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! � _ . �� • 4.(/ v / / �J v�-' CC� ��"-.��-_��/ . <br /> �'�' <br /> EXCELS/OR F/RE O/5T/7/CT — F/f2E COOE 8r AFETY /NSPECT/ONS <br /> 24 7 00 $M/THTOWN /20A0 SHOREWO00 M/NNESOTA 5533 1 <br /> /NSPECTOR 2 KELL/E MU/7PHY-R/NGATE 952.960.7692 fvl7urpl{yringate�ezte/uOrlir�o7g <br /> /NSPECTOR 3 LEE BEROLUND 9ST.960.7693/b und�aerce/iior6x. <br /> OCCUPANCY: DATE: � KNOX: TYPE: <br /> %�� �- cj / �: r� �-� � `� i! 1 ' c�-�=G � 1V C� � <br /> REINSP:� SPR SYS: ALARM: <br /> � � �-'42��- //� �' �� D <br /> ADDRE55: ���� �� �,M CONT�ACT:CY � � ( S`�'. �L,��/� <br /> Li <br /> PHONE: � � , � � � /^ �// EMERGENCY "� / [�� <br /> y f ' � ��J ! PHONE #: �j�C.l- . ��� . ( T� � <br /> Inspection of the occupancy liated above been JEEPHAVEN COMMENTS: <br /> completed in accordance with the 2000 IFC and IXCELSIOR <br /> the MSFC adopted by the ciry of:»»»» GREENWOOD <br /> The following violationa and/or deficienci�'� SHOREWOOD <br /> r uirin corrective action are noted below.�r`��TONKA BAY <br /> EXTERIOR: # FIRE PROTECTION SYSTEMS: # <br /> Address visible and le ible-Front and rear doors 1 S rinkler heads in ood condition- ro r covera e 21 <br /> Fire h drants accessible-36" minimum clearance 2 Door to s rinkler s tem 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 r rotected 24 <br /> Hom/strobe o erational-unobstructed 8 visible 5 Extin uishers ro erl located-current ins ction 2 <br /> Knox Box with pro 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 8� ipin rotected 8 Fire alarm stem in ood condition-ins cted 28 <br /> Buildin exterior maintained 9 Door to fire alarm room identified 29 <br /> EXITS: # INTERIOR/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 No stora e in un rotected attics or below stairs <br /> Pro er exit si ns dis la ed-6" minimum letters 13 No stora e in mechanical or electrical nel rooms 33 <br /> Emer enc li htin in ood o eratin condition No stora e in boiler or elevator ui ment rooms <br /> Occu an load osted (assembl ) 15 Trash 8�oil ra s ro erl ke t or removed dail 35 <br /> ELECTRICAL EQUIPMENT: # Flammable and combustible li uids ro r stored 36 <br /> Door to electrical room/ anel labeled 16 Hazardous materials ro erl stored and identifled 37 <br /> 30" clear access to electrical anels 17 Com ressed gas linders ro erl secured 38 <br /> Open spaces in electrical panels-knockout plugs Ceiling tiles in place&undamaged 39 <br /> Etectrical hazards- ower stri s/circuit rotected 19 Wall or ceilin dama e re aired/seal penetrations 40 <br /> No extension cords used as ermanent wiring 20 Smoke detectors o erational/pro er location 41 <br /> Code Violation Summa : <br /> � � �� D / � �.�/C� <br /> � �� s � 7- �v o <br /> i L� .� ,��D , <br /> � �� �-/iv <br /> �- - � o <br /> �i�/ �— Lc/ <br /> �' �""_ io �C,v <br /> � � �� � <br /> ( '—' l S� n� i�T— �- 7� <br /> �� l�� v The Fire District reaerves the right to enforce the <br /> MSFC if a�y other violations are discovered during <br /> the compliance process or as they may arise. <br /> • __-----�;%�'_�� � "�`�� Signature indicates receipt of copy <br /> X / (�„`, �- .--;�''�.� .-��� and cooperada�with compliance <br /> � � '� orders within�(Z days. <br /> or R ta ive 6ccelsior'F1er��i§trict Ins or <br />