HomeMy WebLinkAbout2012-06-05 Report of Inspection (5951 - 5991) - Summit Fire Protection SUMMIT FIRE PROTECTION
575 MINNEHAHAAVE. W • ST. PAUL, MN 55103 • (651) 251 -1880 3026 40TH AVE. NW • ROCHESTER, MN 55901 • (507) 280-0622
t> 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
Si SHEET 1 OF 2 - Use separate sheet for each building inspection
REPORT OE INSPECTION
MINNESOTA LICENSE NO. C0075 JOB. NUMBER -...
INSPECTION NAME- r.f. srr4Wr'iL %. >p BUILDING/LOCATION -- '
STREET '''fir/ - - ' ' A d. _ i .w r. i- IN-- R : / i L.r• 'a.Eii (
z ...
CITY & STATE wi" ' / mr''?�.. sfi► .# , t DATE # •Ill
Owner's Section (to be answered by Owner or Occupant)
` A. Explain any occupancy hazard changes since the previous inspection:
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 material? L>A)14itd
Are,. aloes .,i .i sr, r FS S from from ffreeezing.` p
Signature Title Date
Inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE
1. General
a. Is the building occupied? Ye ❑ No
b. Are all systems in servic ? es ❑ No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflec rs? Yes ❑ No
d. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? ❑Yes ❑ No L 1A
2. Control Valves (See Item 15.) $'
a. Are all sprinkler system control valves and all other valves in the appropriate o.. • 4sed tion? es CI No
b. Are all control valves in the open position locked, sealed or equipped wi i Atli' witc i ' 'es o
J.
3. Tanks, Pumps, Fire Department Connections
a. When was fire pump last tested for performance?
b. Are fire pumps, gravity tanks, reservoirs and pressure in good condition and properly maintained? °Yes 0 No 41,46A
c. Are fire department connections in satisfactory condition, couplings free, caps m place, and check valves tight? ',yes 0 No ❑ NA
- Are they accessible and visible?Yes C7 No ❑ NA
4. Wet Systems
i a. Have antifreeze system solution4 ken tested? ❑Yes ❑ No N : A
b. What temp is antifreeze? /In
c. In areas protected y wet system(s), does the buildin; • • • - • • properly heated in all areas, including blind attics and perimeter areas
where accessible? es ❑ No 0 NA
5. Dry System (See Ire 11 to 13)
a. Are dry valve(s) in service? ❑Yes ❑ No L NA
b. Are the air pressures and priming water lev4ls in accordance with the an • y,,� instructions? ❑Yes ❑ No CI NA
c. Has the operation of the air or nitrogen supplies been tested? ❑Yes s. N...„.• y[ = e they in service? ❑Yes ❑ No ❑ NA
d. Were low points drained during this ins .. tion? ❑Yes ❑ No ❑ N - ! . •
f. Did the dry valve(s) trip properly during the trill pressure test? e ❑ e 'i • • NA
g. Did the heating equipment in the dry -pipe valve room(s) operate .t time of inspection ? ❑Yes 0 No ❑ NA
