HomeMy WebLinkAbout2007-05-22 Summit Fire Protection Report of Inspection (13321-13331) ot. n
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SUMMIT FIRE PROTECTION
575 MINNEHAHAAVE.W•ST.PAUL,MN 55103•(651)251-1880
3026 40TH AVE.NW•ROCHESTER,MN 55901 •(507)280-0622
418 GREAT OAK DR.,WAITE PARK,MN 56387•(320)257-6390
760 LIBERTY WAY,NORTH LIBERTY,IA 52317•(319)665-4330
SHEET 1 OF 2-Use separate sheet for each building inspection REPORT OF INSPECTION
MINNESOTA LICENSE NO.C0075 JOB NUMBER 6 visc3O2.. 11
INSPECTION NAME 1 /Pr 04 k.P4 2k 1416 t}1$BUILDING/LOCATIOP Qh+�Z' — 7.7Y10j irt►,fer-
STREET C3(91-1333/1333/ lad* 31. 111� INSPECTOR O 5 b thy
CITY&STATE � 7f NCi6 J b.vv, DATE 5.727/O9
Owner's Section(to be answered by Owner or Occupant)
A. Explain any occupancy hazard changes since the previous inspection: .'z Nfe..1 ibivhdeJCS
B. Describe fire protection modifications made since last inspection:
C. Describe any fires since last inspection:
D. When was the system piping last checked for stoppage,corrision of foreign material?
E. When was the dry-piping system last checked for proper pitch?
F. Are dry valves adequately protected from freezing?
Signature Title Date
Inspector's Section(All responses reference current inspection) NA=NOT APPLICABLE
1. General
a.Is the building occupier es LI No
b.Are all systems in servi /61Yes❑No
c.Is there a minimum of 18 in.(457 mm)clearance between the top of the storage and the sprinkler deflectors?Aftes ❑No
d.Does all electrical heat tape appear to be satisfactory? ❑Yes ❑NcIAIDNA
e.Does the hand hose or standpipe on the sprinkler system(s)appear to be satisfactory? ❑Yes ❑NcyeltNA
2. Control Valves(See Item 15.) -
a.Are all sprinkler system control valves and all other valves in the appropriate • . . •sed position?)ices ❑No
b.Are all control valves in the open position locked,sealed or equipped wi• a t. per switc` '•"es❑No
3. Tanks,Pumps,Fire Department Connections
a.When was fire pump last tested for performance?
b.Are fire pumps,gravity tanks,reservoirs and pressure t nks in good condition and properly maintained? UYes❑N9.9 NA
c.Are fire department connections in satisfactory condition,couplings free,caps in place,and check valves tight8s ❑No ❑NA
Are they accessible and visible? DYes❑No ❑NA
4. Wet Systems
a.Are cold weather valves(O.S.&Y.)in the appropriate open or closed position? ❑Yes ❑No.'BONA
b.Have antifreeze system solutions been tested? ❑Yes ❑No'NA
c.What temp is antifreeze?"
d.In areas protected by wet system(s),does the buil.••:appear to - properly heated in all areas,including blind attics and perimeter areas
where accessible? ❑No❑NA
5. Dry System(S tems 11 to 13)
a.Are dry val e(s)in service? ❑Yes ❑No ❑NA
b.Are the air pressures and . ' •t
at- levels in accordance with the manufacturer's instructions? ❑Yes LINo❑NA
c.Has the operation of the. r .r g:'supplies been tested? ❑Yes LINo LINA Are they in service? ❑Yes LINo LINA
d.Were low points drained i u 'n; n•.- 'e n?❑Yes ❑No❑NA How many?e.Did quick-opening devi• s t p: a al actorily? ❑Yes ❑No LINAf.Did the dry valve(s)trip pro.- rin a trip pressure test? ❑Yes LINo❑NA
g.Did the heating equipment in th -pipe value room(s)operate at time of inspection? :Wes ❑No ❑NA
