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20001-15 Summit Fire Protection Report of Inspection
'1 SUMMIT FIRE PROTECTION?I'S' 575 MINNEHAHAAVE.W•ST.PAUL,MN 55103•(654).251-1880 302640TH 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 4208 ENTERPRISE CIRCLE•DULUTH,MN 55811 •(218)740-4412 SHEET 1 OF 2-Use separate sheet for each building inspection REPORT OF INSPECTION MINNESOTA LICENSE NO.C0075 JOB NUMBER 993 y INSPECTION NAME S `L 2 ^ BUILDING/LOCATION ,�', r,� INSPECTOR � STREET 586 a /4 4 J / CITY&STATE. i92K tCGfij Mil DATE /-/� x Owner's Section(to be answered by Owner or Occupant) A. Explain any occupancy hazard changes since the previous inspection: B. Describe fire protection modifications made since last inspection: C. Describe any fires since last inspection: ill ( D. When was the system piping last checked for stoppage,corrosion of foreign material? -,WIfen was,th dry-piping system last checked or proop r pitch?; x_ _ . -_ . a valy-s adequa -1 .ro • om freezing? 11111111110W1 e i . w._ Al Title Date Inspector's Section(All responses reference current inspection) NA=NOT APPLICABLE 1. General a.Is the building occupied?J Yes ❑No b.Are all systems in service? giNes❑No c.Is there a minimum of 18 in.(457 mm)clearance between the top of the storage and the sprinkler deflectors? Wes ❑No d.Does all electrical heat tape appear to be satisfactory? ❑Yes ❑No 004A e.Does the hand hose or standpipe on the sprinkler system(s)appear to be satisfactory? OYes ❑No i iA 2. Control Valves(See Item 15.) a.Are all sprinkler system control valves and all other • in the appropriate open or closed position?.iYes ❑No b.Are all control valves in the open position lock-,41CZPIt equipped with a tamper switch? Wes 0 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 in good condition and properly maintained? ❑Yes❑No ANNA c.Are fire department connections in satisfactory condition,couplings free,caps in place,and check valves tight? es ❑No ❑NA Are they accessible and visible?WIes❑No ❑NA 4. Wet Systems a.Are cold weather valves(0.S.&Y.)in the appropriate open or closed position? ❑Yes ❑No NINA b.Have antifreeze system solutions been tested? ❑Yes ❑No PNA c.What temp is antifreeze? d.In areas protected by wet system(s),does the building properly heated in all areas,including blind attics and perimeter areas where accessible?Wes ❑No❑NA 5.**Dry System(See Items 11 to 13) a.Are dry valve(s)in service? ❑Yes U No 0 NA b.Are the air pressures and . ; :,: atpr*levels in accordajtce with the anufacttser' ins uctio�ys? �]Ygs P 1*Io I N&,.,,.,x , ., Y .. ,gym ;, �,� " _:_> . - _ c.Has the operation of the .?(Sr o.:i supplies been tested? ©Yes 1911No ❑NA Are they in Service? ❑Yes❑No ❑'NA d.Were low points drain-. . g 1 spection?❑Yes ❑No 0 NA How many? e.Did quick-opening dev. e•••- a sir; actorily? ❑Yes ❑No O NA .• 'f.Did the dry valve(s) '.p ..- .T ng the trip pressure test? ❑Yes ❑No❑NA g.Did the heating equipment in the dry-pipe valroom(s)operate at time of inspection? ❑Yes ❑No O NA 6. Special Systems(See Item 14.) a.Did the deluge or pre-ac'on ves operate properly during testing? ❑Yes ❑No O NA b.Did the heat-responsiv.'i ev s rate properly during testing? UYes ❑No❑NA c.Did supervisory devic=< Op; sting? ❑Yes❑No ❑NA d.Did flow for kitchen ,•+ -, m but off gas or electric? ❑Yes❑No ❑NA 7. Alarms RECEIVED a.Did water motor(s)and gong(s)test satisfactorily? DYes ❑No AA b.Did electric alarm(s)test satisfactorily? des O No O NA APR - 2 2009 c.Did supervisory alarm service test satisfactorily?fie, •• b.o 0 NA—7--be— _, d.aid tamper switches test satisfactorily? s 0N IPt���'. 