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Carmel Fire_Department
2 Civic Square
Carmel, IN 46032
317-571-2600 • Fax: 317-571-2674
Business Name: 'A
Emergenry Contacts: 1.)-Rc'> FL C, J2e 5
2.)
Property Owner.
0400
PAGE _-I OF I
Phone:!?%7 s--5Z? g? Date: olL`5 le
Home:
Home:
Mgmt Cc.mpany: Address:
Pager/Cell: 2 Sii- 2S f --lea 5N
Pager/Cell:
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Phonelcall:
The following violations of the C try of Camel Fire Protection Code were found during this inspection of your
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property. According to Indiana Stale Law, you are hereby ordered to cease inappropriate actions and correct q
the cited violations. Unless otherwise stated, you have thirty (30) dI which to make repairs, comply 0 Vacan*. J Inspection
with, and return the notarized lower portion of this report tg the Carmel Fire Department Prevention Division. U Under Construction U Re-Inspect
Occupancy Type: (check all appropriate):
U A-1 B O F-i U H-1 0 1-1 U M
U A-2 ? E O F-2 Cl H-2 0 1-2 Cl R
J A-3 U H-3 U 1-3 U S
0 A-4 U H-4 ? 1-4 J U
O H-5
1. EXITS:
U Keyed Ed Doors (IFC 1003.3.1.8)
U Remove obstructions in egress path (IFC 1011.2)
U Exit signs shall be illuminated (IFC 1010.3)
U Emergency Lighting shall be in working candrion (IFC 17103.2.11.2)
2. FIRE PROTECTION EQUIPMENT:
J Annual Inspecdon of Fire Extinguishers (IFC 906.2)
U Properly Hung Fire Extinguishers (IFC 906.7)
J Add Fire Extinguishers (IFC 906.1) see notes
0 Fire Extinguisher Obstructed PEG 906.6)
Date Last Serviced:
J Spare Sprinkler Heads(IFC 91
0 Earned Heads! Foreign Objects (IFC 901.6.1)
71 3-Foot clearance around Fire Hydrant (IFC 508.5.4)
U Inspection, testing, and maintenance of El Alarm, Sprinkler, detection, and
extinguishing systems (IFC 901
Last Inspection Date:
3. KITCHEN EQUIPMENT:
O Semi-Annual Hood Suppression System inspection pFC 904.11.6.1)
0 Proper Fire Extinguisher i Type-K 111 904.11.5)
Date Last Serviced:
FIRE PREVENTION INSPECTION REPORT'
4. STORAGE:
U Storage in Machanical! Electrical Room (IFC 315.2.3)
J Storage within 24" of Ceiling (IFC 315.2.1)
0 Storage within 18" of Sprinkler Head (IFC 315.2.1)
U High Piled Storage (IFC 2301.1)
0 Storage shall be Orderly (IFC 315.2)
U Storage under Stairways (IFC 315.2.4)
5. ELECTRICAL:
U Abatement of Electrical Hazards (IFC 605.1)
`Presence of Extension Cords (IFC 605.5)
per spaces 1 Switch 1 Receptacle Covers (IFC 605.6)
j] Presence of Multi-plug Adapters (IFC 605.4)
O Extension Cords through walls/ doors/ ceilings (IFC 605.5)
0 Electrical Panels Labeled (IFC 605.3.1)
U Electrical Panel clearance 36 inches (IFC 605.3)
6. RAZARDOUS:
Flammable liquids in excess of 10 gallons not in approved cabinat (IFC 3404.3.4.4)
0 Compressed Gas Cylinders not secured (IFC 3003.3.3)
J Cap not on stored Compressed Gas Cylinders (IFC 3003.4)
,3 Flammable Warning signs not posted(IFC 34035)
U M.S.D.S. not available (IFC 2703.4)
7. SPECIAL CONCERNS:
O Knox Box keys missing I incorrect keys pFC 506.1)
O Holes in walls i ceilings 1 draft steps RFC 703.1)
? Room capacity not posted (IFC 1003.225)
U Building Address not posted (IFC 505.1)
0 Storage of oily Rags (IFC 304.3.1)
Nmes/Addidonal Violations: eto?rr1 Op ! tli J t,,rk)6T&n.3
All violations are cited from Indiana Fire Code (675 LAC 22-2.3), the Indiana Code, NFPA. and Carmel City Code unless otherwise rimed.
Brrsiness Representative: (Prim Name) (Signature)