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Home My WebLink About6201-6245 ParkOCCUPANCY C•aT"�'�r,✓6 By 07taw.4cz r DATE TyA y 3 2®/�( —T� LOCATION �O l — 1) �R/1,� d3 JE, ID# HOUSEKEEPING Unsafe Conditions Ceiling Assembly EXITWAYS /DOORS Obstructed / Locked Maintained Proper Hardware ELECTRICAL Exposed Wires Extension Cords Panel Obstructed Knockouts Needed GCF1 Outlet EXIT LIGHTING Emergency Lights Exit Lights C V FD CONNECTION NA C V FIRE ALARM NA C V YQ ❑ Accessible D9 ❑ Panel Accessiblef ® ❑ $i ❑ Maintenance & ❑ Annual Test %/, 3 14 ❑ SPRINKLER SYSTEM NA PREPLAN INFORMATION ❑ Pressurized & Accessible >$ ❑ Complete id ❑ QI ❑ Annual Test $( ❑ New Emergency Contacts 111 ❑ 14 ❑ Sprinkler Clearance RI ❑ FIRE EXTINGUISHERS KEY BOX NA 10 ❑ Required V ❑ Knox Box Required ,j4 ❑ g ❑ Charged/Tagged % /f( Z ❑ Keys Tested 16 ❑ 16 ❑ Accessible /Height 0 ❑ 9 ❑ R ❑ KITCHEN SYSTEMS NA UTILITY SHUTOFFS Charged/Tagged f4 ❑ Clean /Repair 10 ❑ id ❑ Class K Extinguisher Id O 16 ❑ MECHANICAL t HEAT APPLIANCES COMPRESSED CYLINDERS Clearance to 4 ❑ Storage ❑ ❑ Unsafe Conditions 11 ❑ Secured ❑ ❑ Accessible 0 ❑ ADDRESS VISIBLE (front & rear) $I ❑ HAZARDOUS MATERIALS Identification ❑ ❑ k 7 �AA ✓iG VdJ , SIGNATURES 5��w Inspector COMPANY OFFICER: REINSPECTION REFUSAL OF INSPECTION ✓► 6 I. do hereby refuse authorized representatives of the Morton Grove Fire Department entry into my business premises for the conduction of a Fire Inspection. VIOLATION DESCRIPTIONS 40 �%IOLA -no JS 761orco /fir Tma� op /.J p &-cs+E>.✓ k 7 �AA ✓iG VdJ , SIGNATURES 5��w Inspector COMPANY OFFICER: REINSPECTION REFUSAL OF INSPECTION ✓► 6 I. do hereby refuse authorized representatives of the Morton Grove Fire Department entry into my business premises for the conduction of a Fire Inspection. MORTON GROVE FIRE DEPARTMENT 6250 LINCOLN AVENUE MoaroN GROVE, IwNois 60053 847- 470-5226 (Bus) 847 -965 -7711 (FAx) INSPECTION REPORT FORM Location: 6, /C5� I� ?air k Occupancy: H S y) Lt..) ex T V\ L Contact Person: 3,(.c 4 2 'C' ❑ Fire Prevention Activity mpliance Certificate Y❑ Residential ❑ F.P. Permit 6 -is=is lD#: Phone F/� 75 al / Type of Inspection ❑ Complaint ❑ Fire Alarm ❑ Fire Pump ❑ Knox Box W' ❑ Construction Site ❑ UL 300 Suppression System ❑ Sprinkler System ❑ Other You are hereby notified that you either passed or are to remedy the conditions stated above within hours / days of this order. Appeal from this order may be made within 10 days from the date of service. Direct such appeal to the Fire Captain of the Morton Grove Fire Prevention Bureau by telephone, (847) 470 -5226, or by writing the Office of the Fire Chief, 6250 Lincoln Ave., Morton Grove, IL 60053. Inspector: O v v Received By. REINSPECTION FORM Reinspection No. /° Location: 6x17 aKr< 44 Date:,✓, 17 a°ite Name: SC r4u/A2TZ i�Poa-rs 1Y)L'oe /y'uq ReinspectionDate: A copy of this form has been presented to : Owner ❑ ant 9 VIOLATIONS NOTED ON THE FIRE INSPECTI REPORT ETTER DATED / 3 / HAVE BEEN: CORRECTED. nk you for cooperating with the Fire Department in its attempt to improve life s ietq ro ection in the community. ❑ PARTIALLY CORRECTED. Your attention is called to the