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Home My WebLink About2005-09-15 Viking Automatic Sprinkler Agreement & Inspection Report ST. L'ORIEN j`' '°�:; ��"" (651)5.. r300 � �.�'I�)-2 1- AUTOMATIC SPRINKLER C �, FAX: (651)558 3 I��I SEP I 5 2005. SHEET 1 OF 2-Use separate sheet for each building inspection AGREEMENT&REPORT OF INSPECTION Li 9 MINNESOTA LICENSE NO. C005 I ECTION# S�Z ` REPORT TO . ..4s , - - •. - � BUILDING OR LOCATION •..•P STREET .S(DSO Met�ws of i G) INSPECTOR haw I Ae CITY & STATE Qc lC T'orK ri 1t'}S i#14 h DATE S - t t- O��— Owner hires Viking Automatic Sprinkler Company to conduct an inspection of the fire suppression system at the above location or building,and prepare a written report of that inspection for an agreed upon fee. As part of this agreement,owner agrees to terms and conditions on rear of form and will complete the Owner's Section of this document. Owner's Section(To be answered by Owner or Occupant) A. Explain any occupancy hazard changes since the previous inspection: V\c'�1.--2._ B. Describe fire protection modifications made since last inspection. k t��_ C. Describe any fires since last inspection. 1 ep.. n D. When was the system piping last checked for stoppage, corrosion or foxeiematerial? t.cJ.e 4 Si 5AQ...--( E. When was the dry-piping system last checked for proper pitch? F. Are dry valves adequatelyTroteFted,from freezing? ,d frN Signature 'i NGx .� --L Title i 't=i t a ` t •1 Date ` it - C' Inspector's Section(All responses reference current inspection) NA =NOT APPLICABLE 1. General a.Is the building occupiedIe Yes ❑No b. Are all systems in service?,8 es ❑No c.Does there appear to be a minimum of 18 in. (457 mm)clearance between the top of the storage and the sprinkler deflectors) es ❑No d.Does the valve hose on the sprinkler system(s) appear to be satisfactory?❑Yes ❑No. „1.011 IA 2. Control Valves (See Item 15.) a.Do sprinkler system control valves appear to be in the appropriate open or closed positionYes ❑No b. Are control valves in the open position locked, sealed or equipped with a tamper switch20M1 Yes ❑No 3. Water Supplies (See Item 16.) a.Was a water flow test of main drain made at the sprinkler riser(s){es ❑No 4. Tanks,Pumps,Fire Department Connections a.Are fire pumps,gravity tanks,reservoirs and pressure tanks in good condition and properly maintained?❑Yes ❑No ,8SiA b. Are fire department connections in satisfactory condition,couplings free,caps in place,and check valves tightYes ❑No ❑NA Are they accessible and visible?,"es es ❑No ❑NA 5. Wet Systems a.Are cold weather valves (O.S. &Y.) in the appropriate open or closed position?❑Yes ❑No 1011A b. Have antifreeze system solutions been tested?❑Yes ❑No R'KA c.Were the antifreeze test results satisfactory?❑Yes ❑No NA d. In areas protected by wet system(s),does the building appear to be properly heated in all areas, incltding blind attics and perimeter areas where accessible? 'Yes ❑No ❑NA Do all exterior openings appear to be protected against freezing Yes ❑No ❑NA 6. Dry System(See Items 11 to 13.) a.Are dry valve(s)in service?❑Yes ❑No�8"NA b. Are the air pressures and priming water levels in accordance with the manufacturer's instructions?❑Yes ❑No .8'1NNA c. Has the operation of the air or nitrogen supplies been tested?❑Yes ❑No A Are they in service?❑Yes ❑No, NA d.Were all known low points drained during this inspection?❑Yes ❑No 011 NA e.Did quick-opening devices operate satisfactorily?❑Yes ❑No .. TA f.Did the dry valve(s)trip properly during the trip pressure test?❑Yes ❑No ,'FTA g. Did the heating equipment in the dry-pipe valve room(s)operate at time of inspection?❑Yes ❑No ,IA°1A 7. Special Systems(See Item 14.) a. Did the deluge or pre-action valves operate properly during testing?❑Yes ❑No &A b.Did the heat-responsive devices operate properly during testing? El ❑No ,r1 NA c.Did supervisory devices operate during testing?❑Yes ❑No,,ellA 8. Alarms a.Did water motor(s)and gong(s)test satisfactorily?❑Yes ❑NoA b.Did electric alarm(s)test satisfactory? Yes ❑l‘Lo NA c.Did supervisory alarm service test satisfactory? es ❑No eeNA 9. Sprinklers a.Do visible sprinklers appear to be free from corrosion, loading or obstruction to s ray discharge ?Pt/es ❑No b. Are sprinklers less than 50 years old?(Older sprinklers require sample testing)+ ]Yes ❑No c.Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing)❑Yes ❑No 4/A d. Is stock of spare sprinklers available?XrYes ❑No e.Does the exterior condition of sprinkler system appear to be satisfactory ?'6Yes ❑No f.Do visible sprinklers appear to be of proper t mperature rating for their locations?.erYes ❑No 10.Explain any "No" nswer and comments: L..Orsi\ (4r+`let 'i'x•r 9 / Q Signature: Date: L3 iiiii 1301 ORIENT STREET G ST. ,MINNESOTA 55117 AUTOMATIC S N ec>.. (651).,i8-3300 • (800)-229-6263 FAX: (651) 558-3310 SHEET 2 OF 2 - Use separate sheet for each system inspection System No.or Description if Multiple systems ( — 411 �� Inspection Report No. 5IzJ s z 11. Date dry-pipe valve trip tested(control valve partially open) (See Trip Test Table which follows) 12. Date dry-pipe valve trip tested (control valve fully open) __ (See Trip Test Table which follows) 13. Date quick-opening device tested (See Trip Test Table which follows) DRY VALVE TRIP TEST TABLE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. 411 DRY PIPE lime to Trip Water Air Trip Point Time Water Reached Alarm Operated OPERATING Thru Test Pipe Pressure Pressure Air Pressure Test Outlet Properly TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO Without Q.O.D. With Q.O.D. 14.Date deluge or preaction valve tested (See Trip Test Table which follows) TRIP TEST TABLE Operation 0 PNEUMATIC 0 ELECTRIC 0 HYDRAULIC Piping Supervised 0 YES 0 NO Detecting media supervised 0 YES ❑ NO DELUGE& Does valve operate from the manual trip and/or remote control stations 0 YES 0 NO 4 PREACTION Is there an accessible facility in each circuit for testing Method of testing-circuits VALVES 0 YES ❑ NO Does each circuit operate Does each circuit Maximum time to MAKE MODEL supervision loss alarm operate valve release operate release YES NO YES NO YES NO 15. See Control Valve Maintenance Table. Control Valve Maintenance Table Explain Abnormal Control Valves Number Type Open Secured Closed Signs Condition City Control Valves Bypass Valves Tank Control Valves Pump Control Valves Sectional Control Valves System Control Valves .1 -4" 8 F Other Control Valves Kitchen Control Valves 16. Water Flow Test at Sprinkler Riser Water Supply Source: Tank Pump Date est Pipe Size of Static Residual Location Test Pipe Pressure (Flow) Pressure Last Water Flow Test _ This Water Flow Test g")I-Ocj 4s 104`' 2 t t Z B 17. Explain any "No" answers and comments: 18. Adjustments or corrections made during this inspection: 19. Although these comments are not the result of an engineering review, the following desirable improvements are recommended: A.& Signature: it-/ Date: E?.../( -o 5