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Home My WebLink About8210-8270 LehighFee 11 � III 1 ZMESHAN! =1 '- 4 MORTON GROVE FIRE DEPARTMENT A copy of this form has been presented to : Owner ❑ enant F)HAVE VIOLATIONS NOTED ON THE FIRE INSPECTI SPORT LETTER DATED I I v BEEN: CZ: CORRECTED. Thank you for cooperating with the Fire Department in its attempt to improve life rdtection 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. Q ox Owner AVMIQ/an3jer r / Representative Inspecting ficer VJ J OCCUPANCY/ C-- aiCtia %�La ® DATE�/dA), i� �O /j� LOCATION 0 2 1® 70 ,`Nt- ID# LC -fhG.v ?4.9L�Q HOUSEKEEPING C V FD CONNECTION NA C V FIRE ALARM NA C V Unsafe Conditions ❑ ❑ Accessible ❑ ❑ Panel Accessible ❑ ❑ Ceiling Assembly ❑ ❑ Maintenance ❑ ❑ Annual Test ❑ ❑ EXITWAYS /DOORS SPRINKLER SYSTEM NA PREPLAN INFORMATION Obstructed / Locked ❑ ❑ Pressurized $ Accessible ❑ ❑ Complete ❑ ❑ Maintained 0 ❑ Annual Test ❑ ❑ New Emergency Contacts ❑ ❑ Proper Hardware ❑ ❑ Sprinkler Clearance ❑ ELECTRICAL FIRE EXTINGUISHERS KEY BOX NA Exposed Wires 00 Required ❑ ❑ Knox Box Required ❑ ❑ Extension Cords 110 Chargedlragged ❑ ❑ Panel Obstructed Aocessible/Height ❑ ❑ Knockouts Needed ❑ 0i LFI Outlet ❑ ❑ KITCHEN SYSTEMS NA UTILITY SHUTOFFS EXIT LIGHTING Charged/Tagged ❑ ❑ Accessible ❑ p Clean/Repair ❑ ❑ Em_e rtt_n 1 iohis ❑ Class K Extinguisher ❑ ❑ ADDRESS VISIBLE Exit Lights (front $rear) ❑ ❑ MECHANICAL /HEAT APPLIANCES COMPRESSED CYLINDERS NA HAZARDOUS MATERIALS NA Clearance to 110 Storage ❑ ❑ Identification ❑ ❑ Unsafe Conditions 0 ❑ Secured ❑ ❑ DESCRIPTIONS COMPANY OFFICER: REFUSAL OF k R SPECTION DATE: AEna 1• do hereby refuse authorized representatives of the Morton Grove Fire Department entry into my business premises for the conduction of a Fire Inspection. ,o(' I REINSPECTION FORM Reins � pection No. Location: 6a J - 2 Date: 4 /d. 09 aig/ f✓ _ r— Name: Nay All 'o arcs v— Reinspection Date: A copy of this form has been presented to : Owner ❑ enant VIOLATIONS NOTED ON THE FIRE INSPECTIO REPOR / LETTER DATED zo HAVE BEEN: CORRECTED. T k you for cooperating with the Fire Department in its attempt to improve life sa an ire 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. Owne Agent / Manager / Representative Inspecting bfficer OCCUPANCY Unsafe Conditions Ceiling Assembly EXITWAYS/DOORS Obstructed / Locked Maintained Proper Hardware ELECTRICAL Exposed Wires Extension Cords Panel Obstructed Knockouts Needed GCFI Outlet III L f .11 ■ .w ■ 4 ■ ■ FD CONNECTION C.