HomeMy WebLinkAbout2011-05-26 Summit Fire Protection Report of Inspection - Michaels SUMMIT `FIRE `PROTECTION
575 M1NNE AHA AVE. W • ST. PAUL, MN 55103 • (651) 251 -1880 3026 40TH AVE. NW • ROCHESTER. MN 55901 • (507) 280-0622
e418€REE T OAK DR., WAITE PARK, MN 56387 • (320) 257 -6390 760 LIBERTY WAY, NORTH LIBERTY, IA 52317 • (319) 665 -4330
'4208 ENTERPRISE CIRCLE • DULUTH, MN 55811 • (218) 740 -4412 r
at SHEET 1 OF 2 - Use separate sheet for each building inspection REPORT OF INSPECTION
MINNESOTA LICENSE NO. C0075 JOB NUMBER 7 /,
INSPECTION S(� Q NAME 4 r G - S BUILDING/LOCATION -� y7y 7
yS f ( l�CCI� �4 INSPECTOR
CITY & STATE E4 K P11 S2.14 Alf !& , /7/ DATE 5.26-#
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 inspection: t
D. When was the system piping last checked for stoppage, corrosion of fo ign material? of
E. When waa ie dry- • iping system last checked for proper pitch?
F. Are • , valves . • < • ua - i otec - • fro • freezing? V W/
Si i• . •.. ;
Title � f�` -
Date t \
V‘
i i. Inspector's Section (All respo r : . reference current inspection) NA =NOT APPLICABLE
1. General
a. Is the building occupied? Wes 0 No
b. Are all systems in service? Wes 0 No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? Oyes ❑ No
d. Does all electrical heat tape appear to be satisfactory? ❑Yes ❑ No ANA
e. Does the band hose or standpipe on the sprinkler system(s) appear to be satisfactory? ❑Yes 0 No IIK 4A
2. Control Valves (See Item 15.)
a. Are all sprinkler system control valves and all other valves in the appropriate • -. position ?' Yes O No
b. Are an control valves in the open position locked, sealed of equippe1 6 -
3. Tanks, Pumps, Fire Department Connections f
a. When was fire pump last tested for performance? 4)
b. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? DYes O No IA
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? hies 0 No ❑ NA
Are they accessible and visible? figiles ❑ No ❑ NA
4. Wet Systems
a. Are cold weather valves (O.S. & Y.) in the appropriate open or closed position? OYes 0 No prztA s
b. Have antifreeze system solutio been tested? OYes CI No' NA
c. What temp is antifreeze?
d. In areas protected by wet system(s), does the buil • • • _ • • to . properly heated in all areas, including blind attics and perimeter areas .
where accessible? J ames ❑ No 0 NA
5. Dry System (See kerns 11 to 13)
a. Are dry valve(s) in service? OYes ❑ No ❑ NA
b. Are the air pressures and priming water levels in accordance with the manufacturer's instructions? ❑Yes ❑ No ❑ NA
c. Has the operation of the air or • • : - • s 'plies been tested? ❑Yes ❑ No ❑ NA Are they in service? (]Yes ❑ No ❑ NA
d. Were low points drained durin _ • ' ' • • = lion? ❑Yes ❑ No ❑ NA How many?
e. Did quick - opening devices o • - - ti y? ❑Yes ❑ No ❑ NA
f. Did the dry valve(s) trip prope y • '1:11 e trip pressure test? ❑Yes ❑ No 0 NA
g. Did the heating equipment in the • - • i • valve room(s) operate at time of inspection ? OYes ❑ No " NA
