HomeMy WebLinkAbout2010-01-05 Summit Fire Protection Report575 MIN NEHAHAAVE :W • ST. PAUL, Ni*3 • (65I)'251 -1880
418 GREAT OAK DR., WAITE PARK, MN 56387 • (320) 257 -6390
p 1208 ENTERPRISE CIRCLE • DULUTH, MN 55811 • (218) 740 -4412
SHEET 1 OF 2 - Use separate sheet for each building inspection REPORT OF
MINNESOTA LICENSE NO. C0075
3026 4
760 LI ERTA
L w
mr wr
MN 55901 • (507) 280 -0622
IA 52317 • (319) 665 -4330
INSPECTION NAME r"�A- PMI! (a /fin
STREET I ` r i 1 INSPECTOR
CITY & STATE G / DATE 1 - 5 - - .43
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:
When was the system piping last checked for stoppage, corrosion of foreign aterial?
When was - piping system last checked for proper pitch?
Ari it valv6s adequately vmleeted from freezina ?_,
Sign rure Title Date
Insp to ection ( ll responses reference current ins ection) _,_MI AOT APPLICABLE
1. neral
a. Is the building occupied? O'es ❑ No
b. Are all systems in service? PXes 13 No
o, Is there a minimum of 18 in. (457 nun) clearance between the top of the storage and the sprinkler deflectors? WYes ❑ No
d. Does all electrical heat tape appear to be satisfactory? ❑Yes ❑ No 5NA
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? ❑Yes ❑ NOUWA
2. Control Valves (See Item 15.)
a. Are all sprinkler system control valves and all other valves in the appropriate open or closed position? Wfes ❑ No
b. Are all control valves in the open position locked ale equipped wi amper sswi�c fames E3 No
3. Tanks; Pumps, Fire Department Connections r ----"` `
a. When was fire pump last tested for performance? /j /�
b. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? ❑Yes ❑ No 2pqA
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves fight? ;iWes ❑ No ❑ NA
Are they accessible and visible? ) Yes ❑ No ❑ NA
4. Wet Systems �
a. Are cold weather valves (O.S. & Y.) in the appropriate open or closed position? ❑Yes E3 No�VA
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 buildiW ppear a properly heated in all areas, including blind attics and perimeter areas
where accessible? �VdMs ❑ No ❑ NA
5. Dry System (See Rems 11 to 13)
a. Are dry valve(s) in service? ❑Yes ❑ No ❑ NA
b. Are the air pressures and priming watFr levels in accordance with the manufacturer's instructions? ❑Yes ❑ No ❑ NA
c. Has the operation of the air or 4ng ' s plies been tested? ❑Yes L1 No ❑ NA Are they in service? ❑Yes 13 No ❑ NA
d. Were low points drained durin ' tion? ❑Yes ❑ No E3 NA How many?
e. Did quick- opening devices ops only? ❑Yes ❑ No E3 NA
f. Did the dry valve(s) trip prope e trip pressure test? ❑Yes ❑ No ❑ NA
g. Did the heating equipment in the dry-pipe valve room(s) operate at time of inspection ? ❑Yes ❑ No ❑ NA