� C V FIRE ALARM / IQAI C V Accessible ❑ ❑ Panel Accessible ❑ ❑ Maintenance ❑ ❑ Annual Test ❑ O SPRINKLER SYSTEM PREPLAN INFORMATION Pressurized & Accessible /// ❑ ❑ Complete ❑ Annual Test ❑ ❑ New Emergency Contacts 10 ❑ Sprinkler Clearance 13 ❑ FIRE EXTINGUISHERS KEY BOX Required ❑l Knox Box Required ❑ ❑ Chargedfragged ,�❑,r I d Keys Tested ❑ ❑ Acoessible/Height P ❑ KITCHEN SYSTEMS NA EXIT LIGHTING Charged(Tagged O ❑ Clean/Repair ❑ O Emergency lights ❑ Class K Extinguisher ❑ ❑ Exit Lights ❑ MECHANICAL! HEAT APPLIANCES COMPRESSED CYLINDERS OA Clearance to Pd 0 Storage O ❑ Unsafe Conditions ❑ O Secured ❑ ❑ VIOLATION DESCRIPTIONS UTILITY SHUTOFFS Accessible L7 ❑ ADDRESS VISIBLE (front & near) WEI HAZARDOUS MATERIALS Identification ❑ ❑ SIGNATURES - r; fib actor Owner /Occupant _ Print Name COMPANY OFFICER: REINSPECTION DATE: (LIAR ft 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. OCCUPANCY /4l7"1 cca ( Gv 0_-e � /� ,j _ DATE O LOCATION i�-alY- P(6 L-GA( 41 lD# HOUSEKEEPING C V FD CONNECTION NA C V FIRE ALARM NA C V Unsafe Conditions ❑ Accessible ❑ Panel Accessible 4 ❑ Ceiling Assembly ❑ Maintenance ❑ Annual Test „@ ❑ EXITWAYS /DOORS SPRINKLER SYSTEM NA PREPLAN INFORMATION Obstructed / Locked ❑ Pressurized & Accessible ❑ complete Maintained ❑ Annual Test ❑ New Emergency Contacts ❑ ❑ Proper Hardware ❑ Sprinkler Clearance ❑ ELECTRICAL FIRE EXTINGUISHERS KEY BOX Exposed Wires ❑ Required 11 Knox Box Required ❑ ❑ Extension Cords ❑ Charged/Tagged ❑A Keys Tested ❑ ❑ Panel Obstructed ❑ Acoessible/Height ❑ Knockouts Needed ❑ GCFI Outlet ❑ KITCHEN SYSTEMS t� UTILITY SHUTOFFS EXIT LIGHTING Chargedlfagged ❑ ❑ Accessible A)b Clean/Repoir ❑ ❑ Emergency Lights Q7 ❑ Class K Extinguisher ❑ 0 ADDSWS VISIBLE Exit Lights `�j{', ❑ 6052 & rear) )0 ❑ MECHANICAL / HEAT APPLIANCES COMPRESSED CYLINDERS HAZARDOUS MATERIALS Clearance to ❑ Storage ❑ ❑ Identification ❑ ❑ Unsafe Conditions ❑ Secured ❑ ❑ VIOLATION DESCRIPTIONS M rn 01.4 Ef Rio Ift y kLr F ✓�r� ?9" / r vvvvvwvYKCJ ®'�( e• 4 •("j� Ins actor Owner /Occupant Print Name COMPANY OFFICER: - REINSPECTION DATE: 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. OCCUPANCY wfn4A� LOCATION DATE F7 L ID# HOUSEKEEPING C V FD CONNECTION NA C V FIRE ALARM NA C V Unsafe Conditions ❑ Accessible ❑ Panel Accessible ❑ Ceiling Assembly ❑ Maintenance] ❑ Annual Test ❑ EXITWAY3 /DOORS SPRINKLER SYSTEM NA PREPLAN INFORMATION Obstructed / Locked ❑ Pressurized & Accessible ID ❑ Complete p Maintained ❑ Annual Test ❑ New Emergency Contacts ❑ ❑ Proper Hardware ❑ Sprinkler Clearance ❑ ELECTRICAL FIRE EXTINGUISHERS KEY BOX Exposed Wires ❑ Required ❑ ❑ Knox Box Required ❑ ❑ Extension Cords ❑ Charged/Tagged ❑ ❑ Keys Tested ❑ ❑ Panel Obstructed ❑ ACCeSsible(Height ❑ ❑ Knockouts Needed ❑ GCFI Outlet ❑ KITCHEN SYSTEM $ N/y UTILITY SHUTOFFS EXIT LIGHTING Charged/ragged �� ❑ ❑ Accessible ❑ Clean /Repair ❑ ❑ Al Emergency Lights ❑ Class K Extinguisher ❑ ❑ ADD SS VISIBLE Exit Lights ❑ (fro & rear) a ❑ MECHANICAL) HEAT APPLIANCES COMPRESSED CYLINDERS HAZARDOUS MATERIALS Clearance