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�CCUPANCY: DATE: KNOX: TYPE:
C-:� �- � C���,`V �.� �7 � O � •�J 3
REINSP. ,I,_� ' BPR SYS: ALARM:
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ADDRES5: �� � ��r�_ _ _ .^ ,� EMERGENCY �� _ \ ` _ ` . �� S
�R�{�V CONTACT: N `J�
PHONE: ���� ' C�;��r � �r-� � 1 EMERGENCY �� � �
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Inspection of the occupancy listed above been DEEPHAVEN COMMENTS:
completed in accordance with the 2000 IFC and IXCELSIOR
the MSFC adopted by the city of:»»»» GREENWOOD
The followi�g violations and/or deficienci SHOREWOOD
r uirin corrective action are noted belo NC TONKA BAY
EXTERIOR: # FIRE PROTECTION SYSTEMS: #
Address visible and le ible-Front and rear doors 1 S rinkler heads in ood condition- ro er covera e 21
Fire h drants accessible-36" minimum clearance 2 Door to s rinkler s stem control room marked 22
Fire lanes-Fire De artment access . 3 Riser&control valves accessible/current ins ction 23
FDC unobstructed&visible- ro er ca -3' clear 4 Control valves lodced o en or tam er rotected 24
Horn/strobe o rational-unobstructed 8�visible 5 Extin uishers ro rl located-current ins ection 25
Knox Box with ro erl labeled k s 6 Commercial hood stems-clean &ins ted 26
Dum ters minimum 5'from buitdin 7 Class K extin uisher present in commercial kitchen 27
Gas meters & i in rotected 8 Fire alarm tem in ood condition-ins ted 28
Building exterior maintained 9 Door to fire alarm room identified 29
IXITS: # INTERIOR/STORAGE: #
Exit doors unobstructed, o rable, proper hardware 1 O Stora e 18" or more below s rinkler heads 30
Exit corridors maintained and unobstructed 11 Stora e 24" or more below un rotected ceilin 31
Exit si ns illuminated 12 No stora e in un rotected attics or below stairs 32
Pro r exit si ns dis la ed-6" minimum letters 13 No stora e in mechanical or electrical anel rooms 33
Emer enc li htin in ood o eratin condition 14 No stora e in boiler or elevator ui ment rooms 34
Occu an load osted (assembl ) 15 Trash &oil ra s ro erl ke t or removed dail 35
ELECTRICAL EQUIPMENT: # Flammable and combustible li uids ro rl stored 36
Door to electrical room/ anel labeled 16 Hazardous materials ro rl stored and identified 37
30" clear access to electrical anels 17 Com ressed as linders ro rl secured 38
Open s aces in electrical panels-knodcout lugs 18 Ceiling tiles in place�undamaged 39
Electrical hazards- wer stri /circuit rotected 19 Wall or ceilin dama e re aired/seal enetrations 40
No extension cords used as rmanent wirin 20 Smoke detectors o ational/ ro er location 41
Code Violation Summa :
`� .._--�--- ,
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The Fire DiaLrict r�ervea the right to enfo�ce the
MSFC if any othe�violations are diacovered during
the complianae procesa or as they may arise.
Signature indicates receipt of copy
. X '�_��/'I �� ` �,�L�.-Jl�l='s � ' ' and cooperation with compliance
, er or epresentafiwe Fxce ior Fi iatrict 1(�s or a'ders within C�B�/S.