Title Page
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Conducted on
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Inspected by
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Rental Address
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Number of Units
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Year Built
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Owner Name
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Owner Address
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Owner Phone Number
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Owner Email Address
APARTMENT UNIT OR DWELLING
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Smoke detectors present on every level and in good working condition? (MN299F.362) (MSFC 9007.3.6, 907.2.9.3) 7 days
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Days to Correct
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Are smoke detectors less than 10 years old? (MSFC 1103.8.1) 30 days
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Days to Correct
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CO detectors within 10' of bedrooms and in good working condition? (MN299F.50) 30 days
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Days to Correct
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Extinguisher(s) provided? (MSFC 906.2) 30 days
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Days to Correct
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Extinguisher(s) maintained, tested and tagged/mounted/by exits? (MSFC 906.2) 60 days
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Days to Correct
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Extension cords used properly? (MSFC 605.5) 30 days
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Days to Correct
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Proper egress windows in sleeping rooms? (MSFC 1029.1) 90 days
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Days to Correct
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Escape windows free from obstructions? (MSFC 1030.2, 1030.3, 1030.7) 30 days
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Days to Correct
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No multi-plug adapters are in use? (MSFC 605.4) 7 days
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Days to Correct
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Is the oven free of storage? (MSFC 305.1) 30 days
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Days to Correct
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Provide and maintain fire barriers or fire walls to separate vacant spaces from the remainder of the building? (MSFC 311.2.3) 90 days
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Days to Correct
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Appliances working and maintained? (MSFC 605.7) 30 days
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Days to Correct
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Free of accumulation of excessive combustible waste? (MN299.F.18) 7 days
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Days to Correct
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Separation between house and garage? (MSFC 1106.3.1) 90 days
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Days to Correct
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Visible address 4" building number/contrasting color? (MSFC 505.1) 30 days
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Days to Correct
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Free of electrical hazards? (MSFC 605.1) 30 days
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Days to Correct
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Dryers properly vented to the exterior with metal pipes? (MSFC 603.5.2) 60 days
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Days to Correct
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Free of portable electric space heaters? (MSFC 605.10) 30 days
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Days to Correct
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Proper hardware/locking devices? (MSFC 1008.1) varies
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Days to Correct
APARTMENT BUILDING
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Is storage at least 18 inches below fire sprinkler head deflectors? (MSFC 315.3.1) 7 days
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Days to Correct
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Knox box/keys work? (MSFC 506.1) 60 days
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Days to Correct
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Dumpsters not within 5' of walls, roof eaves, and openings? (MSFC 304.3.3) 30 days
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Days to Correct
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No blocked exits inside and out/ice or snow/other obstructions? (MSFC 1030.3) 7 days
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Days to Correct
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Sprinkler connections/control values are visible and/or marked with strobe horn? (MSFC 903.4.2) 30 days
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Days to Correct
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Sprinkler/standpipes have protective caps? (MSFC 107.1, 903.3.7) 30 days
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Days to Correct
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Sprinkler - tested annually/copy to Fire Department? (MSFC 901.6.1) 60 days
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Days to Correct
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Proper hardware/locks on egress doors? (MSFC 1008.1.8) 30 days
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Days to Correct
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Pull stations in working condition/not blocked? (MSFC 907.4) 30 days
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Days to Correct
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Exit lights with battery backup? (MSFC 1011.1) 60 days
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Days to Correct
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Emergency lights in working condition? (MSFC 1006.3) 60 days
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Days to Correct
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Hallway smoke detectors in good working condition? (MN299F.362, MSFC 907.3.5) 7 days
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Days to Correct
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No holes in sheetrock/fire stop? (MSFC 703.2.3) 90 days
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Days to Correct
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Fire rated doors on mechanical/laundry? (MSFC 703.2) 60 days
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Days to Correct
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No storage in the boiler room/mechanical room? (MSFC 315.2.3) 7 days
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Days to Correct
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One hour rated enclosures under stairway (exception-single family)? (MSFC 1009.9.3) 60 days
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Days to Correct
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No clutter/combustibles within the corridors? (MSFC 304.1) 7 days
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Days to Correct
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Proper handrails - No more than 30" - 42" off floor? (MSFC 1104.13) 30 days
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Days to Correct
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Electrical boxes covered, no storage within 36"? (MSFC 605.3) 30 days
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Days to Correct
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Alarm Panel - tested annually/copy to Fire Department? (MSFC 907.20.2) 60 days
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Days to Correct
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Flexible gas lines? (MSFC 102.7, 603.1) 60 days
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Days to Correct
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Self closers on laundry door? (MSFC 103.2, 1008.1.8.3) 60 days
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Days to Correct
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No combustible/flammable material or liquids inside the building? (MSFC Chapter 57) 7 days
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Days to Correct
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Fire apparatus access road? (MSFC 503.1.1) 90 days
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Days to Correct
ADDITIONAL COMMENTS
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Additional Findings?
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Days to Correct
Violations
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All violations are to be corrected within the specified time period. The Inspection Code Violation Certificate must be submitted by the date listed here:
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