HomeMy WebLinkAbout2011-12-16 Summit Fire Protection Report of Inspection SUMMIT FIRE PROTECTION
575 iFIINNEHAHAAVE. W • ST. PAUL, MN 55103 • (651) 251 -i8) 3026 40TH AVE. NW • ROCHESTER, MN 55901 • (507) 280 -0622
418 GREAT 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
NI
SHEET 1 OF 2 - Use for each building inspection RECEIVED FEB 18
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REPORT O OF INSPECTION
MINNESOTA LICENSE NO. C0075 JOB NUMBER
if INSPECTION NAME 't.I1 E - S biti1 BUILDING/LOCATION lc
STREET 5 8 5 04r-- ' Y INSPECTOR t , 10 13 �
CITY & STATE OAK PARK ft4 t J DATE l 2 ►
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:
D. When was the system piping last checked for stoppage, corrosion of foreign material?
E. i e
When was e � 1 r, m � system last c kd f proper pitch? +
Are dry ?
Signature . x / 41 '! !? Title A � .1ffallre W*4 Date
Inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE
1. General
a. Is the building occupied?itY O 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? Zlilres 0 No
d. Does all electrical heat tape appear to be satisfactory? ❑Yes ❑ No C4A
e. Does the hand hose or standpipe on the sprinkler system(s) appear to 1Se satisfactory? ❑Yes 0 No SkicA
2. Control Valves (See Item 1S.)
a. Are all sprinkler system control valves and all other valves in the appropriate open or closed ition? Wes 0 No
b. Are all control valves in the open position locked, sealed or equipped with a tamper switch? s 0• No
3. Tanks, Pumps, Fire Departmen!Zaffiwedues
a. When was fire pump last tested for performance?
b. Are fire pumps, gravity tanks, reservoirs and press u in good condition and properly maintained? OYes 0 No A
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? OYes 0 No XNA
Are they accessible and visible? OYes 0 No •iA
4. Wet Systems
a. Are cold weather valves (O.S. & Y.) in the appropriate open or closed position? ❑Yes. ❑ No A
b. Have antifreeze system solu jen tested? ❑Yes O No C NA
c. What temp is antifreeze?
d. In areas protected by wet system(s), does the buil' ' + : • • • • to • :. perly heated in all areas, including blind attics and perimeter areas
where accessible? es 0 No ❑ NA
5. Dry System (See Items 11 to 13)
a. Are dry valve(s) in service? OYes 0 No C4A
b. Are the air pressures and priming water levels in accordance with e ac + is instructions? OYes 0 No 0 NA
c. Has the operation of the air or nitrogen supplies been tested? 0 � '. • ■ i they in service? 0Yes ❑ No O NA
_ = _
low-points-drained during-this inspection? ❑Yes ❑ No • Z A . � -
- - -
e. Did quick - opening. devices operate satisfactorily? ❑Yes O N 1
f. Didthe valve(s) properly during the trip pressure test ■� s • o a NA
g. Did the &sting equipment in the dry-pipe valve room(s) operate • t •• e of inspection ? OYes 0 No 0 NA
6. Special Systems (See Item 14.)
a. Did the deluge or pre-action valves operate properly durin s ++ ❑ No 0 NA
b. Did the heat - responsive devices operate properly during + _ • - ❑ No ONA
c. Did supervisory devices operate during testing? OYes ■4 ' A
d. Did flow for kitchen hood system shut off gas or elec + A . - . ❑ ' o O NA
7. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? OYes 0 No 41STA
b. Did electric alann(s) test satisfactorily? OYes 0 No O NA
c. Did supervisory alarm service test satisfactorily? OYes ❑ No Cl A
d. Did tamper switches test satisfactorily? OYes 0 No9NA
8. Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? es O No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) GiYes ONo
c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) *Les 0 No
d. Is stock of spare sprinklers available? Xes 0 No
e. Does the exterior condition • I • . et system appear to be satisfactory?;i 0 No
f. Are sprinklers of pro s - • mpera e rating for their locations? 7 - es 0 No •
g. Are any sprinkler h on a - all list? UYes
Signature: 0 f f/
rgna ° ,,
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SUMMIT FI*E PR(VI EUTION
575 Minnehaha Ave. W. • St. Paul, MN 55103 • 651 -251 -1880 `302640th Ave. NW • Rochester, MN 55901. • 507 -280 -0622
418 Great 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
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SI/IEET 2 OF 2 - Use separate sheet for each system inspection Type of System
on Name . " i ` L` u7OAJ Iiow Many?
.f
pection Work Order ? - `
tt • ?
- Flow witch or £heck with Pressure Switch
9 Date dry -pipe valve trip tested (control valve partiially. open)" (Se-Taft Test '13able which folknvs)
10, Date-dry-pipe valve trip' tested (cOnitrol valve ly -open) , (Vet* Test Table which follows.) --.. .-
11. Date clutek-p@ening lievioetested (see Trip Test Table which follows) , - i
DRY VALVE TRIP Q.O.D.
MAKE MODEL S O. MAKE MODEL SERIAL NO.
—
DRY PIPE Time to Trip 'p Time me Water Reached Alarm Operated
°' OPERATING Thru Test Pipe Water Pressure Air Pressure • Pressure Test Outlet Properly
TEST Mid Sec. PSI PSI PSI Min. Sec. Yes No
Without - Q.O.D.
wpm _
12.: Date deluge or preaction valve teste + (see Trip Test Table which follows)
r , TRIP TEST TABLE ,—. - -
on Pneumatic ❑ EI . c ❑ Hydraulic
operation i ❑ y
Piping Supervised ❑ Yes ❑ No Detecting Media Supervised 0 Yes ❑ No
DELUGE & Does valve operate from the manual trip and/or remote control ons? ❑ Yes ❑ No
PREACTION
VALVES Is there an accessible facility in each circuit for testing? ❑ Yes ❑ No Method of Testing Circuits:
MAKE MO DEL Does Bach Circuit Operate Does Each Circuit Maim' Time to
'- S ag e rv - - on Loss Operate Valve Release? : Operate Release?
-- ONO �: ]Yes . CI No ❑Y lN
Yes o
�Y� o - _
s
See Control Valve Maintenance Table ' CONTROL VALVE MAINTENANCE TABLE ,
CONTROL VALVES NUMBER SIZE& TYPE OPEN SECURED CLOSED SIGNS '_ EXPLAIN ABNORMAL CONDITIONS
i City Connection Control Valve
t .
lick* Control Valve
R
Pul*Control Valves
z .
Additional Pump Control Valves
Test Header
` Sectional Control Valves
F i
liri System Control Valves J x. f a l i/ ,, r / 0
Other Control Valves t 11! ` Y /
Kitchen Control Valves J
J
1 Water Flow Test at Sprinkler Riser /
Water Supply Source: City t ? Well Tank Pum
/ DATE TEST PIPE LOCATION SIZE OF TEST PIPE pRE U P DIFFERENTIAL Twr At t Water Flow Test / at { 4 7
tAIlhltl�e ,/� . /�
tbis water Flow Test f f l f = , . u fLr � /'`
4. Eitpla Runny " No answe commet i € fi- - A , .'Y ' *' j
I PalntName - Signature Date