6. Special Systems (See Item 14.)
a. Did the deluge or pre- action v ve p ate properly during testing? ❑Yes ❑'No O NA
b. Did the heat - responsive devic o erly during testing? ❑Yes ❑ No ❑NA
c. Did supervisory devices opera d esting? ❑Yes L3 No E3 NA
d. Did flow for kitchen hood sys e s t off gas or electric? ❑Yes ❑ No ❑ NA
7. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? ❑Yes ❑ No,,a>NA
b. Did electric alarm(s) test satisfactorily? eMes ❑ No ❑ NA
c. Did supervisory alarm service test satisfactorily ? ❑ No ❑ NA ► ,,
d. Did tamper switches test satisfactorily? des ❑ No ❑ NA
8. Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? , 3Yes ❑ 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)A§�(es ❑ No
d. Is stock of spare sprinklers available? Wes ❑ No
e. Does the exteri on 'lion of sprinkler system appear to be satisfactory? eyes ❑ No
f. Are sprinkle of pro er temperature r g their locations ?�es ❑ No
g. Are any s nkler h recall li e O No
Sign a e: sc J Date: I ` 'fLIJ
} ARE PI.Oft ll
57� N innehaha Ave. W. • St. Paul, MN 55103 880 3026 40tH Ave. NW -"Roches _
ter, MN 55901 507 -280 0622
�
Great Oak Dr.- • Waite Park, MN 56387 • 320- 257 -6390 760 Liberty Way North Liberty, IA 52317 319- 665 -4330
4 Enterprise Circle • Duluth, MN 55811 218- 740 -441
SHEET 2 OF 2 - Use separate sheet or each Ty Y
p f system inspection, of System
Inspection Name A PPLEZEr t 401 How Many?
Inspection Work Order Eiit 9,53 ze?
ow! witc Alarm Check with Pressure Switch 5rrZS
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 Table which follows)
n0V VAT VC TOLD 9ruOT TA D7 T
DRY PIPE
OPERATING
TEST
12. Vate deluge or preaction valve tested (see Trip Test Table which follows)
TRIP TEST TABLE
DELUGE &
PREACTION
VALVES
MAKE
MODEL
O.
MAKE
MODEL
SERIAL NO. .
Is there an accessible facility in each circuit for ting? ❑Yes El
Method of Testing Circuits:
MAC
EL
l
oes Each Circuit Operate
Supervi ion Loss Alarm?
Does Each Circuit
Operate Valve Release?
Time to Trip
Thru Test Pipe
water Pressure
essure
Trip Point
Time Water Reached
Alarm. Operated
❑Yes ❑No'
-
Air Pressure
Test Outlet
Properly
Without
Min.
Sec.
PSI
P I
- PSI
Min.
Sec.
Yes
No
Q. O.D.
Sectional Control Valves
With
System Control Valves
O.D.
TCitcheh Control Valves
Operation ❑ Pneumatic ❑ Electric EQydrattlo
NUMBER
Piping Supervised ❑ Yes ❑ No
Detecting Media Supervised ❑ Ye,s ❑ No
Does valve operate from the manual trip and/or remote control stations?
❑ Yes ❑ No "
Is there an accessible facility in each circuit for ting? ❑Yes El
Method of Testing Circuits:
MAC
EL
l
oes Each Circuit Operate
Supervi ion Loss Alarm?
Does Each Circuit
Operate Valve Release?
Maximum Time to
Operate Release?
Pump Control Valves
El Yes El No
❑Yes ❑No
❑Yes ❑No'
13 See Control Valve Maintenance Table
V1A1UT1DnY VA 7 VTi TR A i1►TT1171LT A XTf+ , TA.
CONTROL VALVES
City Connection Control Valve
NUMBER
SIZE & TYPE
OPEN Y
SECURED
CLOSED lAL
SIGNS
EXPLAIN ABNORMAL CONDITIONS
Jockey Control Valve
— — Q
l
1 kr
Pump Control Valves
! --
Additional Pump Control Valves
Test Header
Sectional Control Valves
System Control Valves
Other Control Valves
TCitcheh Control Valves
Water Now Test at Sprinkler
Water Supply Source: �, C� it Well Tank
r
14. Explain any "No" answers and comments : _ Pm FD( 4_ l /f: te'.0 0 Vs—,Cc f�',7A—, 1 /r... -i_ A /,- T77S'1
DATE
TEST PIPE LOCATION
SIZE TEST PIPE
STATIC PRESSURE
PRE TEST
POST TEST
RESIDUAL (FLOW)
PRESSURE
DIFFERENTIAL
Last Water Flow Test
— — Q
l
1 kr
This Water Flow Test
! --
r
14. Explain any "No" answers and comments : _ Pm FD( 4_ l /f: te'.0 0 Vs—,Cc f�',7A—, 1 /r... -i_ A /,- T77S'1