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Home My WebLink About2012-08-29 Report of Inspection - Summit Fire Protection SUMMl PROTECTION 575 MINNEI-HAHAAVE. W • ST. PAUL, MN 55103 • (651) 251 -1880 3026 40TH AVE. NW • ROCHESTER, MN 55901 • (507) 280 -0622 418 GREAT OAK DR., NVAII'k, PARK, MN 56387• (320) 257 -6390 760 LIBERTY WAY, NORTH LIBERTY, IA 52317 •. -(319) 665 -4330 t 4208 ENTERPRISE CIRCLE • DULUTH, MN 55811 • (218) 740- 4412 SHEET 1 OF 2- Use separate sheet for each building inspection OF INSPECTION MINNESOTA LICENSE NO C0075 JOB NUM t �{ e INSPECTIONNAME 1110 ?q./ sg lit B UTT DING/LOCA ON S'A CITY &STA - i ; , t DATE' - 9-r ' 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? E. Whe E w s the • , u. 3 stem check • r • r er pits l ? ---- Signature Title Date Inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE 1. General a. Is the building occupied ?'es ❑ No b. Are all systems in service? Vies ❑ No c. Is there a minimum of 18 in. (457 min) clearance between the top of the storage and the sprinkler deflectors? Wires ❑ No d. Does all electrical heat tat : • • - ar to be satisfactory? UYes ❑ No NPNA e. Does the hand hose • .1 . I,• pi • • - •. the sprinkler system(s) appear to be satisfactory? ❑Ye O NA r 2. Control Valves (See Item a. Are all sprinkler system control valves and all other valves in the appropriate 4 I, E _ e. e* sed position? tares ❑ No t, b• Are all control valves in the open position locked, sealed or equipped wi o . o • "switc+ , i es ❑ No = 3. Tanks, Punlps, D Connections �y 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? UYes ❑ No NA c. Are fire department connectionsk satisfactory condition, couplings free, caps in place, and check valves tight? 'rites ❑ No ❑ NA ;, '' z! ' Are they accessible and visible? pries ❑ No ❑ NA 4. Wet Systems a. Are cold weather valves (O.S. & Y.) in the appropriate open or sed position? UYes CI No CI4lA ts' b. Have antifreeze system solu been tested? UYes ❑ No qapsA c. What temp is antifreeze? d. In areas protected b wet system(s), does the building : 'pear t be properly heated in all areas, including blind attics and perimeter areas where accessible? 5 s ❑ No ❑ NA 5. Dry System (See Items 11 to 13) a. Are dry vaive(s) in service? Lees ❑ No ❑ NA b. Are the air pressures and priming water levels in accordance with the manufacturer's instructions? des ❑ No ❑ NA -, e„ ",,,, , • e , ,,t tested s la No la Isll Are they 111 serves" 1` -. _,!°_,,..1.1_ .SIR Aw e. Did quick - opening devices operate satisfactoril ? UYes ❑ No +- 0 A f. Did the dry vaive(s) trip properly during the trip pressure test? -` es ❑ No ❑ NA g Did the heating equipment in the dry -pipe valve room(s) operate at time of inspection ? Wks ❑ No a NA 6. Special Systems (See Item 14.) a. Did the deluge or pre -acti. v. e operate properly during testing? ❑Yes ❑ No ❑ NA b. Did the heat - responsive • 1 - F t el rate properly during testing? ❑Yes ❑ No ❑NA c. Did supervisory devices • ; g. - , i g ; test in g ? C]Yes 0 No ❑ NA d. Did flow for kitchen h' • • • 7 1 ut off gas or electric? ❑Yes ❑ No 0 NA 7. Alarms a. Did water motors) and gong(s) test satis UYes ❑ No 1A b. Did electric alarm(s) test satisfactorily? Wes 0 ❑ NA c. Did supervisory alarm service test satisf • • rily? ; jiii'es ❑ No 0 NA / 4„4.1.4 ' Qt, i[S a d. Did tamper switches test satisfactorily? ' es CI No- ❑ N _ & Sprinkler a• Are all sprinklers free from corrosion, loading or obstruction spray discharge`s . es ❑ No ` -b; Are ers less than 50 ears old? (Older sprinklers require ►- ' �, � y ( sp ' sample es ONa; c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) Ares GI No s d. Is stock of spare sprinklers available? Notes ❑ No i. e. Does the exterior col. on of sprinkler system appear to be satisfactory? f es 0 No f. Are sprinklers • • roper - mperature rating for 5 the locations? C es ❑ No g. Are any s y.:,t er he. • . • 1 a list? OYes o Q $/ signature. /? I ! •Z Date: G� ' SUND. OT ItOTECTIoN 575 AftenehaltaAve. W • <St. " Paul, MN 55103 • 651 -251 -1880 3026 40th Ave. NW • Rochester, MN 55901 - -• 507 - 280-0622 418 Great nit Dr. • Waite Park, MN 56387 • 320- 257 -6390 760 Liberty Way • North Liberty, IA 52317 • 319 - 6654330 Eprise Circle • Duluth, MN 55811 • 218 -740 -4412 3219 99th St. • Urbandale, IA 50322 • 515-867-2424 itIEET 2 OF 2 - Use separate sheet for each system.inspection • Type of System ` 75 I0speerion Name OfilL.. ) P/it e � 4 /( H Malty! 