6. Special Systems (See Item 14.)
a. Did the deluge or pre-action valves operate properly durin. , es; g? • Is ❑ No ❑ NA i
b. Did the heat - responsive devices operate properly during r +' rA ❑ No ❑NA
c. Did supervisory devices operate during testing? ❑Yes • o • •
d. Did flow for kitchen hood system shut off gas or elec i • . s e ' No ❑ NA
7. Alarms
a. Did water motor(s) and gong(s) test satisf torily? ❑Yes ❑ No A
b. Did electric alarm(s) test satisfactorily? Yes 0 No ❑ NA f 4 ,,
- .., c. Did supervisory alarm service test satisf ctorily? Yes ❑ No 0 NA ,y1 C . I
f d. Did tamper switches test satisfactorily? 1,,„ 's . al No ❑ NA
.�: 8. Sprinklers -~"" A
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? la -No 1
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) - C INo,
c. Are quick response and residential rinklers less than 20 years old? (Older sprinklers require sample testing) ,Sf Xes ❑ No 0 NA ) {
i d. Is stock of spare sprinklers available o es ❑ No ./`"`""''
e. Does the exterior cone ;on of sprinldsf system appear to be f ry ? , es ❑ No t
;:. f. Are sprinklers of • Ter •mpera a ling for their locations? U0 No
g. Is location fr. of rec.. ed heads? es ❑ No
,, Signa : Date: 7 l
- SUMMIT i+ IRti tyrECTIO
575 Minnehaha Ave. W. • St. Paul, MN 55103 • 651 -251 -1880 '- _ 3026 40th Ave. NW • R93ehester, MN 55901 * 507 - 280-0622
' 1 8 Great Oak Dr. • Waite Park, MN 5638'7 • 320-257 -6390 . \ 760 liberty Way • North. Liberty, IA 52317 • 319-6654330
,208 Enterprise Circle • Duluth, MN 55811 • 218- .740 -4412 3219 99t11 St. • Urbandale, IA 50322 • 515 -867 -2424
imEr
2 OF2 - II ' , each sy st >: inspection Type - ys �' / .
e
p ection N ame 1 /ILI � r� *'� . ij- n� i • l iow Ma 1
p ec ti on Wgrk Order T f .r/ What.Size? '7
ow Switch:'. w th l aure`Switch
9 . Date dry -pipe valve tritp tested (control valve partially open) , .1a which follows)
18 Date'd€yjiipe-vaIve trip tested (control valve fully open) . teT= Test.'1kbk w h follows)
11. Date cifelt-oliening device tested --- (see Trop Test.TiMe which Mows)
DRY VALVE TEST TABLE 9.o.1).
MAKE MODEL NO. 1 MAKE MODEL SERIAL NO.
/ DRY PIPE Tune to Trip w Air Trip Point Tune watar Reached Alum flpeaated
s OPERATING Thin Test Pipe Mr Pleasure ' Properly
TEST Min. Sec. I PSI 1'S'1 Mm Sec. Yes No
Without
I Q.O.D.
W ith - ,.v5 ,� )11' '` ro [ ikti i ' w
°,mo • st kr `'''' .
12. Date deluge or preaction valve tested (see Trip Test Table which follows)
' i ' T TABLE
Ope ottion 0 Pneumatic 0 Electric 0 Hydraulic 4 ,
Piping Supervised 0 Yes 0 No Detecting „ -, a Supervised 0 Yes 0 No :
DELUGE & Does valve operate from the manual Trip and/or remote control stations? 0 Yes 0 No _
PREACTION
VALVES Is there an accessible facility in each circuit for testing? 0 N M - . TesdnRCircuits:
. Each Circuit Operate Does Pech'Cl nit Maximum 'lime to
Supervision Loss Alarm? Operate Valve Release? Operate Release? ;,
DYes 0 No ❑ Yes 0 No DYes 0 No
13. See Control Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE
CONTROL VALVES 'NUMBER SIZE & TYPE OPEN SECURED CLOSED .' SIGNS EXf'I MN ABNORMAL CONDITIONS °
t
P Y Connection Control Val tt })[� 4f t J
Jockey Control Valve {j•� ! l
tamp Control Valves
Additional Pump Control Valves
Test Header
_ - t
System Control Valves . ' —ASP
C.
_
Other ntrol Valves +
Kitchen control Valves
erlbw Test at sir Riser
Water Supply Source: • t1., well Talc plump
I PIlPE LOCATfON SIZE OE TEST PIPE _:I 1 -- "MUM' (FLOW) DIF
IRA z #t: _i_ 0> .. 5th _q_.. -.
_list water Flow Tort; _ �°' j
"ilia Water_Flaw Test / °
�. ;14, . Explain. any "No answeas and :
Print Nee
___ i i iii,,e242ape____
S 1 Date } ,t.� ._