to ❑ Storage ❑ Identification ❑ ❑ Unsafe Conditions d ❑ Secured ❑ ❑ VIOLATION DESCRIPTIONS SIGNATURES ho v G �- rat Inspec r Owner /Occupant Print Name COMPANY OFFICER: REINSPECTION DATE: 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. (, 1 p / REINSPECTION FOR IN ReinsT/7-/S pection No. 3 Location: 6 al to - 6 L Q k s r!, Date: Name: S CC& - / • 0 f. Reinspection Date: _. A copy of this form has been presented to : Owner ❑ Tenant VIOLATIONS NOTED ON THE FIRE INSPECTION REPORT / LETTER DATED l- If- 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. / Agent / Manager / Representative Inspecting Officer i Location: 5 Z 2(n ` "Ta Le c� 1� Reinspection No. Date: Reinspection Date: 17 — %J A copy of this form has been presented to : Owner ❑ Tenant\ VIOLATIONS NOTED ON THE FIRE INSPEC11ON REPORT/ LETTER DATED 5-;'? 15�HAVEBEEM ❑ CORRECTED. Thank you for cooperating with the Fire Department in its attempt to improve Iffe safety and fire protection in the community. 1 D� PARTIALLY CORRECTED. Your attention is called to the items listed below, which still need VVV 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. a �'� -�Lc . SSk Inspecting Officer Bureau of Fire Prevention Location: �aa 5-,L Le i Occupancy: 4 `^�/►S I 3-eA�" �` (!b r. Contact Person: /t I I K-C Date: ID #: Phone #: A SviEew` �r�•�c C�orc�ry A IA �® � 1 ��` L_l.. Inspector: Z&t= a6 Unsafe Conditions Ceiling Assembly EXITWAYS/DOORS Obstructed / Locked Maintained Proper Hardware ELECTRICAL Exposed Wires Extension Cords Panel Obstructed Knockouts Needed GCFI Outlet EXIT LIGHTING -sa 4.l ID# C V FD CONNECTION NA C V ❑ Icr Accessible ❑ Maintenance SPRINKLER SYSTEM NA Pressurized & Accessible �❑ Annual Test ❑ Sprinkler Clearance V FIRE EXTINGUISHERS 01 Required ❑ Charged/Tagged ❑_ Accessible/Height KITCHEN SYSTEMS NA Charged/ragged ■ 1'i ■ +ri ■ ■ ■ rt Clean /Repair ❑ Emergency Lights ❑ Class K Extinguisher ❑ ❑ Exit Lights ❑ g, MECHANICAL! HEAT APPLIANCES COMPRESSED CYLINDERS NA Clearance to ❑� Storage ❑ ❑ Unsafe Conditions ❑ ❑ Secured ❑ ❑ FIRE ALARM NA Panel Accessible Annual Test PREPLAN INFORMATION Complete New Emergency Contacts KEY BOX Knox Box Required Keys Tested UTILITY SHUTOFFS Accessible ji7 ■ ji; ■ ■ ■ ■ ■ , �' ADDRESS VISIBLE (front & rear) ,¢ ❑'\ HAZARDOUS MATERIALS Identification �❑ ❑� Inspector Owner /Occupant - Print Name COMPANY OFFICER: REINSPECTION DATE: 11 do hereby refuse authorized representatives of the Morton Grove Fire Department entry into my business premises for the conduction of a Fire Inspection. Contact Phone #: Received By: �i C INSPECTION REPORT FORM Location: y0 Le tt,� ,4 /yJ 1 7 , Date: Occupancy: �P or S / //t CY i <0 r w xn a e 7oa�+j ID#: Contact 0 Fire Prevention Activity compliance Certificate 0 Residential 