HomeMy WebLinkAbout2006-10-16 Northstar Fire Protection Contractor's Material & Test Certificate for Aboveground Piping , • OCT. 25.2006 10:16AM NORTHSTAR FIRE PROTECTION NO. 6355 P. 2
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Contractor's Material and Test Certificate for Abovground Piping
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Upon completion of work, Inspection and tests shall be made by the.dontracto s repf>tatauve and rdtnessad by an owner's representative. All defects
shall be corrected and system left In servlee before contractors personnel finally leave the Job.
A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving ahlorkles, owners and contractor. It Is
understood WO owner's repnWenta ve'S signature In no way prejudices any dalm against contractor for faulty material, poor workmanship, or failure to
comply with approving authoregl requirements or local ordlnanCes.
PROPERTY NAtilE OAK PARItMARKET PLACE I DATE 10-1646 .
PROPERTY ADORNS 59a0 NI;AL AVE. NORTH OAK PARK, MINNESOTA 55082
fffi 1
A9Y APPROVING AUnHORmES (NAMES) 1
CITY OF 0* PARK HEIGHTS
ADDRESS
PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS - 13 YES - ❑ NO
tMPMEU5ED 15 APPROVED ® TIES ❑ NO
IF NO BRAIN DEVIATIONS
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN ISTRUCTED AS TO ® YES ❑ NO
LOCATION OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS
NEW EQUIPMENT?
IF NO, EXPLAIN?
INSTRUCTIONS _ c
HAVE COPIES OF THE FOUAwING KEEN LEFT ON THE PREMISES? ED ❑ NO
- - T. SY COMPONENTS INSV1WCTIONS ® S ❑ NO
2. CARE AND MAINTENANCE INSTRUCTIONS ® j] NO
' 3. NTPA 25 ® ❑ NO
LOCA ON OF SUPPLIES + • INGS ENTIRE
SYSTEM ' . 1 •
YEAR OF ORIFICE TEMPERATURE '
MAKE MODEL MANUFACTURE SIZE *TITY RATING
TYCO 1^f -PREI 2006 1/2" 125 155 ° F
° F
•
SPRINID.ERS o -
F
1 o
• PIPE AND TYPE OF PIPE STEeI.
FITTINGS
TYPE Of FITTINGS CAST IRON, STEEL
ALARM MAXIMUM TIME TO OPERATE
VALVE OR ALARM DEVICE THROUGH Itrr CONNECTION
• FLOW • - MAKE - MODEL N la... - to 1
INDICATOR VANE 1 POTTER - . VSR -F ' .
DRY VALVE Q-0.0.
MAKE I MODEL SERIAL NO. MAKE I more 1 SERIAL NO.
DRY PIPE •
OPERATING ; TIME TO TRIP TRIP 'IME WATER ALARM OPERATED
TEST ' THROUGH TEST WATER AIR POINT LEACHED PROPERLY
CONNECTION' PRESSURE PRESSURE AIR - EST OUTLET'
_
HA PSI IIIN PRESSURE
` MOilJr SECONDS PSI PSI lJTES SECONDS YE6 NO
WITMOITT ❑ ❑
WITH ❑ ❑
Q.O.D.
IF NO, EXP�IIIN .
I MEASURED FROM TIME INSIsECTORS TEST CONNECTION OPENED
•
... .
51
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OCT. 25. 2006 10 :16AM NORTHSTAR FIRE PROTECTION NO. 6355 P. 3
OPERATION
❑ PNEUMATIC ❑ ELECTRIC ❑ HYDRAULICS
PIPING SUPERVISED U YES ❑ NO I DETECTING MEDIA SUPERVISED ❑ YES ❑ NO
DEW GE AND DOES VALVE OPERATE FROM THE MANUALTRIP, REMOTE, OR BOTH i ❑ YES Q NO
PREACTlON CONTROL STATIONS? I
VALVES I5 THERE ACCESSIBLE FACILITY IN EACH CIRCUIT IF NO, EXPLAIN
FOR TESTING?
