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2011-05-26 Summit Fire Protection Report of Inspection
SUMMIT FIRE PROTECTION --` 575'MINNEJ-IAHAAVE. W • ST. PAUL, MN 55103 • (651) 251 -1880 3026 40TH AVE. NW • ROCHESTER, MN 55901 • (507) 280-0622 41£t GREAT OAK DR., WAITE PARK, MN 56387^ (320) 257-6390_ 760 LIBE WAY, N9 LIBERTY, IA 52317 • (314) 665 -4330 di 4208 ENTERPRISE CIRCLE • DULUTH, MN 55811 • (218) 740 -4412 "' • SHEET 1 OF 2 - Use separate sheet for each building inspection ° REPORT OF INSP'LC"TIQN Q � �© MINNESOTA LICENSE NO. C0075 JOB NUMBER 6 t75 / INSPECTION NAME ,,,�* ig //.L643 , BUILDING/LOCATION L} ? ' �f 3 • .N,i►r.. filS STREET / 334 --/3315 !O?" S"" 4424- INSPECTOR la CITY & STATE k Pak• H /L /0/4,( DATE 5 (/ 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 inspections 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? F. Are dry valves adequately protected from freezing? Signature Title Date Inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE 1. General a. Is the building occupied ?iQits 0 No / otactoody b. Are all systems in service? es 0 No c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? Oaks ❑ No d. Does all electrical heat tape appear to be satisfactory? UYes 0 No A e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? UYes 0 No PIA 2. Control Valves (See Item 15.) a, Are all sprinkler system control valves and all other v - in the a • opeiate o •t, • •' • • • • s rtro 0 n?,Yes b. Are au control valves rn t °! position 1 • • � • • • iwi • ,. • • = + ,• ' 3: ICii rs Ps eDeparttnent C F rJ 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? UYes 0 NoiA c. Are fire department connections satisfactory condition, couplings free, caps in place, and check valves tight? r'es 0 No O NA Are they accessible and visible? es 0 No 0 NA 4. Wet Systems a. Are cold weather valves (O.S. & Y.) in the appropriate open or closed position? UYes 0 No CSA b. Have antifreeze system solutioggs_been tested? UYes 0 No gigi c. What temp is antifreeze? d. In areas protected by wet system(s), does the building • •pear • be properly heated in all areas, including blind attics and perimeter areas where accessible? Wes 0 No 0 NA 5. Dry System (See Items 11 to 13) a. Are dry valve(s) in service? OYes 0 No 0 NA b. Are the air pressures and priming water; levels in accordance with the manufacturer's instructions? OYes 0 No ❑ NA c. Has the operation of the air or • • ge .0 • lies been tested? OYes 0 No O NA Are they in service? UYes 0 No 0 NA . d. Were low points drained durin: 3 ' • . ' OYes O No O NA How many? e. Did quick-opening devices o • = . • s. • •rily? OYes ❑ No 0 NA f. Did the dry valve(s) trip props y d • trip pressure test? UYes 0 No 0 NA g. Did the heating equipment in the dry- .ipe valve room(s) operate at time of inspection ? UYes ❑ No 0 NA 6. Special Systems (See Item 14.) a. DidThe deluge or pre- action v v; . • properly during testing? UYes 0 No .O NA b. Did the heat - responsive devr • - o •roperly during testing? ` OYes 0 No UNA c. Did supervisory devices ope • = • F� testing? OYes ❑ No 0 NA d. Did flow for kitchen hoods . tem • . t off gas or electric? ❑Yes O No 0 NA 7. Alarms a. Did water motor(s) and gong(s) test satisfactorily? OYes 0 No ISGNA b. Did electric alarm(s) test satisfactorily? ,Yes 0 No 0 NA c. Did supervisory alarm service test satisfactorily? Ares 0 No 0 NA Z tl 1 d. Did tamper switches test satisfactorily? Cps 0 No 0 NA 8. Sprinklers a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? !Pies 0 No b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) ONo c. Are quick response and residential sprinklers less than 20 year old? (Older spnnklers require sample testing)/gies .0 I No d. Is stock of spare sprinklers available? es ❑ No der 3 e. Does the exterior condition of s er system appear to bd satisfactory?Xnes 0 No f. Are sprinklers o • - r temperature rating for their locations? Fiats 0 No g. Are any s. er h • on a recall list? 0 ,Kes 0 No Signature: _ 4W Date: 34' I j <:. S UMMIT FIRE PROTE CTION 575 Minnehaha ve. W. • St. Paul, MN 55103 • 651- 251 -1880 3026 40th Ave. NW • Rochester, MN 55901 • 507- 280 -0622 4!8 GNb • ar. • Waite Park, MN 56387 • 320 - 257„4390 760 Libe Way • T�7orth Liberty, IA 52317. 319 - 665 -4330 I 08 Enterprise Circle • Duluth, MN 55811 • 218 - 740 -4412 .,,,,,_ ^ hi tE ET 2 OF 2 - Uss�e sheet f� system inspection of System pec6onl±lame i3Pe1'�l t�1 ITi( How Man}1! ` 1 Inspection Work Order ! 2 What Size? w ante Alarm Check with Pressure Switch qr sro S, ' 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) quick-opening 11. Date device tested (see Trip Test Table which follows) DRY VALVE TRIP TEST TABLE Q.O.D. MAKE MODEL NO. MAKE MODEL SERIAL NO. DRY. PIPE Time to Trip Trip Point Time Water Reached Alarm Operated W Pressu • P ress ure OPERATING Thru Test Pipe - Air Pressure Test Outlet Properly N TEST Min. Sec. A I PSI Min. Sec. Yes No . ittioat - Wwm 12' Date deluge or preaction valve tested IV/4— (see Trip Test Table which follows) TRIP TEST TABLE P Operation ❑ Pneumatic ❑ El: .; draulic Piping Supervised ❑ Yes ❑ No Detecting Media Supervised ❑ Yes ❑ No DELUGE & Does valve operate from the manual trip and/or remote con. . ;ons? ❑ Yes ❑ No PREACTION t VALVES Is there an accessible facility in each circuit for ; . g? ❑ Yes ' No Method of Testing Circuits: MAKE MODEL Does Each Circuit Operate Does Each Circuit Mai4tnum Time to Supervision Loss Alarm? Operate Valve Release? Operate Release? 5P�*`4`+'SAPr'�A+Ed ` 1!'%''!,1It'+R':v �"'!',F!' "rte+' F`ef;` R 111 w s „ w A 4 13. See Control Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE CONTROL VALVES NU MBER SIZE & TYPE OPEN SECURED ' CLOSED SIGNS EXPLAIN ABNORMAL CONB'TIONS City Connection ControlYa / i o i • i y� lve ! ilke a Jocks* Control Valve n e. Punt t o ntrol Valves Additional. Pump Control Valves Test Header Sectional Control Valves System Control Valves 1 (/ V' (( " 'm"" y Other Control Valves " r' "` ""�"' Kitchen Control Valves r '-X Wat Flow 1kat at : . . Water Supply . , • - City — Well 'Hank Pump DATE TEST PIPE LOCATION SIZE OF TEST PIPE srATIu PRESSURE RESIDUAL ( DIFFERENTIAL i PRE TEST P06T TFST PRESSUR Last Water Flow Test 1,2 -/-10 A s 7 T/ 3 This Water Flow Test � - // 1/ ` a �+C 14. Explain any "No" answers and comments i • f Print Nark Signature 1, Date 644 .//'