0 F.P. Permit Phone yLe of Inspecti ®n ❑ Complaint ❑ Fire Alarm 0 Fire Pump 0 Knox Box tcon -f a 1 0 Construction Site 0 UL 300 Suppression System 0 Sprinkler System 0 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. such appeal to the Fire Captain of the Morton Grove Fire Prevention Bureau by telephone, (847) 470 -52 by writing the Office of the Fire Chief, 6250 Lincoln Ave., Morton Grove, IL 6005 � i Inspector:- Aa 1 Received Direct OCCUPANCY Vpel f 04t. .Ci ST/YMPI A✓G' DATE -4J VCOI ® LOCATION O Z / -) J L 6 -141 /. t ID# 631 HOUSEKEEPING C V FD CONNECTION NA C V FIRE ALARM NA C V Unsafe Conditions ,B'❑ Accessible off n Panel Accessible .20 Ceiling Assembly Maintenance 00 Annual Test EXITWAYS /DOORS SPRINKLER SYSTEM NA PREPLAN INFORMATION Obstructed / Locked 410 Pressurized & Accessible n Complete g0 Maintained 00 Annual Test ^Br�o New Emergency Contacts Proper Hardware iii n Sprinkler Clearance K u ELECTRICAL FIRE EXTINGUISHERS KEY BOX Exposed Wires Fr n Required {7 ❑ Knox Box Required 00 Extension Cords vo Charged/ragged n 5r Keys Tested Do Panel Obstructed ❑ AcoessibWHeight n Knockouts Needed y} ❑ GCFI Outlet wo KITCHEN SYSTEMS UTILITY SHUTOFFS EXIT LIGHTING Charged/Tagged v ❑ ❑ Accessible ,� p Clean/Repair n n ' Emergency Lights fB n Class K Extinguisher 00 ADDRESS VISIBLE Exit Lights n (front & rear) fd' n MECHANICAL / HEAT APPLIANCES COMPRESSED CYLINDERS rvyr HAZARDOUS MATERIALS C Clearance to P�-fn Storage n n Identification Do Unsafe Conditions la E) Secured n n VIOLATION DESCRIPTIONS t :rrrOIQ1shers - A41 need S5eroc:�e. �Aer orfbrcf�t, C /ecArl G Procne J nn°P 4p be ['I -Pr. re SIGNATURES 54(of`Q Aeb?jp ✓ ��n �PJf�1'� s or ov Owner/ ups t Print Name COMPANY OFFICER: REINSPECTION DATE: 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 LOCA HOUSEKEEPING C V Unsafe Conditions ❑ Ceiling Assembly '�.' ❑ EXITWAYS /DOORS Obstructed / Locked ❑ Maintained ❑ Proper Hardware ❑ ELECTRICAL Exposed Wires 1 ❑ Extension Cords q ❑ Panel Obstructed ls� ❑ Knockouts Needed ❑ GCFI Outlet ❑ EXIT LIGHTING Emergency Lights M" ❑ Exit Lights p'❑ MECHANICAL / HEAT APPLIANCES Clearance to pI ❑ Unsafe Conditions g ❑ SIGNATURES COMPANY OFFICER; DATE (/ /5 ID# /Co FD CONNECTION NA C V FIRE ALARM NA C V Accessible tq`❑ Panel Accessible P ❑ Maintenance ls�o❑ Annual Test p7❑ SPRINKLER SYSTEM NA PREPLAN INFORMATION Pressurized & Accessible OT'❑ complete'❑ Annual Test Ib❑ New Emergency Contacts �p Sprinkler Clearance W FIRE EXTINGUISHERS KEY BOX NA Required Knox Box Required Charged ragged PC❑ Keys Tested ^❑ Accessible/Height 5110 KITCHEN SYSTEMS UTILITY SHUTOFFS Charged/Tagged ❑ ❑ Accessible �'❑ Clean/Repair ❑ ❑ Class K Extinguisher ❑ ❑ ADDRESS VISIBLE (front & rear) Oro COMPRESSED CYLINDERS IA ) HAZARDOUS MATERIALS (_NA� Storage ❑ ❑ ❑0 Identification ❑0❑ Secured ❑ ❑ VIOLATION DESCRIPTIONS 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. OCCUPANCY ,^ �•� �J, / t^r`L r DATE LOCATION ( QG`j 1 /h ID#d 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 C V FD CONNECTION NA C V '$� ❑ Accessible ❑ off ❑ Maintenance ❑ SPRINKLER SYSTEM NA ` ❑ Pressurized & Accessible il{V ❑ ❑ Annual Test ❑ ❑ Sprinkler Clearance ❑ FIRE EXTINGUISHERS ❑ Required p ❑ Chargedrragged ❑ t ❑ Acoessible/Height ❑ ❑ i9 ❑ KITCHEN SYSTEMS NA / Charged/Tagged �❑ ❑ Clean/Repair ❑ ❑ FIRE ALARM NA C V Panel Accessible �, ❑ Annual Test ❑ PREPLAN INFORMATION Complete IWO New Emergency Contacts ^J' ❑ KEY BOX NA Knox Box Required 4�0 Keys Tested 'g ❑ UTILITY SHUTOFFS Accessible @ ❑ Emergency Lights "F1 ❑ Class K Extinguisher ❑ ❑ ADDRESS VISIBLE Exit Lights "$ L l (front & rear) ❑ MECHANICAL / HEAT APPLIANCES COMPRESSED CYLINDERS / NA / HAZARDOUS MATERIALS Clearance to �k❑ Storage ❑ ❑ Identification ❑ ❑ Unsafe Conditions 4 ❑ Secured ❑ ❑ VIOLATION DESCRIPTIONS SIGNATURES Owner /Occupant Print Name COMPANY OFFICER: L _ REINSPECTION DATE: 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. REINSPECTION FORM Reins pection No aA- . Location: to -�f �^CA�-iGs W 19VC Date: AYM44 a01lB Name: 141jy! `000-1 3. *46 e j Reinspection Date: A copy of this form has been presented to : Owner ❑ Tenant 9 VIOLATIONS NOTED ON THE FIRE INSPECTM6 REPORT / ETTER DATED HAVE BEEN: CORRECTED. hank you for cooperating with the Fire Department in its attempt to improve life ire 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 Fin; Prevention Bureau Director, and such further action will be taken as the law requires to gain compliance. / 0 er A anger / Representative Inspecting /Officer Location: REINSPECTION FORM Reinspection No. Name: V- spection Date: a0 /� A copy of this form has been presented to : Owner ❑ Tenant VIOLATIONS NOTED ON THE FIRE INSPECTI EPOR / LETTER DATED Or) / 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. / C kl-y 66*3 Jn ✓S5*- Ba- A• LynO ✓4.7-Z-r7 4Y oakk QoO�Wrw,,J C �29rw 7-0 C-�-o re� ✓�OWc, c2 6) / Representative InspectinV Officer OCCUPANCY ltvdI J5 HOUSEKEEPING C V FD CONNECTION NA C V FIRE ALARM NA C V Unsafe Conditions ❑ Accessible ❑ Panel Accessible kEl Ceiling Assembly ❑ Maintenance ❑ Annual Test ❑ ❑ EXITWAYS /DOORS SPRINKLER SYSTEM NA PREPLAN INFORMATION Obstructed / Locked p Pressurized & Accessible p Complete Ai p Maintained ❑ Annual Test ❑ New Emergency Contacts ❑ ❑ Proper Hardware ❑ Sprinkler Clearance ❑ ELECTRICAL FIRE EK7INGUISHERS KEY BOX Exposed Wires ❑ Required ffTT�� ❑ Knox Box Required ❑ ❑ Extension Cords ❑ Charged/ragged ❑ Keys Tested ❑ ❑ Panel Obstructed ❑ Accessible/Height p Knockouts Needed ❑ GCFI Outlet ❑ KITCHEN SYSTEMjf.PA UTILITY SHUTOFFS EXIT LIGHTING Charged?agged �� ❑ ❑ Accessible Clean/Repair ❑ ❑ W Emergency Lights Class K Extinguisher ❑ ❑ ADDRESS VISIBLE Exit Lights 'p ) (front & rear) ❑ MECHANICAL / HEAT APPLIANCES COMPRESSED CYLINDERS bW HAZARDOUS MATERIALS Clearance to *Jb p Storage ❑ ❑ Identification ❑ ❑ Unsafe Conditions ❑ ❑ Secured ❑ ❑ VIOLATION DESCRIPTIONS bJP 1 r/ r s r %e ICC r a t�%1 SIGNATURES 4 rSsp or or B Print me 3 , COMPANY OFFICER: REINSPECTION DATE: '2 1 REFUSAL OF SPECTION i• do hereby refuse authorized representatives of the Morton Grove Fire Department entry into my business premises for the conduction of a Fire Inspection. OCCUPANCY �¢r1 L G. / EM +A y h DATE LOCATION .FA C�O y t�a `1 113# HOUSEKEEPING C V Unsafe Conditions m ❑ Ceiling Assembly Wl ❑ ExITWAYS/DOORS Obstructed / Locked ❑ Maintained ❑ Proper Hardware ❑ ELECTRICAL Exposed Wires ❑ Extension Cords ❑ Panel Obstructed ❑ Knockouts Needed ❑ GCFI Outlet ❑ ❑ EXIT LIGHTING Emergency Lights Exit Lights FD CONNECTION NA C V FIRE ALARM NA Accessible OV ❑ Panel Accessible Maintenance 01&.0 Annual Test SPRINKLER SYSTEM NA PREPLAN INFORMATION Pressurized & Accessible (E ❑ Complete Annual Test r�y)j', ❑ New Emergency Contacts Sprinkler Clearance ❑ FIRE EXTINGUISHERS KEY BOX Required ❑ Knox Box Required Charged/Tagged L�. ❑ Keys Tested Acrossible/Height u ❑ KITCHEN SYSTEMS UTILITY SHUTOFFS Charged/Tagged ❑ ❑ CIean/Repair ❑ ❑ ❑ Class K Extinguisher ❑ ❑ MECHANICAL I HEAT APPLIANCES COMPRESSED CYLINDERS 61 Clearance to ❑ Storage ❑ ❑ Unsafe Conditions ❑ ❑ Secured ❑ ❑ VIOLATION DESCRIPTIONS ADDRESS VISIBLE (front & rear) HAZARDOUS MATERIALS Identification ❑ ❑ ❑ ❑ ❑❑ ❑ ❑ Ig ❑ cz ❑ NA ❑ ❑ SIGNATURES nsg�ecttyyr Owner /Occupant Print Name COMPANY OFFICER: / dIN7 REINSPECTION DATE: 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 LOCATION U DATE ID# / (O HOUSEKEEPING C V FD CONNECTION NA C V FIRE ALARM NA C V Unsafe Conditions kO Accessible Panel Accessible Ceiling Assembly LyM ❑ Maintenance 1 ❑ ro Annual Test ❑ E7(ITWAYS /DOORS SPRINKLER SYSTEM NA PREPLAN INFORMATION Obstructed / Locked Maintained Proper Hardware ELECTRICAL Exposed Wires Extension Cords Panel Obstructed Knockouts Needed GCFI Outlet EXIT LIGHTING ❑ Pressurized & Accessible ❑ Annual Test ❑ Sprinkler Clearance FIRE EXTINGUISHERS Z4 ■ r ■ 76 ■ ■ Emergency Lights ❑ Exit Lights ❑ MECHANICAL / HEAT APPLtANCES Clearance to K ❑ Unsafe Conditions ❑ Required Charged/Tagged Acoessible/Height ❑ ❑ a=::ergency Contacts ❑ ❑J 'F ❑ KEY BOX Qg `g ❑ Knox Box Required It ❑ Keys Tested Ito KITCHEN SYSTEMS NA UTILITY SHUTOFFS Charged/Tagged ❑ ❑ Accessible Clean/Repair ❑ ❑ Class K Extinguisher ❑ ❑ ADDRESS VISIBLE M ■ ■ ■ ■ 0` ■ (front & rear) �P ❑❑ COMPRESSED CYLINDERS NA HAZARDOUS MATERIALS Q ) Storage ❑ ❑ Identification ❑ ❑ Secured ❑ ❑ VIOLATION DESCRIPTIONS SIGNATURES Ins Own /Occupant rint ame COMPANY OFFICER: REINSPECTION DATE: REFUSAL OF INSPECTION 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: Sa %O �&Ah 6N AtIc Date: ZOo/j Name: Reinspection Date: A copy of this form has been presented to : Owner ❑ Tenant Q VIOLATIONS NOTED ON THE FIRE INSPECTIO EPO 7 LETTER DATED 6 Y I HAVE BEEN: CORRECTED. ank you for cooperating with the Fire Department in its attempt to improve life sae 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. 1 +J� YOU A�70 /L B i t' J L A *5Lr Owne / Agent / Manager / Representative Inspecting/Officer Name: /1dAC A copy of this form has been presented to Reinspection Date: �L7 < �� o201 Owner ❑ VIOLATIONS NOTED ON THE FIRE INSPECTR REPORT TTER DATED 6414 tv 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 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. Size C;�'p -10,6r oz, 14&e1'-y7 / Representative g Inspecting dfficer A copy of this form has been presented to : Owner ❑ t VIOLATIONS NOTED ON THE FIRE INSPECTI N REPO /LETTER DATED w I HAVE BEEN: ❑ CORRECTED. Thank you for cooperating with the Fire Department in its attempt to improve Iffe 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. a items originally noted on the above date are still in violation, and have been listed e ow for your onvenience. 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. / OCCUPANCY Q^J�(l��l,}��¢ /�1J/ / /�/-� /'li�M�ji7ti ; y "l «%i�� DATE /J LOCATION V d �V /� (1 i q {, /7 y[ ID# �O HOUSEKEEPING C V FD CONNECTION NA C V FIRE ALARM NA C V Unsafe Conditions ID ❑ Accessible @ ❑ Panel Accessible If ❑ Ceiling Assembly 19 ❑ Maintenance ig ❑ Annual Test '0 ❑ EXITWAYS /DOORS SPRINKLER SYSTEM NA PREPLAN INFORMATION Obstructed / Locked g ❑ Pressurized & Accessible iff 0 Complete E' ❑ Maintained 2 ❑ Annual Test .2 ❑ New Emergency Contacts 8 ❑ Proper Hardware ® ❑ Sprinkler Clearance e ELECTRICAL FIRE EXTINGUISHERS KEY BOX NA Exposed Wires A 11 Required Er ❑ Knox Box Required R1 ❑ Extension Cords A ❑ Charged/ragged ❑ NO Keys Tested ® ❑ Panel Obstructed a ❑ Accessible/Height 8 ❑ Knockouts Needed Fro GCFI Outlet ®' O KITCHEN SYSTEMS UTILITY SHUTOFFS EXIT LIGHTING Charged/ragged ❑ ❑ Accessible f -❑ Clean /Repair ❑ ❑ Emergency Lights ® ❑ Class K Extinguisher ❑ ❑ ADDRESS VISIBLE Exit Lights .0 ❑ (front & rear) ❑ MECHANICAL / HEAT APPLIANCES COMPRESSED CYLINDERS ® HAZARDOUS MATERIALS Clearance to iff ❑ Storage ❑ ❑ Identification ❑ ❑ Unsafe Conditions 0 ❑ Secured ❑ ❑ C VIOLATION DESCRIPTIONS A / fre +iriyu7�fi Nre.(r ap lid Ceded i'ca�'a, /i�J etr /ate SIGNATURES cT.^ (ter�GLTN'v Inspector �!`� Owner /Occupant Print Name �7 J COMPANY OFFICER: REINSPECTION DATE: (. 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. e