items listed below, which still need attention. A reinspection will be made on the date indicated above. ❑ IGNORED. The items originally noted on the above date are still in violation, and have been listed below for your convenience. You are hereby notified to remedy the conditions as stated below by the reinspection date indicated above, or show cause why you should not be required to do so. ❑ IGNORED. inspection visits have been made to the above location, and the violations listed below have been repeatedly ignored. This violation notice is being forwarded to the Fire Prevention Bureau Director, and such further action will be taken as the law requires to gain compliance. / Agent / Manager / (j Inspecting Officer OCCUPANCY �(' ki /a-�T� `� ?c`JJLTf /oit�d% �fLL/i DATE J4 -1(9- j3 Z1i� LOCATION_ � � (_% �"��C .4 ID# ! ao7 HOUSEKEEPING C V FD CONNECTION NA C V FIRE ALARM NA C V Unsafe Conditions ❑ Accessible 4 ❑ Panel Accessible ❑ Ceiling Assembly ❑ Maintenance 4 ❑ Annual Test ❑ EXITWAYS /DOORS SPRINKLER SYSTEM NA PREPLAN INFORMATION bst / Locked El .�, Pressurized & Accessible � ❑ Complete � ❑ ❑ Annual Test ❑ New Emergency Contacts 1�0 Proper Hardware ❑ Sprinkler Clearance1 ❑ ELECTRICAL FIRE EXTINGUISHERS KEY BOX Br Exposed Wires 6( ❑ R Knox Box Required ❑ ❑ Extension Cords N0 11 ar xVraaaed ❑ ,{ Keys Tested ❑ ❑ Panel Obstructed (Zj ❑ Accessible/Height ❑ ❑ Knockouts Needed ❑ GCFI Outlet k'. ❑ KITCHEN SYSTEM UTILITY SHUTOFFS EXIT LIGHTING Charged/Tagged ❑ ❑ Accessible �'❑ Clean/Repair ❑ ❑ Emergency Lights �jo ❑ Class K Extinguisher 110 ADDRESS VISIBLE (�tlttlgMS— LI It➢� /� (front &rear) 1❑ MECHANICAL / HEAT APPLIANCES COMPRESSED CYLINDERS `D HAZARDOUS MATERIALS NA Clearance to ff2 ❑ Storage ❑ ❑ Identification ❑ ❑ Unsafe Conditions �l ❑ Secured ❑ ❑ VIOLATION DESCRIPTIONS qu Tid..c� C3 COMPANY OFFICER: REFUSAL OF .a' ULUm/^ 447' ,�.e /sC/I I. do hereby refuse authorized representatives of the Morton Grove Fire Department entry into my business premises for the conduction of a Fire Inspection. l REINSPECTION FORM Reinspection No. Location: (o2t!j ®,44;4 Av'E Date:QCi7 31 0.01J Name: �u A/ U�o % 6�k 0 u v i I 'Pia Reinspection Date: A copy of this form has been presented to : Owner ❑ Tenant VIOLATIONS NOTED ON THE FIRE INSPECTI REPOR LETTER DATED 1 s� HAVE BEEN: C:Z: CORRECT Thank you for cooperating with the Fire Department in its attempt to improve life and fire protection in the community. ❑ PARTIALLY CORRECTED. Your attention is called to the items listed below, which still need attention. A reinspection will be made on the date indicated above. ❑ IGNORED. The items originally noted on the above date are still in violation, and have been listed below for your convenience. You are hereby noted to remedy the conditions as stated below by the reinspection date indicated above, or show cause why you should not be required to do so. ❑ IGNORED. inspection visits have been made to the above location, and the violations listed below have been repeatedly ignored. This violation notice is being forwarded to the Fire Prevention Bureau Director, and such further action will be taken as the law requires to gain compliance. ��X- yd Fd 00 ��oL,4 -na.js / Manager / Representative Inspecting fficer F1 RF MORTON GROVE FIRE DEPARTMENT 6250 LINcoLN AVENUE MORTON GROVE, luu Ots 60053 847 -470 -5226 (Bus) 847 -965 -7711 W") Bureau of Fire Prevention INSPECTION REPORT Location: G c2 / 9 4 ✓G Occupancy: S' 'r,.p Toy cavvio i.