8. 'Sprinklers -------- a. wa.Are all sprinklers free from corrosion,loading or obstruction to spray discharge? (aVes O No b.Are sprinklers less than 50 years old?(Older sprinklers require sample testing) des ONo c.Are quick response and residential sprinklers less than 20 years old?(Older sprinklers require sample testing)ilk4es 0 No d.Is stock of spare sprinklers available?„a es ❑No e.Does the exterior condition of sprinkler system appear to be satisfactory? fetes❑No f.Are sprinklers o : o.-r temperature rating for their locations?,s❑No g.Are any spri ler he.; on a recall list?❑Yes?No j • — 9Signator-.. —.Xi:: - Arm` :,.. C / 7 Date: j—/� — i 1 6. SUMMIT FIRE PROTECTION ICTION .5575« EHA-IAAVE.W•ST.PAUL,Mi_.,3103•(651)251-1880 3026 40TH AVE,N. •ROCHESTER,MN.55901 •(507)280-0622 418 GREAT OAK DR.,WATTE PARK,MN 56387•(320)257-6390 C1 760 LIBERTY WAY,NORTH LIBERTY,IA 52317•(319)665-4330 4208 ENTERPRISE CIRCLE•DULUTH,MN 55811 •(218)740-4412 // SHEET 2 OF 2-Use separate sheet for eachsystem inspection Type of System _4)6"LOZTL-- In_s_pection Name and Number How Many? n1 iii- 1, What Size? . t A obeor «• k:with Pressure Switch 9. Date dry-pipe valve trip tested (control valve partially open) (See Trip Test Table which follows) 10. Date thy-pipe valve trip tested(control valve fully open) (See Trip Test Table which follows) 11. Date quick-opening device tested (See Trip Test Table which follows) DRY VALVE TRIP TEST TABLE Q.O.D. MAKE MODEL S : • MAKE MODEL SERIAL NO. DRY PIPE Time to Tap Water ,it Trip Point Time Water Reached Alarm Operated OPERATING Thru Test Pipe Pressure pre .. Air Pressure Test Outlet Property TEST MIN. SEC. PSI PSI PSI MIN. SEC. YES NO Without O.O.D. Q.'s-, With Q.O.D. f S i e 12. Date deluge or preaction valve tested (See Trip Test Table which follows) RIP TEST TABLE Operation 0 PNEUMATICS 0 ELEC C 0 HYDRAULIC Piping Supervised 0 YES .4 NO Detecting media supervised 0 YES 0 NO DELUGE& Does valve operate from the manual trip and/or remo= «•ntrol stations ❑ YES 0 NO PREACTION Is there an acnis4aible facility'. _ «. circuit for testing Method of testing-circuits VALVES 0 YES a NO Does each« uit operate Does each circuit Maximum time to MAKE MO, L su•=misio• ., alarm ••-rate valve release . :te release .. 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 Tank Control Valves Pump Control Valves Sectional Control Valves r Sym Control Valves (,+•etc: �cv'� �_ Other Control Valves L� r KitchenS I 1 .f1 : e Control Valve--" t _ 1 z4 16. Water Flow Test at Sprinkler Riser Walt-Supply Source: Tank Pump 4. Date est Pipe Size of Static Residual Differential Location Test Pipe Pressure (Flow) Pressure Last Water Flow Test (2-i•o5 ,Edca °' 93 Jo 1/3 This Water Flow Testi—/J 07 '7/ 0/ V 14. Explain any"No"answers and comments: /9.15--. /ii. , 14 4,,r'e2£" (err fps e c % , x.rsr,,r,•,: //FA) '176 t?£ `%r 07 C". 0444t- f 17.--A141).../r. ,it/-t.5�) L,14,00,(4.,.4— ..14/ " f 4n cf "` g ► - -fT--` Signatu e: / 2ii /SC � -y� Date: /'�. 4�f