
2.Access openings into attics or under-floor areas that
provide a minimum clear opening of 22 inches(559 mm)by 30
inches(762 mm).
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GENERATED ON 0/2/26, 8:33 AM 3 OF 5
Portable Fire Extingusihers '
Description
Fail 906.2-General requirements.
Portable fire extinguishers shall be selected,installed and Location:Back storage desk
maintained in accordance with this section and NFPA 10. Comments:Spare extinguisher last serviced in 2013.All
Exceptions:1.The distance of travel to reach an extinguisher extinguishers in building shall be serviced annually and mounted on
shall not apply to the spectator seating portions of Group A-5 wall bracket at required locations or removed from building if not a
occupancies.2.Thirty-day inspections shall not be required required extinguisher.
and maintenance shall be allowed to be once every 3 years
for dry-chemical or halogenated agent portable fire
extinguishers that are supervised by a listed and approved
electronic monitoring device,provided that all of the
following conditions are met:2.1.Electronic monitoring shall
confirm that extinguishers are properly positioned,properly
charged and unobstructed.2.2.Loss of power or circuit
continuity to the electronic monitoring device shall initiate a
trouble signal.2.3.The extinguishers shall be installed inside
of a building or cabinet in a noncorrosive environment.
2.4.Electronic monitoring devices and supervisory circuits
shall be tested every 3 years when extinguisher maintenance
is performed.2.5.A written log of required hydrostatic test
dates for extinguishers shall be maintained by the owner to
verify that hydrostatic tests are conducted at the frequency
required by NFPA 10.3.In Group 1-3,portable fire
extinguishers shall be permitted to be located at staff
locations.
GENERATED ON 9/2/26, 8:33 AM 4 DF 5
Fo Statement of Fees
FEE
Invoice Date Inspection Fee Date Paid Amount Paid
NIA $80.00
Invoice Number Check Number Transaction Number
NIA NIA NIA
GENERATED ON 9/2/26, 8:33 AM 5 OF 5