✓C Contact Person: Type of Inspection ❑ Fire Prevention Activity ❑ Complaint Business License ❑ Fire Alarm ❑ Residential ❑ Fire Pump ❑ F.P. Permit ❑ Knox Box Sr--nT. Q� ae /3 ID #: 473 Phone #: dh7- Icy 3 _ 600 SS' ❑ Construction Site ❑ UL 300 Suppression System ❑ Sprinkler System ❑ Other Remarks: 04.4, 3 '7?402-2r j3 eoaK u <P C' x ,r- L i b i j: �% be IJ� r //.��M „�i+ -ram � •J T�-rr IfR�L Pox, jzr— �,JSA�rr�z.��.l C��e'7- '00 -5aah "R pi 0 V You are hereby notified that you either passed, or are to remedy the conditions stated above within hours / days of this order. An appeal regarding this order may be made within 10 days from the date of service. Direct such appeal to the Director of the Morton Grove Fire Prevention Bureau by telephone, 847- 470 -5226, or by writing to the Office of the Fire Chief, 6250 Lincoln Ave., Morton Grove, IL 60053. Inspector Received By: REINSPECTION FORMA Reinspection No. c;2 it�Z Location: to aa.l lea CC 4UC Date: A j 6,) 9-f 2,01 `f Name: �!7. J `Tr c- *,-1oc.o6y, LLC ReinspectionDate: A copy of this form has been presented to : Owner ❑ W71 VIOLATIONS NOTED ON THE FIRE INSPECTIO EFOR / LETTER DATEAVE BEEN: CORRECTED. Thank you for cooperating with the Fire Department in its attempt to improve life sa ety and fire protection in the community. ❑ PARTIALLY CORRECTED. Your attention is called to the items listed below, which still need attention. A reinspection will be made on the date indicated above. ❑ IGNORED. The items originally noted on the above date are still in violation, and have been listed below for your convenience. You are hereby noted to remedy the conditions as stated below by the reinspection date indicated above, or show cause why you should not be required to do so. ❑ IGNORED. inspection visits have been made to the above location, and the violations listed below have been repeatedly ignored. This violation notice is being forwarded to the Fire Prevention Bureau Director, and such further action will be taken as the law requires to gain compliance. F®Q- IZ 49G�,J ig Qtq CJ Inspecting(Officer REINSPECTION FORM Location: �. Q I �'qk� %3o Name: Z Reinspection No. ./ SV3 0V7J4 ✓5r // Date: AC y 5%v' / aL A copy of this form has been presented to : Owner ❑ Tenant VIOLATIONS NOTED ON THE FIRE INSPECTIC REPORT LETTER DATED 1 oz, HAVE BEEN: ❑ CORRECTED. Thank you for cooperating with the Fire Department in its attempt to improve life safety and fire protection in the community. PARTIALLY CORRECTED Your attention is called to the items listed below, which still need attention. A reinspection will be made on the date indicated above. ❑ IGNORED. The items originally noted on the above date are still in violation, and have been listed below for your convenience. You are hereby notified to remedy the conditions as stated below by the reinspection date indicated