❑ YES ❑ NO
. I I DOES EACH CIRCUIT OERATE DOES EACH CIRCUIT OPERATE MAXIMUM TIME TO
SUPERVISION LOSS ALARM? VALVE RELEASE? OPERATE RELEASE
MAKE MODEL YES ND YES NO MINUTES SECONDS
❑ o ❑
PRESSURE LOCATION MAKE AND SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE
REDUCING AND FLOOR MODEL (FLOWING)
VALVE UT INLET (PSI) _OUTLET (PSI) INLET (PST) OUTLET ) I O (PSI) FWW (GPM)
HYDROSTATIC: HYDROSTATIC TESTS SHALL BE MADE AT NOT LESS THAN 200 PSI (1L6 BAR) FOR TWO HOURS OR 50 PSI (3.4
BARS) ABOVE STATIC PRESSURE IN EXCESS OF ISO PSI (10.2 BAR) FOR TWO HOURS. DIFFERENTIAL DRY-PIPE VALVE CLAPPERS
TEST SHALL BE LEFT OPEN DURING TEST TO PREVENT DAMAGE. ALL ABOVEGROUND PIPIN@ LEAKAGE SHALL BE STOPPED.
DESC
PNEUMATIC: ESTABLISH 40 PSI (2.7 BAR) AIR PRESSURE AND MEASURE DROP, WHICH SHALL NOT EXCEED 1!h PSI (0.1 BAR) IN
24 HOURS. TEST PRESSURE TANKS AT NORMAL WATER LEVEL AND AIR PRESSURE ANC MEASURE AIR PRESSURE DROP, WHICH
SMALL NOT EXCEED 114 PSI (0•1 BAR) IN 24 HOURS.
ALL PIPING HYDROSTATICALLY TESTED AT 200 PSI(13.78 bar) FOR 2 HOURS. IF NO, STATE REASON
DRY PIPINGIPNEUMUATICALLYTESTED ❑ YES ❑ NO
EQUIPMENT OPERATES PROPERLY ® YES 0 NO
TESTS
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORRO CHEMICALS, SODIUM SILICATE OR
DERIVATIVES OF SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WE NOT USED FOR TESTING SYSTEMS OR
STOPPING LEAKS?
`` 0 YES ❑ NO
DRAIN r ADING OF GAUGE LOCATED NEAR WATER SUPPLY TEST RESIDUX4RESSURE WITH VA IN TEST
TEST CONNECTION: 5 C PSI (0.008AR) s CONN OPEN LVE WIDE 5 5 0 PSI (0.00 BAR)
UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISERS FLUSHED BEFORE CONNECTION MADE
TO SPRINKLER PIPING.
VERIFIED Of COPY OF THE U FORM NO. NB ® YES ❑ NO OTHER EXRAIN
FLUSHED BTl INSTALLER OF UNDER-
GROUND SPRINKLER PIPING ® YES ❑ NO
BLANK TESTING NUMeEA USED LOCATIONS NUMBER REMOVED
GAITS ZERO
FLINT ® YES ■ NO •• • .
- IF YES...
D0 YOU FY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY
WITH THE REQUIREMENTS OF AT LEAST AWS 82.1? Ia YES ❑ NO
WEEDING
DO YOU THAT THE WE<DING WAS PERFORMED BY WELDERS QUALIFIED IN
COMPLIAN[E WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? r. YES ❑ NO
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPUANCE WITH A DOCUMENTED
QUALITY CNTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS
IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT
THE INTERNAL DIAMETERS OP PIPING ARE NOT PENETRATED? i ® YES ❑ NO
CUTOUTS DO YOU =TRY THAT YOU HAVE A CONTROL FEATURE TO INSURE THAT
(DISCS) ALL CUOT f TSS (DISCS) ARE RETRIEVW? ® YES ❑ NO
•
OCT. 25.2006 10:16AM NORTHSTAR FIRE PROTECTION . 1 NO. 6355 P. 4
HYDRAULIC IF NO, EXPLAIN
DATA NAMEPLATE PROVIDED
NAMEPLATE ® YES ❑ NO
REMARKS DATE LEFT IN SERVICE WITH ALL CONTROL VALVES•OPEN: 10-16 -06
NAME OF SPRINKLER CONTRACTOR: NORT}6TAR FIRE PROTECTION
ADDRESS: VS BLUE GENTIAN ROAD, EAGAN, MN S512,
PHONE: 651456.9111
FOR PROPERTY OWNERZSIGNEDJ TITLE DATE
SIGNATURES \ I K ; • F rx C..( (? Ji e( to f 2 N-/E1�
DATE
fi >> � � `� tit �- 10 .
