HomeMy WebLinkAbout2011-01-12 Summit Fire Protection Report (2) SUMMIT 111 RH PROTECTION
'" 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, NORTH LIBERTY, IA 52317 • (319) 665 -4330
4208 ENTERPRISE CIRCLE • DULUTH, MN 55811 • (218) 740- 4412
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SHEET 1 OF 2 -Use separate sheet for each building inspection O r RECEIVED -22. .
i lllSPI�TION '
MINNESOTA LICENSE NO C0075 ' c /,, ) JOB NUMBER ' 9 (0Yr
ICt ThISPaCTIONisTANIE iSigrf •$ BUILDINGr/LOCATION +b'" , - 9_ t -
sum l• '* .s ' )qV :.IN -- SPECTOR b
CITY &STATE ' k l trr f •W :: - -DATE ;, /'" r.-ta - -
Ownii's Se (to be answered by Owner or Occupant) A,. Explain any occupancy hazard changes since the previous inspection: p
B, be f� pprotect1 n m �'fications made since last inspection: t } V . �L
M1 p 16ait:St,✓ ^ N C. C. Describe any fires since last inspection: j `
U. When was the systempiping last checked for stoppage, corrosion of foreign material? 2
was the • a, '
When j 1 s s • 1 ,checked f• .ro d r •i h?
Signature f i' .. # Title Date 1
Inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE
1. General
a. Is the building occupied? Wes ❑ No
b. Are all systems in service? likes ❑ No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of th storage and the sprinkler deflectors? Yes ❑ No
d. Does all electrical heat tape appear to be satisfactory? ❑Yes 0 No N.NA
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? ❑Yes ❑ No RNA
2. Control Valves (See Item 15.)
a. Are -all- sprinkler system control valves and all other valves in the appropriate o,. ' • • • position? dWes 0 No
b. Are all control valves in the open position locked, sealed or equipped w , 4 41=t5 e MN 94es 0 No
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 0 No,NA
• : c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? es . ❑ No 0 NA
Are they accessible and visible? Vies ❑ No ❑ NA
4 4. Wet Systems .
z. a. Are cold weather valves (O.S. & Y.) in the appropriate open or losed position? ❑Yes O No t NA
b. Have antifreeze system solup r�s been tested? ❑Yes ❑ No O4A
c. What temp is antifreeze? NI
d. In areas protected by wet system(s), does the building be properly heated in all areas,- including blind attics and perimeter areas
where accessible? s ❑ No ❑ NA
5. Dry System (See 11•ems 11 to 13)
a. Are dry valves) in service? ❑Yes 0 No ❑ NA
b. Are the air pressures and primin l wa - r levels in accordance with the manufacturer's instructions? OYes. ❑ No 0 NA
c. Has the opera ;o of the air or _ ' L , , , ! :- la 1.0 ? Yes ' C I NA Are they m service? C4Yes C3 No .4 NA
' 'dtainetl dfi % e e� et_ by : i 4E,. .1 :: a::.. - ......:;
e. Did quick - opening devices o • a 1 ' s rily? ❑Yes ❑ No ❑ NA
f. Did the dry valve(s) trip properly d , 1 - . • pressure test? ❑Yes ❑ No 0 NA
g. Did'the heating equipment in the • ! • - f alve room(s) operate at time of inspection ? ❑Yes O No ❑ NA
