HomeMy WebLinkAbout2010-04-09 Summit Fire Protection Inspection Reporti'ROUCTION
575 MINNEHAHA AVE. W • ST. PAUL, 03 • (65 -1) 251 -1880 3026 46TH AVE.4
418 GREAT OAK DR., WAITE PARK, MN87 • (320) 257 -6390 760 LIBERTY WAY,
,*4208 ENTERPRISE CIRCLE • DULUTH, MN 55811 • (218) 740 -4412
SHEET 1 OF 2 - Use separate sheet for each building inspection
MINNESOTA LICENSE NO. C0075
INSPECTION NAME t - &F_ , D S "'7
STREET /y z R 0 � n� c
CITY &STATE C 7&k //�
REPORT OF INSPECTION
Owner's Section (to be answered by Owner or Occupant)
A. Explain any occupancy hazard changes since the previous inspection:
B.
C.
JOB
ciry
5901 • (507) 280 -0622
L r 9) 665 -4330
��1®
INSPECTOR f:: C
DATE L/— `?—
When was the system piping last checked for stoppage, corrosion of foreign material?
When was the pg system ast checked for proper pitch?
Are dry valves7,e
qu e lypr e ed fr m freezing? 5
Signature ( 1r Title Date
Section (All responses reference current inspection) NA =NOT APPLICABLE
I a. Is the building occupied ?Yes El No
/ b. Are all systems in service? des ❑ No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? �Kes ❑ No
d. Does all electrical heat tape appear to be satisfactory? ❑Yes ❑ No ORA
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? ❑Yes ❑ No OIA
Control Valves (See Item 15.)
a. Are all sprinkler system control valves and all other valves in the appropriate open or closed position? Wes ❑ No
b. Are all control valves in the open position Locke e e r equipped with a tamper switch? J &Mes ❑ 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 tanks in good condition and properly maintained? ❑Yes ❑ No 2pNA
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? 2Ms ❑ No ❑ NA
Are they accessible and visible? #0 ❑ No ❑ NA
4. Wet Systems
a. Are cold weather valves (O.Sy & in the appropriate open or closed position? ❑Yes ❑ NoXRA
b. Have antifreeze system olu ' n b en t sted? ❑Yes ❑ No ❑ NA
c. What temp is antifree ?
d. In areas protected by t t s , does the building appear to be properly heated in all areas, including blind attics and perimeter areas
where accessible? ❑Ye
5. Dry System (See Items 11 to 3)
a. Are dry valve(s) in service? �es El No ❑ NA
b. Are the air pressures and pnnnng water levels in accordance with the manufacturer's instructions? l �] No El NA
c. Has the operation of the air or nitrogen supplies been tested? Jdas ❑ No 13 NA Are4ey in service? es ❑ No ❑ NA
d. Were low points drained during this inspection ?,UXes ❑ No ❑ N How many?
e. Did quick- opening devices operate satisfactorily? ❑Yes ❑ No
f. Did the dry valve(s) trip properly during the trip pressure test? X es ❑ No ❑ NA
g. Did the heating equipment in the dry-pipe valve room(s) operate at time of inspection ?es ❑ No L3 NA