6. Special Systems (See Item 14.)
a. Did the deluge or pre- action v ves operate properly during testing? ❑Yes ❑ No ❑ NA
b. Did the heat- responsive i • rate properly during testing? ❑Yes ❑ No UNA
c. Did supervisory devices • - g testing? OYes O No ❑ NA
d. Did flow for kitchen h • • tt' l hut off gas or electric? UYes 0 No ❑ NA
7. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? OYes ❑ No ISNA
b. Did electric alarm(s) test satisfactorily ?'Yes 0 No 0 NA
c. Did supervisory alarm service test satisfactorily 0 No 0 NA V#
d. Did tamper switches test satisfactorily ?�0Yes No 0 NA
8. Sprinklers
a. Are all sprinklers free from corrosion, loading or . •~ r-sr'• on • spray discharge ?•a't
b. Are sprinklers less than 50 years old? (Older s • . - • •. sample testing) Ores • •
c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing)?OYes 0 No
d. Is stock of spare s • ' • available? - es 0 No
e. Does the exterior • ...di •: • n of sprinkler system appear to be satisfactory? . /Yes 0 No
f. Are sprinklers • prope temperature rating for their locations? des 0 No
g. Are any s • ' er • . - . • a recall list? ❑Yes 0
Si L.. • a' ' . / Date: 5;76 -it
. _ SUMMIT F iTh PROTECTION
575 Minnehaha Ave. W. • St. Paul, MN 55103 • 651- 251 -1880 3026 40th Ave. NW • Rochester, MN 55901 • 507- 280-0622
T.^918 Gip/ Oak. • Waite Park, MN 56387 • 320 - 2574390 760 Liberty Way • North Liberty, IA 52317 • 319 -665 -4330
408 Enterprise Circle • Duluth, MN 55811 • 218 - 740 -4412
i I EET 2 OF 2 - Use separate sheet for each system inspection Type of System i K w "
Inspection Name ,f 1
1�4 How Many?
Inspection Work Order 1' 9S
4 Alarm Check with Pressure Switch 6'/ .s e 3.
AV 2
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) j (see Trip Test Table which follows)
11. Date quick - opening device tested C (see Trip Test Table which follows)
DRY VALVE TRW TEST TABLE Q.O.D.
MAKE MODEL NO. MAKE MODEL SERIAL NO.
DRY PIPE Time to Trip Trip Point Time Water Reached Alarm Operated
OPERATING Thru Test Pipe Water Pressure Air Pressure Ti
Air Pressure Test Outlet Properly
TEST Minn. Sec. PSI I PSI Min. Sec. - - Yes .. No
Without
Q.O.D.
With
Q.O.D.
12. Date deluge or preaction valve tested N f,O` (see Trip Test Table which follows)
TRIP TEST TABLE
Operations ❑ Pneumatic ❑ Electric ❑ Hydraulic
Piping Supervised ['Yes -❑ No Detecting Media Supervised ❑ Yes ❑ No
DELUC GE & Does valve operate from the manual trip and/or remote control ;cons? ❑ Yes ❑ No
' PREA
VALVES Is there an accessible facility in each circuit for testing? ❑ Yes ■ No Method of Testing Circuits:
MAKE • ' ' Time Does Each Circuit Operate Does Each Circuit Maximum me to
Supervision Loss Alarm? Operate Valve Release? Operate Release? _
_- .. ... ,- : +.- .- err -'a -:: H . .. - a. ..as...�- r..�....: x.., <,...s+w .. �.,....sr.- ..... -: ..... - . s2e•c,� ,_*'.- - " �, „a,
13. See Control Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE
4 CONTROL VALVES ER SIZE &TYPE OPEN SECURED CLOSED SIGNS EXPLAIN ABNORMAL CONDITIONS
City Connection Control Valve 6 . / A '1 --- p
Jockey Control Valve / i
Pump Control Valves
Additional Pump Control Valves
Atktst Header
N
Sectidnal Control Valves
System Control Valves 1 { j 'fir ..",-- - 7 ,
Other Control Valves
Kitchen Control Valves
-
Water Flow That at Sprinkle
Water Supply Source: 0101 Well Tank Pump
DATE TEST PIPE LOCATION SIZE OF TEST PIPE SC PAC / RFSIDIIAI� DIFFERENTIAL
Last Water Flow Test ! j— /a r .A J ? J P 3
This Water Flow Test , -.26-it &,ff 61 ` 1
"TWA) # Ia d)huu'
14. Explain any "No" answers and comments: A) 1 A/07-40.
pniA t Name
ilk/
Si _. i s , i dr ' Date