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� Stacy L Anglin Bray <br /> Associate Mgr/Acct Rep <br /> T — F//?E CO�E �c SAFETY /NSPECT/ONS <br /> Horace Mann The Horace iVlann Companies 'DAO SHO/7EW000 M/NNESOTA 5533 7 <br /> Educared Financial Sofurions ��01 Shoreline Drive /Y-RINGATE 952.960.7692/o�t <br /> #102D nrPl�YrieBete�a ezcdaior!'i�org <br /> QUavzata,VIN J�j91 �RGLL/NO 952.960.1693/ ana��a�KJajarfij�or <br /> Bus.95�-471-8443 DATE: KNOX: TYPE• <br /> Fax 9.i2-471-2540 � ��U <br /> Toll-free 1-866-4:1-8448 RE�N P° SPR 5YS: ALARM: <br /> anglinslC�notes.horacemann.com �� � j j�.� <br /> www.horacemann.com EM ERG EN CY <br /> Recirement Annwtirs and Life,Auro and Homeo�cners Insurance , CO NTACT: �� :+�C� ��j�L l� /`f� <br /> r✓i�. <br /> �^""'-• + EMER�ENCY /' \ / / / <br /> � �-�- • � I � � � 7 � P H O N E #: �U l�J" � �J ! �O� ��� <br /> Inspection of the occupancy listed above bee� DEEPHAVEN COMMENTS: <br /> compieted in accordance with the 2000 IFC and IXCELSIOR <br /> the MSFC adopted by the city of:»»»» GAEENWOOD <br /> The following violations and/or deficienci O��J HOREWOOD <br /> r uirin corrective action are noted below. NKA BAY <br /> EXTERIOR: # FIRE PROTECTION SYSTEMS: # <br /> Address visible and le ible-Front and rear doors 1 S rinkler heads in ood condition- ro er covera e 21 <br /> Fire h drants accessible-36" minimum clearance 2 Door to s rinkler s stem control room marked 22 <br /> Fire lanes-Fire De artment access 3 Riser&control valves accessible/current ins ection 23 <br /> FDC unobstructed &visible- ro er ca -3'clear 4 Control valves locked o en or tam er rotected 24 <br /> Hom/strobe o erational-unobstructed&visible 5 Extin uishers ro erl located-current ins ection 25 <br /> Knox Box with ro erl labeled ke s 6 Commercial hood s stems-clean &ins ected 26 <br /> Dum ters minimum 5' from buildin 7 Class K extin uisher resent in commercial kitchen 27 <br /> Gas meters& ipin protected 8 Fire alarm stem in ood condition-ins ected 28 <br /> Buildin exterior maintained 9 Door to fire alarm room identified 2g <br /> IXRS� # tNTERIOR/STORAGE: # <br /> Exit doors unobstructed, o erable, ro er hardware 10 Stora e 18"or more below s rinkler heads 30 <br /> Exit corridors maintained and unobstructed 11 Stora e 24"or more below un rotected ceilin s 31 <br /> Exit si ns illuminated 12 No stora e in un rotected attics or below stairs 32 <br /> Pro er exit si ns displa ed-6" minimum letters 13 No stora e in mechanical or electrical anel rooms 33 <br /> Emer en li htin in ood o ratin condition 14 No stora e in boiler or elevator e ui ment rooms 34 <br /> Occu an load osted (assembt ) 15 Trash &oil ra s roperl ke t or removed dail 35 <br /> ELECTRICAL EQUIPMENT: # Flammable and combustible li uids ro erl stored 36 <br /> Door to electrical room/ anel labeled 16 Hazardous materials ro erl stored and identified 37 <br /> 30" clear access to electrical nels 17 Compressed gas linders roperl secured 38 <br /> Open spaces in electrical panels-knockout plugs 18 Ceiling tiles in place 8�undamaged 39 <br /> Electrical hazards- ower stri s/circuit rotected 19 Wall or ceilin dama e re aired/seal enetrations 40 <br /> No extension cords used as rmanent wiring 20 Smoke detectors o erational/pro er location 41 <br /> Code Violation Summa : <br /> ) '_', <br /> � 1 l / <br /> � <br /> The Fire District reserves the right Yo enforee the <br /> MSFC if any other violations are dizcovered during <br /> the compliance process or as they may arise. <br /> '-7? > � Signature indicates receipt of copy <br /> )r//1�f.c{_- �,�{?���:�,��, :X _ and cooperation with compliance <br /> Owner or Re{xesentative ` �oe1�o"r Fi� tr�ct In c orders within ,3 � days. <br /> i <br />