HomeMy WebLinkAbout2011-05-26 Summit Fire Protection Report of Inspection SUMMIT FIR P'R ( 1ON
575 MINNEHAHAAVE. W • ST. PAUL, MN 55103 • (651) 251 -1880 3026 40TH AVE. NW • $OCR. MN 55901 • (507) 280 -0622
4,418 ilgEffettAK DR., WAITE PARK, MN 56387 .4320) 257-6390, 760 LIRE1 'Y WAY, NORTH 11ntERFY, IA 52317 • (319) 665 -4330
.4208 ENTERPRISE CIRCLE • DULUTH, MN 55811 • (218) 740-4412
y „ SHEET 1 OF 2 - Use separate sheet for each building inspection pr
REPORT OF INSPECTION
MINNESOTA LICENSE NO. C0075 JOB NUMBER 471 257
INSPECTION NAME /�j� BUILDING/LOCATION
STREET /5 JC et,.f'G'R J . INSPECTOR
CITY & STATE Cid7k P' ag. I Ey 611;-:'5,.'
/ /2741. DATE .5- a 6-#
Owner's Section (to be answered by Owner or Occupant)
A. Explain any occupancy hazard changes since the previous inspection: 1 i i
B. Describe fire protection modifications made since last inspection: /\
C. Describe any fires since last inspection:
D. When was the system piping Iast checked for stoppage, corrosion of foreign material?
E. When was the dry- piping system last checked for proper pitch? 1�
F. Are dry valv dequately protected m freezing? 1 D ate x,17 t, 1
Signature r Title `j .t.. , . 1'4 .\( 1
ik
e , w . I S Section (All responses reference current inspection) NA =NOT APPLICABLE
.1. $ • erai
a. , the building occupied?»Yes 0 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? Wes 0 No
d. Does all electrical heat tape appear to be satisfactory? ❑Yes ❑ No A
e. Does the hand hose or standpipe on the sprinkler system(s) appear to satisfactory? OYes 0 No VOA
2. Control Valves (See Item 15.)
a. Are all sprinkler system control valves and all other ' • the appropriate • • • •; - • position? ' es CI No
.b.Ar all l valves m the open�petsrtlon . a =., 4' .1' i;i4 _ x .p 4.'
a. Wie -was fire ppmp last tested for performance?
b. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? OYes LItini3RIA
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? 'es 0 No O NA
Are they accessible and visible? lines ❑ No 0 NA
4. Wet Systems
a. Are cold weather valves (O.S. & Y.) in the appropriate open or cased position? OYes 0 No l iA
b. Have antifreeze system soluti s been tested? OYes 0 No or
c. What temp is antifreeze? AJfrr
-,
d. In areas protected by wet system(s), does the buildin be properly heated in all areas, including blind attics and perimeter areas
where accessible? s 0 No ❑ 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 ater le ' s in accordance with the manufacturer's instructions? ❑Yes 0 No 0 NA
c. Has the operation of the air or ni • g . i 'es been tested? ❑Yes O No 0 NA Are they in service? Oyes 0 No ❑ NA
d. Were low points drained during . • 's ' • • : LI,, • ❑Yes 0 No ❑ NA How many?
e. Did quick - opening devices o... 11 w fir • y? UYes 0 No 0 NA
f. Did the dry valve(s) trip prope y • .• ; • e • 'p pressure test? ❑Yes 0 No 0 NA
g. Did the heating equipment in the dry-. • ' valve room(s) operate at time of inspection ? ❑Yes ❑ No O NA
6. Special Systems (See Item 14.)
a. Did the deluge or pre -action al - , • ' :. properly during testing? OYes LI No 0 NA
b. Did the- heat - responsive devi s • - .. - rly during testing? Oyes ❑ No ONA
c. Did supervisory devices s • ' • - • • • 7 . ting? OYes 0 No ❑ NA
d. Did flow for kitchen hood s • • • s o ■ gas or electric? OYes ❑ No ❑ NA
7. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? ❑Yes 0 No potA
b. Did electric alarm(s) test satisfactorily? Bites 0 No ❑ NA
c. Did supervisory alarm service test satisfactorily? Yes 0 No 0 NA SE 4g
d. Did tamper switches test satisfactorily? lies 0 No ❑ NA
8. Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? 4Yes 0 No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) Wes UNo
c. Are quick response and residential sprinklers less than 20 years old? (Older spriWers require sample testing)s 0 No
d. Is stock of spare s • ' • . ers available 0 No t
e. Does the exteri • • ndi on of sprinklk system appear to be satisfactory?Afts 0 No
f. Are sprinklers . • • • . temperature rating for their locations? es ❑ No
g. Are any s • •'. • . er • : • n a all - st ?'O es Dlo
, f'
Si u • • . . A s aw ...- paw „s" 19 6
SUMMIT M1 r ? R O TION
575 Minnehaha Ave. W. • St. Paul, MN 55103 • 651 -251 -1880 3026 40th Ave. NW • Rochester, MN 55901 • 507- 280 -0622
v ii8 G414 Oititr. • Waite Park, MN 56387 • 320-257 764 Liberty Way • North Liberty, IA 52317 • .319- 665 -4330
U 8 Enterprise Circle • Duluth, MN 55811 • 218 - 40X412 :
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'itiEET OF 2 - Use separate sheet for each system • pection � o System
Inspection Name 7 /Kr/ 3 #k Pk 1/(e.44 J How Man
Q,�f
Inspection Work Order / t /s ize?
ow Switc arm Check with Pressure Switch SE )114 ).%
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 MODEL N9. MAKE MODEL SERIAL NO.
DRY PIPE Time to Tri Water psure ure Trip Point Time Water Reached Alarm Operated
OPERATING Thnn Test Pipe Air Pressure Test Outlet Properly
. TSB` . Min; Sec. • ' n: • I . - PSI ' Min. Sec. Yes No
Without - Q.O.D. _
With
Q.O.D.
124_ Date deluge or preaction valve tested Air (see Trip Test Table which follows)
TRIP TEST TABLE
' Operation ❑ Pneumatic ❑ Electric
Piping Supervised ❑ Yes ❑ No Detecting Media Supervised ❑ Yes ❑ No
DELUGE & Does valve operate from the manual trip and/or remote control staff . ❑ Yes ❑ No
PREACTION
VALVES - Is there an accessible facility in each circuit for ' :? ❑ Yes • o Method of Testing Circuits:
MAKE M • • a Does Each Circuit Operate Does Each Circuit Maximum Time to
Supervision Loss Alarm? Operate Valve Release? Operate Release?
:13. See Control Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE
CONTROL VALVES NUMBER SIZE & TYPE OPEN SECURED CLOSED . SIGNS EXPLAIN ABNORMAL CONDI`ITONS
City Connection Control Valve / V r S r is Q T" ""� > ,,,, ( Jockey Control Valve
Pumnf Control Valves
A
Additional Pump Control Valves
Test Header
Sectional Control Valves
System Control Valves / 7 O dl.--.--......- y� '
Other Control Valves f
Kitchen Control Valves
Water Flow Teed at S , `,, _
Water Supply Source: Alk Well Tank Pump
DATE TEST PIPE LOCATION SIZE OF TEST PIPE STATIC PRESSURE RESIDUAL (PLUW) DIFFERENTIAL
Last Water Flow Test 6 1..10 Cr T i !T � ZSSUVRE
This Water Flow Test .S -?fo-I f f l4
14. Explain any "No" answers and comments:
/! Date +j" , �F -
r �/ ///41
Print Name Signs / t •