6. Special Systems(See Item 14.)
a.Did the deluge or pre-aceon a operate properly during testing? ❑Yes ❑No ❑NA
b.Did the heat-responsive . vo. rate properly during testing? ❑Yes ❑No❑NA
c.Did supervisory device 4. e T. _ esting? :Wes LI No ❑NA
d.Did flow for kitchen h ..V e •1 ut off gas or electric? ❑Yes❑No ❑NA
7. Alarms
a.Did water motor(s)and gong(s)test satisfactorily? ❑Yes ❑No OgZsIA
b.Did electric alarm(s)test satisfactory?ISPfes❑No ❑NA
c.Did supervisory alarm service test satisfactory?Pies ❑No ❑NA ,3 X o
d.Did tamper swithces test satisfactory? 4'es U No❑NA
8. Sprinklers
a.Are all sprinklers free from corrosion,loading or obstruction to spray discharge?'mss ❑No
b.Are sprinklers less than 50 years old?(Older sprinlders require sample testing)ifties ❑No
c.Are quick response and residential sprinklers less than 20 years old?(Older sprinklers require sample testing),/ 'es ❑No
d.Is stock of spare sprinklers available? s ❑No
e.Does the exterior . dition of sprinkl r system appear to be satisfactory? es❑No
f.Are sprinklers o . per temperature rating for their locations?,es❑No
g.Are any spri. r..s on a recall list?❑Yes(f, i�i� o
Signatur- . J . 4* t / Date: ‘A.Via 7
0
SUMMIT FIRE PROTECTION Q- '
575 MINNEHAHA AVE.W•ST.PAUL,MN 55103•(651)251-1880
3026 40TH AVE.NW•ROCHESTER,MN 55901 •(507)280-0622
418 GREAT OAK DR.,WAITE PARK,MN 56387•(320)257-6390
760 LIBERTY WAY,NORTH LIBERTY,IA 52317•(319)665-4330
SHEET 2 OF 2-Use separate sheet for eachsystem inspection Type of System 1)''I ti
4.0Sif�r
coon Name and Number How Many?
, : ' / R4R�Liits
What Size?
G'Foca ow wt , .
a with Pressure Switch
9. Date dry-pipe valve trip tested (control valve partially open) (See Trip Test Table which follows)
10. Date dry-pipe valve trip tested (control valve fully open) (See Trip Test Table which follows)
11. Date quick-opening device tested (See Trip Test able which follows)
DRY VALVE TRIP TEST TABLE O.O.D.
MAKE MODEL SERIA O. MAKE MODEL SERIAL NO.
DRY PIPE Time to Trip Water Air Trip Point Time Water Reached Alarm Operated
OPERATING Thr+Test Pipe Pressure pressure r Pressure Test Outlet Properly
TEST MIN. SEC- PSI ,,,•pRl PSI MIN. SEC. YES NO
Without
Q.O.D.
With
Q.O.D.
12. Date deluge or preaction valve tested ik (See Trip Test Table which follows)
TRIP TEST TABLE
Operation 0 PNEUMATIC 0 HYDRAULIC
• Piping Supervised 0 YES 0 NO Detecting media supervised 0 YES 0 NO
DELUGE& Does valve operate from the manual trip a control stations 0 YES 0 NO
PREACTION Is there an accessible facility in each circuit f testing Method of testing-circuits
VALVES 0 YES 0 NO
operate Does each circuit Maximum time to
MAKE MODEL supervision loss alarm operate valve release operate release
YES NO YES NO YES NO
13. See Control Valve Maintenance Table.
Control Valve Maintenance Table
Explain
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
City Connection Control
Valve , 1,J
&sr y6 y6 .............
_ ,
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control ValvesI !/4 Q$" t/. y gS ••••.••1111•111•11., (/
Other Control Valves [ • i w T /J 1
Kitchen Control Valve
16. Water Flow Test at Sprinkler Riser •
Water Supply Source: Tank Pump
Date Size of Static Residual Differential
I •tion Test Pipe Pressure (Flow)
Pressure
Last Water Flow Test o>{ pc. Piser .2► 4
This Water Flow Test 47221c0 1 6) 7
14. Explain any"No"answers and comments:
Ate ",/,21
Signature _ . ,� fIl/ .S�' Date: