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OCCUPANCY: �ATE: � I Kt�CX:, � TY�E:
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REtNS : / SPR SYS;,, / ALARM: _ j
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ADDRESS: f �,7I—)/� /� �r /1y� EM GENC ��/ � � / �
��C� > C..�'UO`� � l V J v `�C.._� CONTACT: �—L.�(_7/�� L I �( �Vr
PH�NE: ��'`� ' �.� � � ' r� � EMERGENCY�,� l� L� � /�'7
�"�`� � PHONE #: � —��T r � �� . / � ✓C/
Inspection of the occupancy listed above been DEEPHAVEN CO MM ENTS:
completed in accrordance with the 2000 IFC and IXCELSIOR
the MSFC adopted by the city of:»»»» GREENWOOD
The following violations and/or deficiencies SHOREWOOD
requiring corrective action are noted below Ui�1?�:G �ONKA BAY
EXTERIOR: # FIRE PROTECTION SYSTEMS: #
Address visible and legible-Front and rear doors 1 Sprinkler heads in good condition-proper coverage 21
Fire h drants accessible-36" minimum clearance 2 Door to s rinkler s stem control room marked 22
Fire lanes- Fire Department access 3 Riser&co�trol valves accessible/current inspection 23
FDC unobstructed &visible-proper ca -3' clear 4 Control valves locked open or tamper rotected 24
Horn/strobe operational -unobstructed &visible 5 �xtinguisi�ers properly locared-curren� inspection 25
iKnox �ox with roperly labele� keys 6 Commerciai hood systems-ciean & inspec#ed 26 �
Dumpsters minimum 5' from building 7 �lass FC �xtinguisher present in commer�ial kitchen 27
Gas meters &piping protected 8 �ire alarm system in good condition -inspected 28
Building exterior maintained 9 Door to fire alarm room identified 29
EXITS: # INTERIOR/STORAGE: #
Exit doors unobstructed, operable, pro er hardware 10 Storage 18" or more below sprinkler heads 30
Exit corridors rriaintained and unobstructed 11 Storage 24" or more below unprotected ceilings 31
Exit signs illuminated 12 No storage in unprotected attics or below stairs 32
Pro er exit signs dis layed-6" minimum letters 13 No storage in mechanical or electrical panel rooms 33
Emer enc ti hting in good operating condition 14 No storage in boiler or elevator e uipment rooms 34
Occupancy load osted (assembly) 15 Trash &oil rags pro erl ke t or removed daily 35
ELECTRICAL EQUIPMENT: # Flammable and combustible liquids properly stored 36
Door to electrical room/panel labeled 16 Hazardous materials ro erly stored and identified 37
30" clear access to electrical panels 17 Compressed gas linders properly secured 38
Open spaces in electrical panels-knockout plugs 18 Ceiling tiles in place&undamaged 39
�lectrical hazards- ower strips/circuit protected 19 Wall or ceiling damage repaired/seal penetrations 40
No extension cords used as permanent wiring 20 Smoke detectors operational/ ro er location 41
Code Violation Summary:
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The Fire District reserves the right to enforce the
MSFC if any other violations arp discovered during
the compliance process or as they may arise.
� Signature indicates receipt of copy
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X �'�✓�Lfi'����� '��� �: and cooperation with compliance
Owner or Representative 6c ior F'c� is ict Inspector orders within�days.
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