"X _
EXPLANATION .40/7
AND NOTES
50g ,4-oC.F % 1� /0 dl
4A1/ 4o
le 0.0%.+` # L$L-
(Si 3 'I2 6(0
J IV) 0Q --Sew •
I --'7 r 7(n 1
3
OCT.25.2006 10:16AM NORTHSTAR FIRE PROTECTION N0.6355 - P. 1
Northstar Fire Protection _
675 BLUE GENTIAN ROAD EAGAN, MINNESOTA 5121 (651) 456 -9111 Fax (651) 456 -9222
FACSIMILE
DATE: (0i7 191Q
TO: &WOO R4`'
PHONE: l 1 5 4 4 9 % c 3
ATTN: FAX-
NUMBER OF PAGES INCLUDING COVER PAGE 14
i
� /►
SIGNED: ! r" _
iiortlistar fire protection
10/25/06 11: 31 AN via USA - Central Page 1 of 3 #466077 #8!
••••a•••e• ALARM NO
FROM: U. S. A. CENTRAL STAT�..N
FAX TO: WELLINGTON SECURITY
457854
OAK PARK HEIGHTS RETAIL CTR
5980 NEAL AVENUE NORTH
OAK PARK HEIGHTS, MN 55082
DATE /TIME:
ZONE /DESC:
COMMENT:
10/25/06 USA CENTRAL STATION ALARM CORP PAGE 1
DETAILED ACCOUNT ACTIVITY PRINTOUT(222)
INST 1486 TO 1486 ACCTS 457854 TO 457954 10/25/06 THROUGH 10/25/06 LOCAL
EYT DATE EVT TINE OPER EVENT /CONMENT
CS ACCT: 457854 OAK PARK HEIGHTS RETAIL CTR ALT ID: 457854
5980 NEAL AVENUE NORTH
OAK PARK HEIGHTS NN 55082
10/25/06 09:14:15 0I2 7822 SENSOR RESET `1 AREA:1
10/25/06 09:13:55 3 2000 RESTORE `T AREA:1 HATERFLOH
10/25/06 09:13:55 3 110 FIRE 'T AREA:1 KATERFLOK
10/25/06 09:12:27 N07 4034 SPINE HITH INSTALLER PAUL YELLE
10/25/06 09:12:24 0I2 7822 SENSOR RESET 'T AREA:1
10/25/06 09 :12:04 3 2000 RESTORE `T AREA :1 HATERFLOK
10/25/06 09:12:04 1 2000 RESTORE 'T AREA:1 PULL STATION
10/25/06 09:12 :04 3 110 FIRE `T AREA:1 KATERFLOK
10/25/05 09 :08:32 KI1 7822 SENSOR RESET '1 AREA:1
10/25/06 09:08 :32 1 110 FIRE '1 AREA:1 PULL STATION
10/15/06 09:08:32 4 2000 RESTORE 'T AREA:1 GATE VALVE
10/25/06 09:07:33 KII 7822 SENSOR RESET 'T AREA:1
10/25/06 09:07 :09 4 7896 FIRE SUPERVISORY 'T AREA:1 GATE VALVE
10/25/06 09:04:18 005 4034 SPOKE HITH INSTALLER PAUL YELLE
10/25/06 09:01 :38 KI2 7822 SENSOR RESET `T AREA:1
10/25/06 09:00 :29 KI2 7822 SENSOR RESET 'T AREA:1
10/25/06 09:00:29 3 2000 RESTORE 'T AREA:1 KATERFLOH
10/25/06 08:59:32 4 2000 RESTORE `T AREA:1 GATE VALVE
10/25/06 08:59:31 4 2000 RESTORE `T AREA:1 GATE VALVE
10/25/06 08 :59:31 4 7896 FIRE SUPERVISORY 'T AREA :1 GATE VALVE
10/25/06 08 :59 :31 3 110 FIRE 'T AREA :1 KATERFLOK
10/25/06 08:59 :09 4 7896 FIRE SUPERVISORY 'T AREA:1 GATE VALVE
10/25/06 08:44 :04 0I2 7822 SENSOR RESET `T AREA:1
10/25/06 08:44:04 3 2000 RESTORE 'T AREA:1 KATERFLOH
10/25/06 08:44:04 3 110 FIRE 'T AREA:1 HATERFLOK
10/25/06 08:43:03 KI2 7822 SENSOR RESET `T AREA:1
10/25/06 08:42:43 3 2000 RESTORE 'T AREA:1 HATERFLOK
10/25/06 08:42:43 0I2 7822 SENSOR RESET 'T AREA:1
10/25/06 08:42 :43 3 2000 RESTORE '1 AREA :1 HATERFLOK
10/25/06 08:42:43 0I2 7822 SENSOR RESET 'T AREA:1