above, or show cause why you should not be required to do so. ❑ IGNORED. inspection visits have been made to the above location, and the violations listed below have been repeatedly ignored. This violation notice is being forwarded to the Fire Prevention Bureau Director, and such further action will be taken as the law requires to gain compliance. '7'P4 f? sJ ✓` r� t C �. f°-� GsZt znJ s cry_ x aAZ Q Q ('j'zt'A' Owner / Agent / Manager / Representative Inspecting qfficer A OCCUPANCY z DATE]E E-jj LOCATION �o� ri �Qr-h .fLVC- ID# HOUSEKEEPING C V FD CONNECTION NA C V FIRE ALARM NA C V Unsafe Conditions 11 Accessible t ❑ Panel Accessible ❑ Ceiling Assembly l9 ❑ Maintenance RJ ❑ Annual Test ❑ EXITWAYS /DOORS SPRINKLER SYSTEM NA PREPLAN INFORMATION Obstructed / Locked ❑ Pressurized & Accessible QI ❑ Complete t��1 ❑ Maintained ❑ Annual Test c ❑ New Emergency Contacts ❑ Proper Hardware ,C�t [J ❑ Sprinkler Clearance ❑ ELECTRICAL FIRE EXTINGUISHERS KEY BOX Exposed Wires ❑ Re wired .e --..❑® Knox Box Required ❑ ❑ Extension Cords '1 ❑ Charged/ragged ❑ , j Keys Tested ❑ ❑ Panel Obstructed Hl ❑ Access�f- Knockouts Needed II ❑ /l GCFI Outlet 4Z ❑ KITCHEN SYSTEM$` NA ` UTILITY SHUTOFFS EXIT LIGHTING Charged/ragged ❑ ❑ Accessible ❑ Clean /Repair ❑ ❑ Emergency Lights 1'9 ❑ Class K Extinguisher 110 ADDRESS VISIBLE Exit Lights 9 ❑ (front & rear) *E1 MECHANICAL I HEAT APPLIANCES COMPRESSED CYLINDERS A HAZARDOUS MATERIALS 1&' Clearance to It ❑ Storage ❑ ❑ Identification ❑ ❑ Unsafe Conditions ig ❑ Secured ❑ ❑ jy - C V. ,Z VIOLATION DESCRIPTIONS co: /—� r 1Z .0 C if /i�v w / PrfC / s L1 x SIGNATURES COMPANY OFFICER: REINSPECTION DATE:`I6u1✓ REFUSAL OF INSPECTION I, do hereby refuse authorized representatives of the Morton Grove Fire Department entry into my business premises for the conduction of a Fire Inspection. REINSPECTION FORM Reinspection No. / Sl Location: Q '4 HOC— Date: Name: /u Pc-/L7—S ReinspectionDate: A copy of this form has been presented to : Owner [] %. Tenant VIOLATIONS NOTED ON THE FIRE INSPECTIO6 / LETTER DATE / z 7 i HAVE BEEN: CORRECTED. Thank you for cooperating with the Fire Department in its attempt to improve life safe protection in the community. ❑ PARTIALLY CORRECTED. Your attention is called to the items listed below, which still need attention. A reinspection will be made on the date indicated above. ❑ IGNORED. The items originally noted on the above date are still in violation, and have been listed below for your convenience. You are hereby notified to remedy the conditions as stated below by the reinspection date indicated above, or show cause why you should not be required to do so. ❑ IGNORED. inspection visits have been made to the above location, and the violations listed below have been repeatedly ignored. This violation notice is being forwarded to the Fire Prevention Bureau Director, and such further action will be taken as the law requires to gain compliance. -j.g Jjc yea T�q2 �o. E -can �C Vicc_1;int�•✓s Ut btu Owner / Agent / Manager / Representative Inspecting Of Ater OCCUPANCY ''�4 �L'� rS J✓1 ��% i ,. / i✓ �' I Or_ATION �/ a ri / ��2 /C do 1) �. HOUSEKEEPING Unsafe Conditions