HomeMy WebLinkAbout1980-01-25 Fire Inspection Report '% '' TYPE OF INSPECTION
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.i. - Mandatory l
y `. STATE OF MINNESOTA Complaint 2
- DEPARTMENT OF LIC SAFETY Request 3
IRE MARSHAL IVISION Follow4
Inspection Report Discretionary 5
(Print or Type) Enter NO.
tf'S
County No. rc . Fire Dept. ID No. F7.‘01.. Use Code i„�4\a, Date / - Z. - Sr0
change Name �t,.�:c. �0vsot+ E. s.? t>V is -
❑ Phone
change
U Address s lc +4. SA-• CA p►.c.V. \-\ckck _s_, MO.
(number and street)
Correspondence to (name) :' b�i�
\0. Sa \e,\-ea, SIN_ .1.(\
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City �3�,< �Co�. �`.�e.�c�S �1��. Zip Code m& -.10:51/4-1..
change
❑ Owner S•,t;.�s.)\.Q..,_. „R,,,,s. -a--_„...,, _ Phone W -\.\b
change
C Owner.' \'
Ss (s Address S ce tr�\\ �v e . tok� .& ` tW. SSOV-1.
(number and street) (city) (state) (zip code)
Construction Type \ Year of Construction tti10L # of Stories 1. # of Rental Units (v
Number of Occupancies t Building Number - Use Code Ao.a ..4t
yes no yes no
Flammable Liquids Use ❑ Q If "yes", see back. LP Gases Use ❑ ® If "yes", see
back.
1. Building Service Equipment L 15. Hazardous Areas -
2. Commercial Cooking Equipment -- 16. Interior Decorations --
3. Combustible Materials - 17. Interior Finish
4. Compressed Gases - 18. Operating Features -
5. Corridor Doors Staff Trained -
6. Corridor Walls I- 19. Occupant Loading
7. Electrical --- (Posted if required) -
8. Emergency Lighting 20. Portable Extinguishers
9. Exits 21. Smoke Detectors
Exit Lighting Signs ��.ino Rkz 22. Sprinkler System --
Obstructions Last Checked ---
10. Fire Alarm System -- 23. Stairways --
Fire Drills -- 24. Standpipes
Auto. Fire Dept. Notification \-).. 25. Type of Heating Fuel tact. Cress
11. Fire Dept. Number Posted .- Combustion Air -
12. Fire Hydrants 26. Vertical Openings -
13. Fire Lanes ,- 27. Windows
14. Fire Separations --
PS 0011-04 (10/78) -OVER-
r.a
•
Flammable Liquids Check-off: LP Gases Check-off:
•
Properly Stored and Dispensed No. of tanks and capacity of each
No. of tanks storing Class I liquids and
capacity of each
Appliances fueled by LP Gas
Marine Service
Regular Pump Service
Farm Tanks Tanks properly spaced, supported and
Bulk Tanks protected
Venting and Piping
Electrical Connections, valves and piping in
Portable Extinguishers compliance
Smoking'Signs Posted Maintenance
Remarks: t;v s s \\. t-k—t.k.\.%a \
\_4Z.-' \ �.0 \ �.,\ \� \he.
\ ;:\ t�N4 SOv�C1� \ A�\L`� P.L\� vitt.% \ Ne —\ a Lh \ GEi,
{�s - S•ov.--)s t..6„
`rnc.Pt.)c u� ee,\pcSS ..)
1,?C ICC\ t. rev a\s.
ACCOMPANYING PERSONS: yesno
\ Written Orders Issued 0 L `
yes no
Deficiency Report Issued F--
yes
k
lyes no
Attorney Notified l t^
Name
Telephone Number
L,.��• \off...,..-,......-
Inspector, Fire Marshal Division