6. Special Systems (See Item 14.)
a. Did the deluge or pre-action v. es + - rate properly during testing? ❑Yes ❑ No ❑ NA
b. Did the heat - responsive devi ' ` • •perly during testing? ❑Yes 0 No ONA
c. Did supervisory devices oper. • g? ❑Yes ❑ No ❑ NA
d. Did flow for kitchen hood system s , + gas or electric? ❑Yes ❑ No ❑ NA
'1. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? ❑Yes 0 No to
- b. Did electric alarm(s) test satisfactorily? pies ❑ No ❑ NA
c. Did supervisory alarm service test satisfactorily? Imes O No 0 NA 4 "t '�
d. Did tamperswit hes test satisfactorily? s 0 No 0 NA
6 8. Sprinkler; .. -
r O a. Are all sprin s free from coiosion, loading or obstruction tc s d*scbarge? if'es CAE. '
b. Are sprinklers =less than 50 years old? (Older spr�ei's require sample testing) Et 'es 13No
k c. Ark quick response and residential sp ` _ . less than 20 years old? (Older sprinklers require sample testing)es 0 No
t' A. Is stock of spare sprinklers available? > es ❑ No
e. Does the exterior co , .. of sprinkle s - m appear to be satisfactory? J2 es ❑ No ,
f. Are sprinklers • • per 1 perature . r1 g fo eir locations? T clii•tbs ❑ No
g. Are any sp ' e l er head • n a recall ' . t? ► - ❑ No " j `
Signature: - /,/r .5C I( -� a r Date: / '`C
SUMMIT FIRE PROTECTION
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 • North Liberty, IA 52317 • 319- 665 -4330
4208 Enterprise Circle • Duluth, MN 55811 • 218- 740 -4412 t �'`'''
t HEET 2 OF2 - Use separate sheet for each system inspection Tape of System i) # Z ~ 1/
eetion Name , 4PP /FeCt -S . Z I S c . 1 H o w ` M any?
p ?
'onWosk: q4 ¥¥A What Size.? • ' j •
`' ow. S. Checl�wit6 pressure Swttd . 1 ' ; i
9. Date dry - pip* v alve trip tested (conttoI valve partlsliy open) ' - (see =d Test Table subicti'foJiow
10. Date 'valve trip tested (control valve: fully p Tesi Table which follows) '� -
�Y P� � P Y �►) (see _ r
11. Date ` ick - opening device tested (see Trip lest Table which follows) a
DRY VALVE TRIP TEST TABLE Q.O.D.
MAKE MODEL . 1 it % NO. MAKE MODEL SERIAL NO.
DRY PIPE Time to Trip Trip Point Time Water Reached Alarm Operated
OPERATING Thru Test Pipe Water Pressure ssure • Air Pressure Test Outlet Properly
TEST °- . min, sec. I5I PST ,
C.,„... - - Wm. Sec. _ Yes No
�. �:- . . . -- -
witrmwt
Q.O.D. .
With
11 Dam — Mttge;or ;reaction valve tested (see Trip Test Table which follows)
,` TRIP TEST TABLE .
Operation El Pneumatic 0 Electric Hydraulic
Piping Supervised 11 Yes ❑ No Detecting Media Supervised ❑ Yes ❑ No
DELUGE & . Does valve operate from the manual trip and/or remote co tations? ❑ Yes ❑ No
PREACTION
VALVES Is there an accessible facility in each circuit for testing? ❑ ❑ No Method of Testing Circuits:
MAKE �" ►►.,� MODEL . Does Each Circuit Operate Does. Each Circuit Maximum Time to -
Supervision Loss Alarm? Operate Valve Release? Overate- Release?
"Dyes , 0 No ❑Yes JNo - .DYes 0 No
3. See control Valve Maintenance CONTROL VALVE MAINTENANCE , TA$ T'
CONTROL VALVES NUMBER SIZE & TYPE OPEN SECURED CLOSED SIGNS EXPI:i1IN :ABNORMAL CONDITIONS
City Connection Control Valve
Jockey Control Valve
Pumplvontrol Valves
Additit mal Pump Control Valves
Test Header
Sectional Control Valves
System Control : ves d - t .,.r.w•,
Other Control Valves
Kitchen Control Valves
Water Flaw Test at
Water Supply Source: City Well Tank. Pump PRESSURE DATE TEST PIPE LOCATION . SIZE OF TEST PIPE p p�. T DIFFERENTIAL .,_ Last Water Flow Test (�` �' r � / # '
Water Row Test ) ,—/X
c - " No ausw c o � 4+r'swy,t (Ice_ -.{� #'- y . � yyy ���
E� �Y
Print Name " �� Sign ,.¢ T ' Al _ f Date ` f y /•`