Ceiling Assembly EXITWAYS /DOORS Obstructed / Locked Maintained Proper Hardware ELECTRICAL Exposed Wires Extension Cords Panel Obstructed Knockouts Needed GCFI Outlet DATE °2T O/Y Ion 7&,9 C V FD CONNECTION NA C V FIRE ALARM NA '� ❑ Accessible ❑ ❑ ❑ Maintenance Clean /Repair ❑ ❑ SPRINKLER SYSTEM NA �1 ❑ Pressurized & Accessible 1 ❑ Annual Test ❑ Sprinkler Clearance NA Clearance to FIRE EXTINGUISHERS J9 ❑ Required 121 ❑ Chargedrragged 7r3 g ❑ Acoessible/Height W ❑ 06-13 KITCHEN SYSTEMS A ❑ Panel Accessible Ul ❑ Annual Test PREPLAN INFORMATION visa ❑ Complete ❑ ❑ New Emergency Contacts ❑ KEY BOX ❑ Knox Box Required ❑ ❑ 6Z ❑ Keys Tested ❑ ❑ L�§ ❑ UTILITY SHUTOFFS EXIT LIGHTING Charged/Tagged ❑ ❑ Clean /Repair ❑ ❑ Eme ent i hts _ Class K Extinguisher ❑ ❑ xit Lights ` ❑ wr MECHANICAL / HEAT APPLIANCES COMPRESSED CYLINDERS NA Clearance to Storage ❑ ❑ Unsafe Conditions 01 ❑ Secured ❑ ❑ VIOLATION DESCRIPTIONS Accessible Fi ■ ADDRESS VISIBLE (front & rear) ❑l �I� HAZARDOUS MATERIALS lNA 1 Identification ❑ ❑ /�— MJS <r �C AAa,rnn . i,�rLro va<r P9AI % .�+c� c tvP ` is ,T .�l 6M Tf � F/1FJr✓7' �OUr'� Gaon u �- ALL- i /.n c-5 SIGNATURES _" `'�' ✓1 Inspector CfvAew 1pant Print a COMPANY OFFICER: REINSPECTION DATE: "'+ 42 7 Z? O r REFUSAL OF INSPECTION I, do hereby refuse authorized representatives of the Morton Grove Fire Department entry into my business premises for the conduction of a Fire Inspection. REINSPECTION FORM Reinspection No. s Location: :�L a 3 j ? 3 rz,c J C Date: Fca -2 ? ;?O/t/ Name: /72c /Z 12- �, �c� mac?' �,�, �o / /CReinspection Date: A copy of this form has been presented to : Owner ❑ _ 'Tenant VIOLATIONS NOTED ON THE FIRE INSPECTIO REPORT IETTERDATED ' 17 1 HAVE BEEN: CORRECTED. Thank you for cooperating with the Fire Department in its attempt to improve life ection in the community. ❑ PARTIALLY CORRECTED. Your attention is called to the items listed below, which still need attention. A reinspection will be made on the date indicated above. ❑ IGNORED. The items originally noted on the above date are still in violation, and have been listed below for your convenience. You are hereby noted to remedy the conditions as stated below by the reinspection date indicated above, or show cause why you should not be required to do so. ❑ IGNORED. inspection visits have been made to the above location, and the violations listed below have been repeatedly ignored. This violation notice is being forwarded to the Fire Prevention Bureau Director, and such further action will be taken as the law requires to gain compliance. `%�i�-sJi< �i�J �C7� -' �,2�Gc�s✓F IJI�'JL%�rt iU,-✓ Owner / Agent / Manager / Representative Inspecting OCCUPANCY '4 J✓ .