HomeMy WebLinkAbout2010-01-13 Report of Inspection - Summit Fire Protection SUMMIT FIRE PROTECTION
575 MINNEHAHA AVE. W • ST. PAUL, M 03 • (651) 251 -1880 302640T E: 55901 • (507) 280 -0622
418 GREAT OAK DR., WAITE PARK, MN 5 387 • (320) 257 -6390 760 LIBER Y WAY; NO Y, 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 q �/
MINNESOTA LICENSE NO. C0075 C JOB NUMBER' :i� I •S T
INSPECTION NAME -- r, On J 6 &s BUILDING /LOCATION =: / Z
STREET 5'3 10 W E A L g 1 J, E n/ u K. INSPECTOR —__ /_�Z Agu
CTTY &STATE f�f! I{ PAlZll . iY� DATE / -/ �3 - /e)
Owner's Section (to be answered by Owner or Occupant)
A. Explain any occupancy hazard changes since the previous inspection: f
B. Describe fire protection modifications made since last inspection: J —
C. Describe any fires since last inspection:
Tl 7CJffV T_7
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When was the system piping last checked for stoppage, corrosion of foreign material?
1 E. When was the dry- piping system last checked for proper pitch?
F. e dry valves ade u tt y protected from freezing?
Si ature ✓ ✓�I�� j � f Title Date
Ins p tor's ection (All respo A s referenc� current inspection) NA =NOT APPLICABLE
1. G
a. I the building occupied? >it es ❑ No
b all systems in service? Wes ❑ No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? Cos ❑ No
d. Does all electrical heat tape appear to be satisfactory? ❑Yes ❑ No WNA
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? ❑Yes ❑ No [ANA
2. Control Valves (See Item 15.)
a. Are all sprinkler system control valves and all othe valv in the appropriate o en or closed position? Wes ❑ No
b. Are all control valves in the open position loc Seale or equipped wi amper sw ch-9 *es ❑ No
3. Tanks, Pumps, Fire Department Connections
a. When was fire pump last tested for performance? IVIA
b. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? ❑Yes ❑ No Z&A
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? Les ❑ No ❑ NA
Are they accessible and visible? Wfes ❑ No ❑ NA
4. Wet Systems
a. Are cold weather valves (O.S. & Y.) in the appropriate open or closed position? ❑Yes ❑ No ANA
b. Have antifreeze system solutions been tested? ❑Yes ❑ No ANA
c. What temp is antifreeze? AJ /# r
d. In areas protected by wet system(s), does the buildin pp>art
where accessible? Oyes ❑ No ❑ NA e p roperly heated in all areas, including blind attics and perimeter areas
5. Dry System (See Items 11 to 13)
a. Are dry valve(s) in service? ❑Yes ❑ No ❑ NA
b. Are the air pressures and ' g water levels in accordance with the manufacturer's instructions? ❑Yes ❑ No ❑ NA
c. Has the operation of the r o itrogen supplies been tested? ❑Yes L3 No ❑ NA Are they in service? ❑Yes ❑ No El NA
d. Were low points drain u ' inspection? ❑Yes El No ❑ NA How many?
e. Did quick - opening de ce r e atisfactorily? ❑Yes L3 No ❑ NA
f. Did the dry valve(s) trip p rl g the trip pressure test? ❑Yes 13 No ❑ NA
g. Did the heating equipment in t d -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 es operate properly during testing? ❑Yes El No ❑ NA
b. Did the heat - responsive de is o rate properly during testing? ❑Yes 13 No ❑NA
c. Did supervisory devices o r t testing? ❑Yes ❑ No ❑ NA
d. Did flow for kitchen hoo s t s ut off gas or electric? ❑Yes L3 No ❑ NA
7. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? ❑ [ Yes ❑ No MA
b. Did electric alarm(s) test satisfactorily? AVes ❑ No L] NA
c. Did supervisory alarm service test satisfactorily? Pkes ❑ No ❑ NA SiN 77 S�S : ,F/n T
d. Did tamper switches test satisfactorily? Wes ❑No ❑ NA
8. Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharges es ❑ No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) es ❑No
c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) P11es ❑ No
d. Is stock of spare sprinklers available? �Wes ❑ No
e. Does the exterior c - tion of sprinkler system appear to be satisfactory? �es 13 No
f. Are sprinklers rope temperature rating for their locations? Wes ❑ No
g. Are any sp ' er headi on a recall list? ❑Y l0 - ?
Signature /�I f `J�c�,/ Date: �/ J ^/
MMIT FIRE PROTECTIO V.,chester, 575 Minnehaha Ave. W. St. Paul, MN 55103 1 -251 -1880 3026 40th Ave. NW 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
4$08 Enterprise Circle • Duluth, MN 55811 • 218 - 740 -4412
SHEET 2 OF 2 - Use separate sheet for each system inspection Type of System � Y'
/
Inspection Name u 0-7 _rCWA -S How Many? '
Inspection Work Order ,�� q_ What Size?
low Switc r Alarm Check with Pressure Switch_
9. Date dry-pipe valve trip tested (control valve partially open) i (see Trip Test Table which follows)
10. Date dry-pipe valve trip tested (control valve fully open) /f 1/ , t (� ` - (see Trip Test Table which follows)
11. Date quick - opening device tested + v 'f (see Trip Test Table which follows)
DRY VALVE TRIP TEST_ TABLE Q.O.D.
MAKE I MODEL ` L NO. I MAKE MODEL SERIAL NO.
I
DRY PIPE Time to Trip Wat Trip Point Time Water Reached Alarm Operated
er Air
OPERATING Thm Test Pipe / p � a Pressure Air Pressure Test Outlet Properly
TEST I Min. - Sec. {� PSI PSI PSI Min. Sec. Yes No
Withou
Q.O.Dt
With
Q.O.D.
12. Date deluge or preactiion valve tested (see Trip Test Table which follows)
TRIP TEST TABLE
Operation ❑ Pneumatic ❑ Electric ❑ H ulic
Piping Supervised ❑ Yes ❑ No �� Detecting Media Supervised ❑ Yes ❑ No
DELUGE & I
PREACTION Does valve operate from the manual trip and/or remote control stations ?_ [<Yes El No 1
VALVES I Is there an accessible facility in each circuit for testing? ❑ Yes ❑ No A tod of Testing Circuits:
MAKE MODEL Does Eachircuit Operate Does Each Circuit Maximum Time to
1 Supeerv n Loss Alarm? Operate Valve Release? Operate Release?
\ ; es ❑ No ❑ Yes ❑ No ❑ Yes ❑ No
13. See Control Valve Maintenance Table
CONTROL VALVE MAINTENANCE TABLE
CONTROL VALVES NUMBER SIZE & TYPE OPEN SECURED CLOSED SIGNS EXPLAIN ABNORMAL CONDITIONS
City Connection Control Valve I
Jockey Control Valve j I
Pump Control Valves I
Additional Pump Control Valves l
Test Header
Sectional Control Valves I
System Control Valves
Other Control Valves l
Kitchen Control Valves
Water now Test at Sprink
Water Supply Source: City / \ ) Well Tank Pump
DATE TEST PIPE LOCATION SIZE OF TEST PIPE PR� AINrr P 0 1VM A P R ES SA DIFFER ENTIAL l I
Last Water Flow Test - - J q' S i__ ' /�1 " �p & 2. / 6
This Water Flow Test - f 3 - /� r loo 6 7 1 &3 6p
14. Explain any "No" answers and comments:
Print Name <`7 Signattire 7 /' SL - ? /Date / - 3 �k✓