HomeMy WebLinkAbout2010-01-26 Summit Fire Protection Report �XMNIII FIRE PRb EC'TIO
f 575 MINNEHAHAAVE. W • ST. PAUL, 10103 • (651) 251 -1880 3026 AVE. 10 ROCHESTER, MN 55901 • (507) 280 -0622
418 GREAT OAK DR., WAITE PARK, MN 56387 • (320) 257 -6390 7601 . IBERFY FORTY, 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 INSPEC' °ION
MINNESOTA LICENSE NO. C0075 JOB NUMBER
INSPECTION NAME S71 LJ-W i ;C . Z Q+l� OCATI6%o S9r+7�
STREET S 86:,"2 0 190el Ju,£ , INSPECT / 0 2
CITY & STATE (X 1' ?Afe 1Z DATE (o – /O
Owner's Section (to be answered by Owner or Occupant) 1
A. Explain any occupancy hazard changes since the previous inspection: 1
B. Describe fire protection modifications made since last inspection:
C. Describe any fires since last inspection:
-- i
D. When was the system piping last checked for stoppage, corrosion of foreign material?
E. When was the dry- piping system last checked for proper pitch?
alves adequat ly pro ted from freezing?
Sin �` Title Date
Inspector 's ec . responses reference current inspection) NA =NOT APPLICABLE
1. General
a. Is the building occupied? 5$es ❑ No
b. Are all systems in service? ORes ❑ No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? O'es ❑ No
d. Does all electrical heat tape appear to be satisfactory? ❑Yes ❑ No 04VA �
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? ❑Yes ❑ No ONA
2. Control Valves (See Item 15.)
a. Are all sprinkler system control valves and all otheres in the appropriate open or closed p ition? ['Yes ❑ No
b. Are all control valves in the open position locked, or equipped with a tamper switch ?_ [BYes, ❑ No
.3. Tanks, Pumps, Fire Department Connections
a. When was fire pump last tested for performance? VI
b. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? ❑Yes ❑ No LA NA
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? JVes ❑ No ❑ NA
Are they accessible and visible? ZRes ❑ No ❑ NA
4. Wet Systems
a. Are cold weather valves (O.S. & Y.) in the appropriate open or closed position? ❑Yes ❑ No C ' A
b. Have antifreeze system solut�opseen tested? ❑Yes ❑ No ,9NA
c. What temp is antifreeze? //�"'��
d. In areas protected b wet system(s), does the buildin appear t e properly heated in all areas, including blind attics and perimeter areas
where accessible ?s ❑ No ❑ NA
5. Dry System (See 7tems 11 to 13)
a. Are dry valve(s) in service? ❑Yes ❑ No ❑ NA
b. Are the air pressures and fflairni at levels in accordance with the manufacturer's instructions? ❑Yes ❑ No ❑ NA
c. Has the operation of the g upplies been tested? ❑Yes ❑ No ❑ NA Are they in service? ❑Yes ❑ No ❑ NA
d. Were low points drained ction? ❑Yes ❑ No ❑ NA How many?
e. Did quick - opening devic actorily? ❑Yes ❑ No ❑ NA
f. Did the dry valve(s) trip ring the 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 ac ' v ves operate properly during testing? ❑Yes ❑ No ❑ NA
b. Did the heat - respons' e i s operate properly during testing? ❑Yes ❑ No ❑NA
c. Did supervisory dev
' a during testing? ❑Yes ❑ No ❑ NA
d. Did flow for kitchen o s st m shut off gas or electric? ❑Yes ❑ No ❑ NA
7. Alarms
a. Did water motor(s) and gong(s) test satisfa torily? ❑Yes ❑ No 6
b. Did electric alarm(s) test satisfactorily? es ❑ No ❑ NA
c. Did supervisory alarm service test satisfactorily? CRes ❑ No ❑ NA
�l
d. Did tamper switches test satisfactorily? ❑Yes ❑ No A
8. Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? des ❑ 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), pies ❑ No
d. Is stock of spare spri available? OR'es ❑ No
e. Does the exterior dition f sprinkler system appear to be satisfactory? Yes ❑ No
f. Are sprinkler proper to erature rating for their locations? Wes ❑ No
g. Are any s nkler heads oida repall list? ❑Yes [ Mo
Signatur f °�C —7 72 Date: 1 o� G /O
V
UMMIT FIRE PROTECTION
5115 Minnehaha Ave. W. St. Paul, MN 55103 •'551- 251 -1880 3026 40th Ave. NW • Rochester, MN 55901 507- 280 -0622
NJ0 Great Oak Dr. • Waite Park, MN 56387 • 320 - 257 -6390 760 Liberty Way • North Liberty, IA 52317 319- 665 -4330
8 Enterprise Circle • Duluth, MN 55811 • 218- 740 -4412 '
SHEET 2 OF 2 - Use separate sheet for each system inspection Type of System
Inspection Name _ Y"il7w L How Many?
Inspection Work Order What Size? A.) U a
Flow Switch or Alarm Check with Pressure Switch
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)
DRY VALVE TRIP TEST TABLE Q.O.D.
MAKE I MODEL I S�E RiAi NO MAKE I MODEL I SERIAL NO.
DRY PIPE Time to Trip Trip Point Ti Water Reached Alarm Operated
OPERATING Thru Test Pipe Water Pressure Au sure me Ai Pressure I Test Outlet Properly
TEST Min. Sec. PSI /_ PSI PSI Min. Sec. Yes No
O.O.D. (\
12.f Date deluge or preaction valve tested l �l (see Trip Test Table which follows)
TRIP TEST TABLE
Operation ❑ Pneumatic ❑ Elects .hc
Piping Supervised ❑ Yes ❑ No `� Detecting Media Supervised ❑ Yes ❑ No
DELUGE 8, I Does valve operate from the manual trip and/or remote control tions7 El Yes El No
PREACTION
VALVES I Is there an accessible facility in each circ ' testing? ❑Yes No Method of Testing Circuits:
MAKE MODEL ces Each Circuit Operate Does Each Circuit M aximum Time to
supervision Loss Alarm? Operate Valve Release? I Operate Release?
❑ Yes ❑ 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
Joclrey Control Valve
Pump Control Valves
Additional Pump Control Valves
Test Header
Sectional Control Valves
System Control Valves C:� t+ 8 r f� J�5 S
Other Control Valves /
1 Kitchen Control Valves
E
Water Flow Test at Sprinld
Water Supply Source:. City ✓ Well .Tank Pump
DATE TEST PIPE LOCATION SIZE OF TEST PIPE STATIC PEESSURE I RESIDUAL (FLOW) DIFFE RF.NTiAL f
PRE TEST POST TEST PRESSURE
Last Water Flow Test t 1 J g 11 ls_ u -71 Tr/
� Y O
This Water Flow Test 2
14.. Explain any "No" answers and comments:
Print Na P �" �y i / Signatu f .� JCa1 Date
t -