�,m/f�v �iv_ ��4d ,CC. L= DATE pd. ^Z a/f LOCATION Co .3i •�sa/zic ,✓>2 ✓ ID# f 3 HOUSEKEEPING Unsafe Conditions Ceiling Assembly EXITWAYS /DOORS Obstructed / Locked Maintained Proper Hardware ELECTRICAL Exposed Wires Extension Cords Panel Obstructed Knockouts Needed GCFI Outlet EXIT LIGHTING Emergency Lights Exit Lights C V FD CONNECTION NA C V FIRE ALARM NA C V ❑ Accessible ❑ Maintenance Mu SPRINKLER SYSTEM NA �4 ❑ Pressurized & Accessible 'Ed ❑ Annual Test ❑ ❑ Sprinkler Clearance FIRE EXTINGUISHERS Q( ❑ Required ❑ ChargedfTagged �j/1 3 ❑ Accessible /Height "x ❑ KITCHEN SYSTEMS ( N,QI Chargedffagged Clean /Repair ❑ Class K Extinguisher 14❑ ® ❑ Panel Accessible Ia ❑ ❑ Annual Test 10 ❑ PREPLAN INFORMATION 9 ❑ Complete jrl ❑ V ❑ New Emergency Contacts `a ❑ '0 ❑ KEY BOX ❑ Knox Box Required ❑ ❑ U ❑ Keys Tested ❑ ❑ {� ❑ UTILITY SHUTOFFS r MECHANICAL / HEAT APPLIANCES COMPRESSED CYLINDERS @ Clearance to V ❑ Storage ❑ ❑ Unsafe Conditions 9 ❑ Secured ❑ ❑ Accessible ESE ADDRESS VISIBLE (front & rear) V ❑ HAZARDOUS MATERIALS Identification ❑ ❑ VIOLATION DESCRIPTIONS 497y.Y Lt v N r Kt �� I�Ff CJlC FJL'i 7.icJT A.L. UsM /r'✓.'�;7r �� ✓ L'�S'ai SIGNATURES✓ COMPANY OFFICER: REFUSAL OF REINSPECTION I, do hereby refuse authorized representatives of the Morton Grove Fire Department entry into my business premises for the conduction of a Fire Inspection. 7 Zv/ y' OCCUPANCY DATE O L y 3 Q of LOCATION �o a 3,3 �(1 G- /< A`� ID# '3 (4P 4 y HOUSEKEEPING C V Unsafe Conditions ❑ Ceiling Assembly F(7 ❑ EXITWAYS /DOORS Obstructed / Locked ❑ Maintained 0. ❑ Proper Hardware 16 ❑ ELECTRICAL Exposed Wires ❑ Extension Cords ❑ Panel Obstructed IZ ❑ Knockouts Needed W ❑ GCFI Outlet ad ❑ EXIT LIGHTING Emergency Lights 11 ❑ Exit Lights R ❑ MECHANICAL / HEAT APPLIANCES Clearance to 19 ❑ Unsafe Conditions 50 ❑ FD CONNECTION NA C V Accessible V ❑ Maintenance 0( ❑ SPRINKLERSYSTEM NA Pressurized & Accessible is ❑ Annual Test 14 ❑ Sprinkler Clearance 1? ❑ FIRE EXTINGUISHERS Required g ❑ Chargedfragged 703 E ❑ Accessible /Height Wr ❑ KITCHEN SYSTEMS Charged/Tagged ❑ ❑ Clean /Repair ❑ ❑ Class K Extinguisher 110 COMPRESSED CYLINDERS dam/ Storage ❑ ❑ Secured ❑ ❑ FIRE ALARM NA C V Panel Accessible @ ❑ Annual Test -1/11 ❑ PREPLAN INFORMATION Complete ❑ New Emergency Contacts ur ❑ KEY BOX NA Knox Box Required 2 ❑ Keys Tested (� ❑ UTILITY SHUTOFFS Accessible ❑ ADDRESS VISIBLE (front & rear) ,�1 ❑ HAZARDOUS MATERIALS ,NA Identification 110 VIOLATION DESCRIPTIONS jt��J JE OCA710.y S 440rr-a A,7T %j'/r ®A /,0-)sp&-c4' O rJ ` -1'm pax. y4ow f SIGNATURES Inspector COMPANY OFFICER: b*yl j * e cupant Print Name REINSPECTION DATE: -E- REFUSAL OF INSPECTION 1, do hereby refuse authorized representatives of the Morton Grove Fire Department entry into my business premises for the conduction of a Fire Inspection. OCCUPANCY \A') {to, b7 in ! C4-at z. If DATE °T VJL, 3 2,0I qq r LOCATION c�J 5 - 3 / y Ad • ID# (..® 1 `)/ HOUSEKEEPING Unsafe Conditions Ceiling Assembly EXITWAYS /DOORS Obstructed / Locked Maintained Proper Hardware ELECTRICAL C V FD CONNECTION NA C V FIRE ALARM NA C V D Accessible 59 D Panel Accessible 00 $f D Maintenance 5e D Annual Test 77j V D SPRINKLER SYSTEM NA PREPLAN INFORMATION ❑ Pressurized & Accessible W D Complete V D D Annual Test go New Emergency Contacts OQ D 14 D Sprinkler Clearance qr D FIRE EXTINGUISHERS KEY BOX NA Exposed Wires 14 D Extension Cords D Panel Obstructed Ji<'I D Knockouts Needed I'd D GCFI Outlet PJ D EXIT LIGHTING Emergency Lights $I ❑ Exit Lights ® D MECHANICAL / HEAT APPLIANCES Clearance to JO D Unsafe Conditions 140 Required 14 D Charged/Tagged 47/� 141 D Accessible/Height $f D KITCHEN SYSTEMS NA Charged/ragged D D Clean /Repair D D Class K Extinguisher D D COMPRESSED CYLINDERS 0 Storage D D Secured D D Knox Box Required IR D Keys Tested 390 UTILITY SHUTOFFS Accessible ,� D ADDRESS VISIBLE (front & rear) 14 D HAZARDOUS MATERIALS �_a Identification D D VIOLATION DESCRIPTIONS A)O 6�,Ocano �S A%S)7Z O .47- '7�jMlT OF IdS -PCB 0OA) '7 You SIGNATURES COMPANY OF ..