10/25/06 08:42:43 3 2000 RESTORE `T AREA:1 KATERFLOK
10/25/06 08:42 :42 3 110 FIRE 'T AREA:1 KATERFLOK
10/25/06 08 :42:42 3 110 FIRE 'T AREA:1 HATERFLOK
10/25/06 11:31 AM via USA - Central Page 2 of 3 '4660771M
10/25/06 08:41:19 3 110 FIRE ' 'T AREA:1 ''''ERFLON
10/25/06 08:41:19 3 110 FIRE "T AREA:1 r.,IERFION
10/25/06 08:40:15 0I2 7822 SENSOR RESET "T AREA:1
10/25/06 08:40:15 3 2000 RESTORE 'T AREA:1 NATERFLON
10/25/06 08:40:15 3 110 FIRE "T AREA:1 NATERFLON
10/25/06 08:39:18 0I2 7822 SENSOR RESET 'T AREA:1
10/25/06 08:38:58 3 2000 RESTORE 'T AREA:1 NATERFLON
10/25/06 08:38:58 3 110 FIRE 'T AREA:1 NATERFLON
10/25/06 08:36:08 4 2000 RESTORE 'T AREA:1 GATE VALVE
10/25/06 08:36:08 NI1 7822 SENSOR RESET 'T AREA:1
10125/06 11:31 AM via USA- Central Page 3 of 3 *4660778•_
10/25/06 • USA CENTRAL STATION ALARM CORP „."..\ PAGE 2
_TAILED ACCOUNT ACTIVITY PRINTOUT(212)
INST 1486 TO 1486 RCCTS 457854 TO 451854 10/25/06 THROUGH 10/25/06
EYT DATE EVT TINE OPER EVENT /COMMENT
10/25/06 08:36:08 4 2000 RESTORE 'T AREA:1 GATE VALVE
10/25/06 08:36:08 4 2000 RESTORE 'T AREA:1 GATE VALVE
10/25/06 08:36:08 4 2000 RESTORE 'T AREA:1 GATE VALVE
10/25/06 08:35:15 4 2000 RESTORE 'T AREA:1 GATE VALVE
10/25/06 08:35:15 4 2000 RESTORE 'T AREA:1 GATE VALVE
10/25/06 08:35:15 4 2000 RESTORE 'T AREA:1 GATE VALVE
10/25/06 08:35:15 4 2000 RESTORE 'T AREA:1 GATE VALVE
10/25/06 08:35:15 4 2000 RESTORE 'T AREA:1 GATE VALVE
10/25/06 08:35:15 4 2000 RESTORE 'T AREA:1 GATE VALVE
10/25/06 08:35:15 4 7896 FIRE SUPERVISORY '1 AREA:1 GATE VALVE
10/25/06 08:35:15 4 7896 FIRE SUPERVISORY 'T AREA:1 GATE VALVE
10/25/06 08:34:38 4 7896 FIRE SUPERVISORY 'T AREA:1 GATE VALVE
10/25/06 08:34:18 4 7896 FIRE SUPERVISORY 'T AREA:1 GATE VALVE
10/25/06 08:34:18 4 7996 FIRE SUPERVISORY 'T AREA:1 GATE VALVE
10/25/06 08:34:18 4 7896 FIRE SUPERVISORY 'T AREA:1 GATE VALVE
10/25/06 08:34:18 4 7896 FIRE SUPERVISORY 'T AREA:1 GATE VALVE
10/25/06 08:34:18 4 7896 FIRE SUPERVISORY 'T AREA:1 GATE VALVE
10/25/06 08:34:18 4 1896 FIRE SUPERVISORY 'T AREA:1 GATE VALVE
10/25/06 08:34:18 4 1896 FIRE SUPERVISORY 'T AREA:1 GATE VALVE
10/25/06 08 :32:40 4 7896 FIRE SUPERVISORY 'T AREA:1 GATE VALVE
10/25/06 08:32:39 4 2000 RESTORE 'T AREA:1 GATE VALVE
10/25/06 08:31:50 4 2000 RESTORE 'T AREA:1 GATE VALVE
10/25/06 08:31:30 4 2000 RESTORE 'T AREA:1 GATE VALVE
10/25/06 08:31:30 4 7896 FIRE SUPERVISORY 'T AREA:1 GATE VALVE
10/25/06 08:31:30 4 7896 FIRE SUPERVISORY 'T AREA:1 GATE VALVE
10/25/06 08:31:30 4 7896 FIRE SUPERVISORY 'T AREA:1 GATE VALVE
10/25/06 08:31:30 4 2000 RESTORE 'T AREA:1 GATE VALVE
10/25/06 08:31:02 H07 4034 SPOKE WITH INSTALLER PAUL YELLE
END OF REPORT