HomeMy WebLinkAbout2012-01-18 Summit Fire Protection Report SUMMIT FIRE PROTECTION
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575 MNNNEHAHAAVE. W • ST. PAUL, MN 55103 • (651) 251 -1880 '43026 40TH AVE. NW •'ROCHESTER, MN 55901 • (507) 280 -0622
418 GREAT OAK DR., VWAI'1'E 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 RECEIVED MI n A 2 p
SHEET 1 OF 2 - Use separate sheet for each building inspection RECEIVED !I 22 7112
A 1 RT OF SPECTION
MINNESOTA LICENSE NO. C0075 5 84,, JOB NUMBER a
INSPECTION NAME Sj T)
a-i4j4 • )1.- BUILDING/LOCATION 540/..f STREET .c(Cry oc - O/f 4 IAA Ad €A&E� INSPECTOR C ! /by
CITY & STATE 0A K 7Mi k //£ /6 7 0 Y - DATE / -46 /
,
Owner's Section (to be answered by Owner or Occupant)
A. Explain any occupancy hazard changes since the previous inspection:
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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 mate "al? 1
E. When was the ■ : piping system last checked for properpitch?
, N^- a Title Date
Inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE
1. General
a. Is the building occupied ? »s ❑ No
b. Are all systems in service? jillfes ❑ No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? Ores ❑ No
d. Does all electrical heat tape appear to be satisfactory? ❑Yes ❑ No tilliTA
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? ❑Yes ❑ No iWNA
2. Control Valves (See Item 15.)
a. Are all sprinkler system control valves and all other valves in the appropriate open or closed position ?AYes ❑ No
b. Are all control valves in the open position locked, equipped with a tamper switch? Wes ❑ No
3. Tanks, Pumps, Fire Department Connections
a. When was fire pump last tested for performance? NM"
b. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? ❑Yes ❑ No 4 IA
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? )gYes ❑ No ❑ NA
Are they accessible and visible ?s ❑ No ❑ NA
4. Wet Systems
a. Are cold weather valves (O.S. & Y.) in the appropriate open orAlosed position? ❑Yes ❑ No L TA
b. Have antifreeze system solutiopfA. e�en tested? ❑Yes ❑ Ng/UNA
c. What temp is antifreeze? f4'
d. In areas protected by wet system(s), does the buildin: • , • • • , - properly heated in all areas, including blind attics and perimeter areas
where accessible ?s ❑ No ❑ NA
P 5. Dry System (See hems 11 to 13)
a. Are dry valve(s) in service? ❑Yes ❑ No ❑ NA
b. Are the air pressures and priming • ater levels in accordance with the manufacturer's instructions? ❑Yes ❑ No ❑ NA
Has the operation perat o - , Y„ . supplies: been tested? OY C l Nc► _ 01 Are they in seryic�e? DYes O.No. GI NA air • _
. ere ow points drained d f pection? C]Yes ❑ 1kTo l ]`l "" "vv`rhany? - . -�:
,
e. Did quick - opening devi • , : actorily? ❑Yes ❑ No ❑ NA
f. Did the dry valve(s) trip , 1 *' . ! , g the trip pressure test? ❑Yes ❑ No ❑ NA
g. Did the heating equipment in the dry-pipe valve room(s) operate at time of inspection ? ❑Yes ❑ No ❑ NA
6. Special Systems (See Item 14.)
a. Did the deluge or pre-actioi v. s o, . te properly during testing? ❑Yes ❑ No CI NA
b. Did the heat- responsive d. c -. , .i to properly during testing? Cl ❑ No ONA
c. Did supervisory devices , ; t r: , ° g testing? Cl ❑ No ❑ NA
d. Did flow for kitchen h. • . s - sh. t off gas or electric? ❑Yes ❑ No ❑ NA
7. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? ❑Yes ❑ No '' NA
b. Did electric alarm(s) test satisfactorily? mYes ❑ N,,pp,, ❑ NA
c. Did supervisory alarm service test satisfactorily? t ees ❑ No ❑ NA *Ag bot 414-
d. Did tamper switches test satisfactorily? ❑Yes ❑ No NA
8. Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge ? ? '� es 11 No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) es ONo
c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing),es ❑ No
d. Is stock of spare sprinklers available? (, es ❑ No
e. Does the exterior con . , of sprinkler system appear to be satisfactory? ifRes ❑ No
f. Are sprinklers of . . • - r te perature rating for their locations? fifes ❑ No
g. Are any sp ", . - ,eads o, a recall list? ❑Yes No .�' j / /
Signature: . l..I , 1 / ��� / / Date: f / ,lr
SUMMIT. FIRS P ` ' ! ' : ECTION
575 Miipehaha Ave. W. • St. Paul, MN 55103 • 651 - 251 -1880 • s 6 40th Ave. NW • Rochester, MN 55901 • 507- 280 -0622
418 Great Oak Dr. • Waite. Park, MN 56387 • 320 - 257 -6390 7 • t Liberty Way • North Liberty, IA 52317 • 319 -665 -4330
4208 Enterprise Circle • Duluth, MN 55811 • 218- 740 -4412 tt
"MEET 2 OF 2 - Use separate sheet for each system inspection inspection - .Type of System
ft L
pys
- tion Name v L L & r LLSL 5 8 to ), How Many ?.
f - ;on work order q-(01.08 what She ?. - 4G+ 'C 140040 - • r
1 _ " or Alattn k with Pressure Swtteh o f 3 "
9. Date dry-pipe yalve triptecfed (control Valve partially open)" (see plest Table which follows)
10. Date tiny pipe valve trip tested (control valve fully open) (see Trip Test Table which follows)
iity
11. Date quick - opening device tested (see Trip Test Table which follows)
DRY VALVE TRIP TEST TABLE Q.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
M
DRY PIPE Time to Trip waurPresanre Ai p ressure Tn point Time Water Reached Alarm Operated
OPERATING Thru Test Pipe Air . Test Outlet . Properly
Iutm. Sec. PSt - > �5 '' P91 IrGu. � Sec. Yes No
Without
Q.O.D.
With
12. Date deluge or preaction valve tested (see Trip Test Table which follows)
- TRIP TEST TABLE
Operation ❑ Pneumatic ❑ Electric El - . r 'c
Piping Supervised ❑ Yes ❑ No . Detecting Media Supervised ❑ Yes ❑ No
DELUGE & Does valve operate from the manual trip and/or re u -. • • : lions? ❑ Yes ❑ No
PREACTION
VALVES Is there an accessible facility in each circuit for testing? ❑ Yes r o 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 ' - 0 Yes . ❑ No . ❑ Yes ❑ No
3. see Control Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE -
CONntOL VALVES NUMBER SIZE & TYPE OPEN SECURED CLOSED SIGNS EXPLAINABNORMAL CONDITIONS
C ity Connection Control Valve
Jockey Control Valve
PumitControl Valves
Addrional Pump Control Valves
Test Header
Sectional Control Valves _. -
/� _ -
System Control Valves ' s y:c r �� _
Other Control Valves `
Kitchen Control Valves
Water Flow Test at S ,
Water Supply Source: ep Well Tank Pump
AJ. t DATE ] TEST PIPE LOCATION SIZE OF TEST PIPE � . STATIC PR HES IDPRt1F.SSOIICI; DIFFERENTIAL i water Flow Test I " /d. -f! �j /�. f %,2, 9
t _ �l A 39
Water Flow •Test +• ;' I ' �/ 9 3�,0r�,.
I
' Explain any "No" answers.d `
/ '_ Si / 1.lt k' ■1`"" Date / -/(
Print Name ! O S