�...,,�",..,�.. r REFUSAL OF INSPECTION I. do hereby refuse authorized representatives of the Morton Grove Fire Department entry into my business premises for the conduction of a Fire Inspection. REINSPECTION FORM Reinspection No. Location: - 4 Date: Name: /eft �S �e�tCcc ( yn� , ReinspectionDate: A copy of this form has been presented to : Owner ❑ Tenant VIOLATIONS NOTED ON THE FIRE INSPECTION REPORT/ LETTER DATED .'N HAVE BEEN: CORRECTED. Thank you for cooperating with the Fire Department in its attempt to improve life safety and fire protection in the community. ❑ PARTIALLY CORRECTED. Your attention is called to the items listed below, which still need attention. A reinspection will be made on the date indicated above. ❑ IGNORED. The items originally noted on the above date are still in violation, and have been listed below for your convenience. You are hereby notified to remedy the conditions as stated below by the reinspection date indicated above, or show cause why you should not be required to do so. ❑ IGNORED. inspection visits have been made to the above location, and the violations listed below have been repeatedly ignored. This violation notice is being forwarded to the Fire Prevention Bureau Director, and such further action will be taken as the law requires to aain compliance. Location: 6) -ql TA Occupancy.. X ®S //l ej C.J Tn C Contact Person: oi.;S 1*ic i ❑ Fire Prevention Activity N "Hance Certificate ❑ Residential ❑ F.P. Permit Date: ID #: Phone #: 7,,), Type of Inspection ❑ Complaint ❑ Fire Alarm ❑ Fire Pump ❑ Knox Box ❑ Construction Site ❑ UL 300 Suppression System ❑ Sprinkler System ❑ Other You are hereby notified that you either passed or are to remedy the conditions stated above within hours / days of this order. Appeal from this order may be made within 10 days from the date of service. Direct such appeal to the Fire Captain of the Morton Grove Fire Prevention Bureau by telephone, 47) 470 -5226, or by writing the Office of the Fire Chief, 6250 Lincoln Ave., Morton Grove, IL 60053, Inspector: a REINSPECTION FORM Reinspection No. / �T Location: ��`F3 7l gR� 41./C- Date: -Q�Wr 2�. Name: ;To /+a � C 4. m 0e✓7- Co /ioicL .c Date: A copy of this form has been presented to : Owner ❑ enant ki iVIOLATIONS NOTED ON THE FIRE INSPECTIO kii ORT ETTER DATED HAVE BEEN: o CORRECTED. ank you for cooperating with the Fire Department in its attempt to improve life \` sa a an fire protection in the community. ❑ PARTIALLY CORRECTED. Your attention is called to the items listed below, which still need attention. A reinspection will be made on the date indicated above. ❑ IGNORED. The items originally noted on the above date are still in violation, and have been listed below for your convenience. You are hereby