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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 ,, 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 /•`