HomeMy WebLinkAbout2011-02-14 Report of Inspection - SummitFire Inspection SUMMIT FIRE PROTECTION
`I`575 MINNEHAHA AVE. W • ST. PAUL, MN 55103 • (651) 251 -1880 3026 40TH AVE. NW • ROCHESTER, MN 55901 • (507) 280-0622
418 GREAT OAK DR., WAITE PARK, MN 56387 • (320) 257 -6390 760 LIBERTY WAY,NORlW665 -4330
'4208 ENTERPRISE CIRCLE • DULUTH, MN 55811 • (218) 740 -4412
SHEET' 1 OF 2 - Use separate sheet for each building inspection MAY 2 4 !011
REPORT OF E%SPECTION
MINNESOTA LICENSE NO. C0075 JOB 6
INSPECTION NAME 1 j ",f:,.) [zHAIS - BUILDING/LOC - • , M
STREET 5 L0 tate..A 4_ / t 1) £Akt r INSPECTOR r 1
CITY' 8'c STATE,. Q ( ` £ / �6AF�. DATE .._ i ` .
Owner's Section (to be answered by Owner or Occupant) t F
A. Explain any occupancy hazard changes since the previous inspection: 4
..,:- ....,„...--
B. Describe fire protection modifications made since last inspection:
C. Describe any fires since last inspection:
D. When was the system piping last checked for stoppage, corrosion of foreign material? Z
When was the dry piping sys - i I. las} h ked for proper pitch? j
• dry valves • uately pro - ; o freezing? /
1 '. ,..e e " - .:,,,. ..�,.,.:- . . r . . . . -4. a - = w .. tilde,- 3- - -- :, d.- ..,.,. .. - t" Date -4.--- '. A .r- -
. is Section (All responses reference current inspection) NA =NOT APPLICABLE
" :1. Gen.
a. Is the building occupied? gwes ❑ No
b. Are all systems in service )O es ❑ No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflec tors? *Ares ❑ No
d. Does all electrical heat tape appear to be satisfactory? ❑Yes ❑ No ,Iil:INA
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 other valves in the appropriate o en or closed position? f 1Ces 0 No
b. Are all control valves in the open position locked . -0 ed , equipped wi per wi c es ❑ No
r 3. Tanks, Pumps, Fire Department Connections
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? ❑Yes D No ,34•1A
c. Are fire department cot bectionl in satisfactory condition, couplings free, caps in. place, and check valves tight? es 0 No O NA
Are they accessible and visible? es CI No ❑ NA s z . A
4. Wet Systems
a. Are cold weather valves (O.S. & Y.) in the appropriate open or closed position? QYes ❑ No RNA
b. Have antifreeze system solutio s been tested? ❑Yes ❑ No ti►NA
c. What temp is antifreeze? A/4
d. In areas protected by wet system(s), does the building properly heated in all areas, including blind attics and perimeter areas
where accessible? es ❑ No 0 NA � -/
' 5. Dry System (See Hems 11 to 13)
a. Are dry valve(s) in service? ❑Yes ❑ No ❑ NA
b. Are the air pressures and p • ' . g w. ter levels in accordance with the manufacturer's instructions? ❑Yes 0 No ❑ NA
c. HIas the op ation of the air a 8 i ..,_ supplies been e
tsted? ❑Yes ❑ /(lo 0 NA Ain they,, in service? 61Yes q N9` CI NA
ii
d. Were low points drained d I II . . - tion? ❑Yes 0 No ❑ NA How many?
e. Did quick - opening devices .pe .. . 1 orily? QYes ❑ No ❑ NA
f. Did the dry valve(s) trip proper • g • e trip pressure test? ❑Yes ❑ No ❑ NA
g. Did the heating equipment in the • -pipe valve room(s) operate at time of inspection ? ❑Yes ❑ No ❑ NA
6. Special Systems (See Item 14.)
a. Did the deluge or pre- actio. al - . o. - rate properly during testing? QYes ❑ No ❑ NA
b. Did the heat - responsive de a - •,. properly during testing? ❑Yes ❑ No ❑NA
c. Did supervisory devices • , : . •�.y _ 1 i . g? ❑Yes ❑ No 0 NA
d. Did flow for kitchen ha • • s . - - `T off gas or electric? QYes ❑ No 0 NA l
7. Alaxruiis
-a, Did water motot(s). and test satisfactoni. 9 0Yes Q No_9: 1A
b_ Did electric alarm(s) test satisfactorily es C No CI NA
e. Did supervisory alarm - service test sati si torily? Wes - D No 0 NA a x r S/ 3 i-,0' I
c1. Did tamper switches test satisfactorily? s U No 0 NA .
8. Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? ties ❑ No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) Wes ❑No 1
c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) Mites ❑ No
d. Is stock of spare sprinklers available? C Iles ❑ No
e. Does the exterior ... •• ;on of sprinkler system appear to be satisfactory? es 0 No
f. Are sprinklers . . • • -- temperature rating for their locations? Ales ❑ isro
g. Are any s. ' n er he. •, • a recall list? ❑Yes No
Signature: t , ' � + f- C. « ..1 Date: ( 1
4 SUMMIT & E PROTECTIQrt
t5 Minnehaha Ave. VV • St. Paul, MN 55103 • 651- 251 -(880 3026 40th Ave. NW • Rochester, MN 55901 • 507- 280 -0622
Great Oak Dr. • Waite Park, MN 56387 • 320 -257 -6390 760 Liberty Way • Istorth Liberty, IA 52317 • 319 -665 -4330
Enterprise Circle • Duluth, MN 55811 • 218 - 740 -4412
4
SHEET 2 OF 2 - Use separate sheet or each system inspection 0 l rd 0 4..,£"7"--
pa f sy pe Type of System
Inspection Name o Qii. Z How Many?
y . Inspection Work Order 8 fiY What Size ?,
ow S eim with P2+esSUrC �
i 9 Datedey -pipe: valve ttY� ?,ested-.( valve partta11yopen) (see Tnp 1itst w ) - ton - O. -4 ,
3
10: , Date " lry pipe valve ttsiflested`(ccnt of valve fully open) (see pTect Table w ,.. >3110V/S), � .
11 Date quick-opening see Trip Test Table w • `,, follows)
2 4 7U1
pening device tested
D R Y v A L v E TRIP TEST TABLE CI 16JE OAK MARK HFIGi1TS
MAKE MODEL NO. MAKE M • • . • N
DRY PIPE Time to Trip Trip Point Time Water Reached Alarm Operated
OPERATING Thru Test Pipe W Pressure Air Pressure Air Pressure Test Outlet Properly
TEST Min. Sec. PSI PSI Min. Sec. Yes No
Without
Q.O.D.
With
Q.O.D.
• _ . . _ ;_... -- ,..k. a 1,_.....� ..._ .- - - Y ..- - -. .- ,g. ,:.._,.. _ - - -- #- "- .` - - --`?- `- I.- - -- - —
- .
I . , 'Date deluge or preaction valve tested K (see Trip Test Table which follows)
- ...... TRIP TEST TABLE
Operation ❑ Pneumatic ❑ El ' ❑ Hydraulic
Piping Supervised ❑ Yes ❑ No Detecting Media Supervised ❑ Yes ❑ No
DELUGE & Does valve operate from the manual trip and/or remote control stati ? ❑ Yes ❑ No
PREACTION
VALVES Is there an accessible facility in each circuit for testing? ❑ Yes ❑ No Method of Testing Circuits:
MAKE MODEL Does Each Circuit Operate Does Each Circuit Maximum Time to
Supervision Loss Alarm? Operate Valve. Release? Operate Release?
❑Yes 0 No ❑Yes 0 No ❑Yes 0 R
t 13. lee CPatroi Valve Maintenance Table_ CONTROL VALVE MAIl NANCE TABLE• -
COtt1'ROL VALVES - NUMBER SIZE & TYPE O PEN SECURED CLOSED • SIGNS.: ' EXPLAIN AIIN t ONDT13ONS • -
i City won Control Valve
Jock[* Control Valve
PumpControl Valves
NIditionil Pump Control Valves
Test Header
cpaoalGontgDl�taLYas 1y : , /
`
163e, (
System Control Valves S't�t� /Qat,
O)her Control Valves )115 t
Kitchen Control Valves
Water Flow Test at Sp�ir
Water Supply Source: *. Well Tank Pump ,
yss_ s )Rt1A1. (1rt+OW)
;, DATE' TEST PIPE LOCATION SIZE OF S T' P> , D FFE
.LastWatei' - "+ - t _ ' i
iciVaterFlow`Test ' - ►i / Y
�� A y f
14c" _Expiammany No answert answers and comments
�� J � 1 /f
Print Namee Y V Signs tom: �" vt 'Z Date