noted to remedy the conditions as stated below by the reinspection date indicated above, or show cause why you should not be required to do so. ❑ IGNORED. inspection visits have been made to the above location, and the violations listed below have been repeatedly ignored. This violation notice is being forwarded to the Fire Prevention Bureau Director, and such further action will be taken as the law requires to gain compliance. �} -Udf� CZ=Q tj�"- Owner / Agent / Manager FRepresentative Ins ecting Officer l OCCUPANCY J C%/40 &kmorj l..0 /171&k of Gie..L C.JCa Jr)C—C -jf.iJC DATE LOCATION to a 13 JaJG ID# Sf�/ 3 HOUSEKEEPING C V FD CONNECTION NA C V FIRE ALARM NA C V Unsafe Conditions ❑ Accessible $4 ❑ Panel Accessible ❑ Ceiling Assembly ❑ Maintenance Wf ❑ Annual Test ❑ EXITWAYS /DOORS SPRINKLERSYSTEM NA PREPLAN INFORMATION Obstructed / Locked ❑ Pressurized & Accessible Rf ❑ Complete X ❑ Maintained ❑ Annual Test W ❑ New Emergency Contacts (0 ❑ Proper Hardware so Sprinkler Clearance 9 ❑ ELECTRICAL FIRE EXTINGUISHERS KEY BOX Exposed Wires Required y{ LK 13 Knox Box Required ❑ ❑ Extension Cords bf ❑ Charged/Tagged -/ ' ;✓ / IY ❑ Keys Tested ❑ ❑ Panel Obstructed 40 ❑ Acoessible/Height 9f ❑ Knockouts Needed K ❑ GCFI Outlet ❑ KITCHEN SYSTEMS No UTILITY SHUTOFFS EXIT LIGHTING Charged/Tagged ❑ ❑ Accessible ❑ Clean /Repair ❑ ❑ Emergency Lights '6d' ❑ Class K Extinguisher ❑ ❑ ADDRESS VISIBLE Exit Lights 6d ❑ (front & rear) `8i ❑ MECHANICAL / HEAT APPLIANCES COMPRESSED CYLINDERS NA HAZARDOUS MATERIALS 6 Clearance to ❑ Storage ❑ Identification ❑ ❑ Unsafe Conditions ❑ Secured F( ❑ VIOLATION DESCRIPTIONS 41P SIGNATURES j (J 49 r C,W4)X-+ C COMPANY OFFICER: REINSPECTION DATE: > "C�V4 .._....... REFUSAL OF INSPECTION I, do hereby refuse authorized representatives of the Morton Grove Fire Department entry into my business premises for the conduction of a Fire Inspection. if OCCUPANCY V ACAW7� �°�y DATE �U� C— od2V a 01 V LOCATION (40 a �S �i�� lj�t✓G ID#! 5"7 HOUSEKEEPING C V FD CONNECTION NA C V FIRE ALARM NA C V fe Conditions Ceilin ssembly ❑ ❑ ❑ ❑ Accessible Maintenance ❑ ❑ ❑ ❑ Panel Accessible Annual Test p ❑ EXITWAYS/D S SPRINKLER SYSTEM NA PREPLAN INFOR ION Obstructed/Locked Maintained Proper Hardware ❑ ❑ ❑ ❑ Pressurized & Accessible Annual Test prinkler Clearance ❑ ❑ ❑ ❑ ❑ ❑ Complete New ergency Contacts p p ❑ ❑ ELECTRICAL FIRE INGUISHERS KEY BOX NA Exposed Wires Extension Cords Panel Obstructed ❑ ❑ ❑ ❑ ❑ ❑ Required Charged/Tagged Accessible /Height ❑ ❑ ❑ ❑ ❑ Knox Box Required Keys Tested ❑ p ❑ p Knockouts Needed ❑ ❑ GFCI Outlet ❑ ❑ KITCHEN STEM • NA UTILITY SHUTOFFS EXIT LIGHTING rgedlfagged Clean/Repair ❑ ❑ ❑ ❑ ccessible p ❑ Emergency Lights Exit Lights ❑ ❑ Class K Extinguiser ❑ ❑ ADDR VISIBLE (front r) ❑ O MECH. /HE PLIANCES COMPRESSED CYLINDERS NA HAZARDOUS MAT LS NA Clear to U e Conditions ❑ ❑ ❑ ❑ Storage Secured ❑ ❑ ❑ ❑ Identification p \ / VIOLATION DESCRIPTIQNS SIGNATURES Company Officer: Owner/Occupant Reinspection Print Name REFUSAL OF INSPECTION 10 do hereby refuse authorized representatives of the Morton Grove Fire Department entry into my business premises for the conduction of a Fire Inspection.