6. Special Systems (See Item 14.)
a. Did the deluge or pre- action valy ` o erate properly during testing? ❑Yes ❑ No Q NA
b. Did the heat - responsive de es p teproperly during testing? ❑Yes ❑ No ❑NA
c. Did supervisory devices o t esting? ❑Yes ❑ No ❑ NA
d. Did flow for kitchen hood ys e off gas or electric? ❑Yes ❑ No ❑ NA
7, Alarms
a. Did water motor(s) and gong(s) test satisfactorily? ❑Yes ❑ No AI&A
b. Did electric alarm(s) test satisfactorily? Wes ❑ No ❑ NA
c. Did supervisory alarm service test satisfactorily? ❑Yes ❑ No )!Pq
d. Did tamper switches test satisfactorily? ❑Yes ❑ NoA
8. Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? es ❑ No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) Affes ❑No
c: Are quick response and residential spruWers less than 20 years old? (Older sprinklers require sample testing) [,Yes ❑ No
d. Is stock of spare available.?UYes ❑ No
TI
e. Does the a or con WO of sprinkler ppear to be satis ctory?/8Yes 0 No
f. Are sp ' ers of proper t perature r or it locations? s ❑ No
g. Are y sprinkler he a re all li t? s No
Signa�re: ((( Date:
UMMIT FIRE PROTECTION
575 Minnehaha Ave. W. • ,St. Paul, MN 55103 51- 251 -1880 3"026 40th'Ave. NW • ' Rochester, MN 55901= • 507- 280 -0622 1
2 Great Oak Dr. Waite Park, MN 56387 • 320 - 257 -6390 760 Liberty Way North Liberty, IA 52317 •1319- 665 -4330
A Enterprise Circle • Duluth, MN 55811 • 218 -740 -4412
S ET 2 OF 2 - Use — 77 separate sheet for each system inspection Type of System
Inspection Name T r � -s a S How Many?
Inspection Work Order What Size?
r ,
Flow Switch or Alarm Check wi P��*� G1`►4
9. Date dry -pipe valve trip tested (control valve partially open) C-/ (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)
_
71D UP T1 CT TART .F.. n n_n
DRY PIPE
OPERATING
TEST
i
MAKE
v - -- MODEL
SERIAL NO.
MAKE
MODEL
SERIAL NO.
I
❑ Yes Method of Testing Circuits:
MAKE
MODEL
Does h Circuit Operate
SuWfvision Loss Alarm?
Does Each Circuit
Operate Valve Release?
Time to Trip
Thru Test Pipe
Water Pressure
Air Pressure
Trip Point
Air Pressure
Time Water Reached
Test Outlet
Alarm
Prope
_ . _.
Min,
Sec.
PSI
PSI
PSI
Min.
Sec.
Yes
No
Without
Additional Pump Control Valves
Q .O.D.
..+
Sectional Control Valves
With
System Control Valves
° ; S(
.thou:
Other Control Valves
12. Date deluge or *action valve tested (see Trip Test Table which follows)
Ti? iD TTi CT TA RT .F
DELUGE &
PREACTION
VALVES
Operation ❑ Pneumatic ❑ Electric
ydrau c
Piping Supervised ❑ Yes ❑ No
Detecting Media Supervised ❑ Yes ❑ No
Does valve operate from the manual trip and/or re mote co
rations? ❑ Yes ❑ No
Is there an accessible facility in each circuit for testing?
❑ Yes Method of Testing Circuits:
MAKE
MODEL
Does h Circuit Operate
SuWfvision Loss Alarm?
Does Each Circuit
Operate Valve Release?
Maximum Time to
Operate Release?
Jockey Control Valve
El Yes [I No
a._-.. ,_ _._.F -_a_
❑Yes "No__ ._ _
_ . _.
13. See Control Valve Maintenance Table
VnNTUnT. VAT VF. MAINTT,NANCF. TABLE
CONTROL VALVES
NUMBER
SIZE & TYPE
OPEN
SECURED
CLOSED
SIGNS
EXPLAIN ABNORMAL CONDITIONS
City Connection Control Valve
Jockey Control Valve
f*
Pump Control Valves
4 _
c'
Additional Pump Control Valves
Test Header
Sectional Control Valves
System Control Valves
° ; S(
Other Control Valves
Kitchen Control Valves
Water Flow Test at Sprinkler -
Water SUDDIV Source: City Well Tank PPo►P
DATE
TEST PIPE LOCATION
SIZE OF TEST PIPE
STATIC PRESSURE
PRE TEST
POST TEST
RESIDUAL (FLOWI
PRESSURE
Last Water Flow Test
f*
This Water Flow Test
4 _
c'