6 — plea/ ` 1 tion• l Oder It !p what S r‘ 2 =„4 4 / 77- )e - 011,44- 4 5 F1ow s f Y - 1� . dsy�e ire trip tested (control valve parttsl open) • 4 /, - wltie"lt fo ) = Date pipe r tested (control valve y ) 4 (see TsiP Test Table labia- follews) - 11. Date ; qui g device tested /V/4 ' (see Trip Test Table_ fellows) /VAdt. i /} ' YXAINE TRIP TEST TABLE QO.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO —7; d pv -� Y --- P ER TIN / Time to Trip Water Pressure Air Pressure 'fYipp Point Time water Reached Alarm operated OPERATING l Tent Test Pipe Air Praadnre Test t7srtk t Propert T : Min. Sec. PSI PSI PSI Min. Sec. Yes Q o. J S" '?r3 2 / Woh 12. Date dektge or preaction valve tested N ' ,4 (see Trip Test Table which follows) TRIP TEST TABLE Operation ❑ Pneumatic ❑ Electric ! 'c Piping Supervised 0 Yes ❑ No Detecting Media Supervised ❑Yes ❑ No D ELUGE & Does, valve operate from the manual trip and/or remote I stations? ❑ Yes ❑ No PREACTION VAIN I33 Lv thetean accessible facility in each circuit for testing? ❑ Yes ! Method of Testing - Circuits: I Each Circuit fir Mph • pp Operate Does Each C�mt fiiaxtmnm Tii� fo 'lion Loss Alarm? Operate VaivGReleasef Operate Release? 0Yes No fl Yes No ❑Yes 0No 13. See Gontttl1yia1veMaintenance Table , , CONTROL VALVE hIAINTENANCE TABLE CONTROL VALVES NUMBER SIZE 4.TVFE OPEN SECURED CLOSED SIGNS E PLAII!IABNORMAM CONDITIONS - Connection Control Valve 0 iv 7 , " V y T Jockey Contrtd al ve W P Control Slfalves Additional Punic Control Valves Test Header System Control Valves ..:_ ..,� .� ��..,�..� ()titer Control Valves .2 6' fhv � �,.� --�' • • Kitchen Control Valves Flow Test at Sprinkler Riper Water Supply Source: Well Truk Pump 4 40 DATE T1lST PIPE LOCATION RIES° Ri9V, OF TEST PIPE Er j �� % ' 11.11k-;,1:1(!.111:11V FIFFIERENTIAL water Plow Test s 11111111F/111 .1111111111111111111 W ater F Test • 14 Y "N4 attswe s , atld s ip -ea : _ 1 er i F - - _ - PrintNatttt"`" +r► -' _ Je Si,, .d - .•,f C Dated { C+r S 1I '"l TECTION 575 Mirmeha Ia Ave. W. • St. Paul, MN 55103 '4..651- 251.1880 ;3026 40th Ave. NW • Rochester MN 55901 -• 507 - 280-0622 418 Gi at Oak Dr th aite Parlt, MN 56387 • 320 -257 -6390 760 Liberty Way • Ncr Liberty, IA 52317 • 319- 665 -4330 -4 f208 ' Circle • Duluth, MN 55811 • 218 -740 -4412 ' 3219 99th St. • Urbandale, IA 50322 • 515- 867 -2424 Use separate sheet for each system inn coon Type of System 1 -- Iospectiou Name t t .,..rEp/i L f LJ/ J� How Many? grivecti on Yt!ozk Qrtiet f Li 9 i - ` W ha t e? , - �gryp k � , Data a - valve trip tesled (ss ntro1'va Y } .. 7 1r tie Tt est'Ta e h f > 1 0, Date dry- valv trip tested (cont valve fully :o pen } .- • (see Trip Table wh fallow) ' 11.. Date tIttick -using device tested ' (see Trip Test Table wh follows 9, 4.0 0.411 t..DBY VALVE TRIP TEST TABLE Q.o u MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO, Zp -/ 0 06E DRY PIPE Time to Trip Point Time Water Reached Alarm Operated Water Pressure Air Pi essnre OMATING Thtu Test Pipe Air Pressure Test Outlet TEST ma. Sec. PSI PSI PSI = - . lain Sec. Yes No Without �.oD. 4/ 1 3- --- ----.. - - - 12. Date deluge or preaction valve tested f" (see Trip Test Table which follows) TRIP TEST TABLE Operation ❑ Pneumatic Q Electric ❑ Hydraulic Piping Supervised QYes ❑ No Detecting Media Supervised ❑ Yes 0 No PBEACTIO D oes valve opera from manua trip aarl(or remote con; DELUGE & .. i , ,:? 0 Yes ❑ No F .k VALVES Is there an accessible facility in each circuit for testing? Q Yes • No Method of Testing Circuits: M AC , u - Does Each Circuit Operate °ties I=tch C maximum Time to Supervision Loss Alarm? Operate Valve Release? IteLease? ` r �. - ❑ Y es QN o ❑Yes C3 No CI ❑No 13. See Contsnl Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE t CONTROL VALVES NUMBER SIZE &TYPE OPEN SECURED CLOSED SIGNS Ksrnl_A Ibl ABNORMAL Co DmoNs • ty Connection Control Valve Jockey Control Valve `Pump Control Valves ("--`' i i !' , Additional Pump Control Valves Test Header 4- f:: System ConlrolValves Other Control Valves ICitchenControl Valves 2 ilitater new list at Sprinkler' 1 Supply Source: City Well Tank. Pomp hrli 19tl SZTNL RESIWAL f w) D DATE TEST PIPE LOCATION SIZE E)F PIPE PaE�r iroaT loss ' PBE4SUItB (P DItIERENTIAL L eatWater Plow That T ` is Water now lest rt- 14. HxplitilutnY 'No" answers and canauxnts: f , I f: t taP A ,: Date y am" - 1 r Print Name S OP., ott