HomeMy WebLinkAboutBP 2005-00052 Fire Protection Certificate of Installation - Rotisserie Hood & Main Hood ,....„
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, ,_ Northland =�
Fire & Secwity
Your Life Safety Specialists
4445 W. 77th Street, Suite 125
Minneapolis, MN 55435
FIRE SUPPRESSION SYSTEM DISTRIBUTOR CERTIFICATE OF INSTALLATION
To Be Completed by Fire System Distributor
Job Name ko w l sk,'.t — go i s's Ho, I
Job Address 580 / N t l A v€. N.
0.-k i�, k Ile i t, f( , /44/l/ 5
System Type / ,A
System Model f-149)_ I.5 J / Serial Number S - 6).9,5
Fuel/Energy Shut Off Device Installed. Tested on , Q — e.7 5'
Gas Valve: Mechanical Q‹ Electrical ❑ Size 34, " Shunt Breaker
This Fire Suppression System is installed in accordance per the Manufacturer's instructions
and drawings, NFPA 96, 17A, UL300 standards (current issues) and all applicable state and local
codes. All electrical work or work performed by others to complete the installation of this system
has been completed. Exceptions are noted below. (Use back of sheet if necessary)
Installer's Name (,,, /, A ‘. /
Signature 714-4. A � 1.0 Date - .S -og'
To be Completed by Owner or Owner's Representative
I have received a copy of the Fire Suppression System Owner's Manual and I understand it.
I also understand that it is the recommendation of the National Fire Protection Association
(NFPA) that •i e system be inspected every six months to maintain its reliability.
Signature , _'...;.4 1 /.. 1 C ' '— Date 5 9' c. 7'
To be Completed by the Authority Having Jurisdiction
Functional tests have been witnessed and the system performs as designed.
Signature 64,4 ("'k Date .5/' /
ENTERED
zoos -00652
COMPLETE FIRE & SECURITY PROTECTION OSAFETECH" 24 HOUR SERVICE ANSUL® (952) 893 -0905 Fax: (952) 835 -4742
Northland '`_
Fie & Secwity
Your Life Safety Specialists
4445 W. 77th Street, Suite 125
Minneapolis, MN 55435
FIRE SUPPRESSION SYSTEM DISTRIBUTOR CERTIFICATE OF INSTALLATION
To Be Completed by Fire System Distributor
Job Name k.,9 l 5 `.' 3 — M4 el /, J
Job Address 5 is a / /V eft / A- v € . /V.
Va ge h /7 , if , mo w 53 .2-
System a s 4 I
System Model / b )__ 6 ,, //o ,-, Serial Number 8 X 9O 7
.9
Fuel/Energy Shut Off Device Installed. Tested on .5 7-- 0
Gas Valve: MechanicallElectrical 0 Size 3`y ' Shunt Breaker
This Fire Suppression System is installed in accordance per the Manufacturer's instructions
and drawings, NFPA 96, 17A, UL300 standards (current issues) and all applicable state and local
codes. All electrical work or work performed by others to complete the installation of this system
has been completed. Exceptions are noted below. (Use back of sheet if necessary)
Installer's Name 61 " e M A , /
Signature _. a' d L Date - 5 -- -C "v S
To be Completed by Owner or Owner's Representative
I have received a copy of the Fire Suppression System Owner's Manual and I understand it.
I also understand that it is the recommendation of the National Fire Protection Association
(NFPA) that t e syste u be inspected every six months to maintain its reliability.
Signature , , 4 , I / / J _ Date 5 - e
. / W ,"
To be Completed by the Authority Having Jurisdiction
Functional tests have been witnessed and the system performs as designed.
Signature 1'4'4 � 014.4 \vttJL Date g/' / S'
JO ENTERED
COMPLETE FIRE & SECURITY PROTECTION
* 2005 - ooO 5 Z
24 HOUR SERVICE ANSUL. ( E EcH"
(952) 893 -0905 Fax: (952) 835 -4742