HomeMy WebLinkAbout2013-01-08 Summit Fire Protection Report of Inspection co. 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. 3219 99TH St. • Urbandale,IA 50322 • 515-867-2424
SHEET 1 OF 2-Use separate sheet for each building inspection REPOI C'.OF INSPECTION
MINNESOTA LICENSE NO.C0075/IOWA LICENSE NCB.FP-036 JOB NUMBER /0Y 37/p
INSPECTION NAME )Lad A I c1_. Ztat4L BUILDING/LOCATION SAIYI
STREET 5R6,2 Oiniii1A AU(A IUE INSPECTOR 6b0 ///99
CITY&STATE Old}'k 7Atek. /£I i �1f. DATE F 8 e-4.3
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: ill.r._ ;L' .1"+tM ►
C. Describe any fires since last inspection:
D. When was checked for s .c 'osaon of naterial9
thte�u�ig last tcty�ge foreign
E. When was the dry-pipe._syst.-+ last checked for proper pitch?
. Are dry valves :I eq , pro, ,6:from freezing?
�. '4 Title D to AUG 1 ` '
IDspector's Section(All responses reference current inspection) NA=NOT APPLICABLE
1. General City of Oak Park Heights
a.Is the building occupied?1es CI No _AAA 9
b.Are all systems in service? Vies❑No + PM
c.Is there a minimum of 18 in.(457 mm)clearance between the top of the storage and the sprinkler deflectors? lleves ❑No
d.Does the hand hose or standpipe on the sprinkler system(s)appear to be satisfactory? UYes ❑NojliPNA
2. Control Valves(See Item 15.)
a.Are all sprinkler system control valves and all-other - in the appropriate open or closed position?11Pfes ❑No
b.Are all control valves in the open position locked,.-. ed a"equipped with a tamper switch? 'es❑No
3. Tanks,Pumps,Fire Department Connections
a.When was fire pump last tested for performance? j
b.Are fire pumps,gravity tanks,reservoirs and pressure tanks in good condition and properly maintained? DYes❑No Ii4A
c.Are fire department connections in satisfactory condition,couplings free,caps in place,and check valves tight? es ❑No ❑NA
Are they accessible and visible? Liltes❑No ❑NA
4. Wet Systems
a.Have antifreeze system solu ipn been tested? DYes ❑No ;PIA
b.What temp is antifreeze?
c.In areas protected by wet system(s),does the build' .pail.%'- properly heated in all areas? Aiks ❑No❑NA
5. Dry System(See Items 11 to 13)
a.Are dry valve(s)in service? UYes ❑No ❑NA
b.Are the air pressures and p .1 ',._w. levels in accordance with the manufacturer's instructions? UYes ❑No❑NA
,, efthe.su• , -, I. , .a '-.been tested? DYes❑No ❑NA Are they service? DYes❑No ❑NA
a "ere low poihts drained du ■ , a•. a es ❑No❑NA How many?
e.Did quick-opening devices a.:. . . ..i .ray? DYes ❑No ❑NA
f.Did the dry valve(s)trip p oiler, a _'" trip pressure test? UYes ❑No D NA
g.Did-the heating equipment in the a -pipe valve room(s)operate at time of inspection? UYes ❑No ❑NA
6. Special Systems(See Item 14.)
a.Did the deluge or pre-. i a a • yes operate properly during testing? UYes U No ❑NA
b.Did the heat-responsiv ••■i o.-rate properly during testing? DYes ❑No DNA iie
c.Did supervisory devi , • Q •uring testing? UYes❑No ❑NA
d.Did flow for kitchen a a-. . s •a shut off gas or electric? UYes❑No ❑NA
7. Alarms
a.Did water motor(s)and gong(s)test satisfactorily? DYes ❑No CAA
b.Did electric alarm(s)test satisfactorily? es D No ❑NA
c.Did supervisory alarm service test satisfactorily? Des ❑No ❑NA ,944 Gilt a S 4
d.Did tamper switches test satisfactorily? UYes ❑No PIA
8. Sprinklers
a.Are all sprinklers free from corrosion,paint,loading or obstruction to spray discharge? Mes D No
b.Are sprinklers less than 50 years old?(Older sprinklers require sample testing) 4Yes ❑No
c.Are quick response and residential sprinklers less than 20 years old?(Older sprinklers require sample testing),IYes U No ❑NA
d.Is stock of spare sprinklers available?,®7fes D No
e.Does the exterior condition of sprinkler system appear to be sati actory?i?Yes❑No
f.Are sprinklers of proper temperature rating for their locations? Wes❑No
g.Is location free of r ed heads?^s ❑No
Signa i/ Aso:"
, ', ate: 1 - F---23
„.'.- ► SUMMIT F PROTECTION
575 Minnehaha'Ave.W. • St.Paul,MN 55103 • 651f2'
51 f251-1880 ; - 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 • 319-6654330
4208 Enterprise Circle • Duluth,MN 55811 • 218-740-4412 ? 3219 99t11 St. • Urbandale,IA 5113,22 • 515-867-2424
SHEET 2 OF 2-Use separate sheet for each, inspection ' i --=-'' 1ype.of System.4 4.' �;. 1
I
Ittn l�ttttxC *� + F�` 1 How Mau3t? g s
t- ork Order ' What Size?- . $
F v.S witch.:oe lat Check itlt.Pteessure Switcl4
;A Date&fry-lsfpe;Y§ly -trip.tested' valve pate y open) ;(see Trop t e w hich follows)
;. ,,, „,
i0 lslry- valve tri<tested(control iye fully—Open; (see Trip Test Table which follows)
.. '' :11 Date quick-opening device tested (see Trip Test Table which follows)
DRY VALVE TRIP TEST TABLE Q.O.D.
MAKE MODEL NO. MAKE MODEL SERIAL NO.
DRY PIPE Time to Trip Trip Point lime Water Reached Alarm Operated
Water Pressure Air Pressure
OPERATING Thru Test Pipe Air Pressure Test Outlet Properly
TEST Min: Sec. PSI PSI - -.'PSI Min. -�.,,,,,_,:;. .�„
Without
_
•. .. _ .rte..
12. Date deluge or preaction valve tested / (see Trip Test Table which follows)
TRIP TEST TABLE
Operation ❑Pneumatic ❑Electric ■ . . 'c
Piping Supervised Dyes ❑No - Detecting Media Supervised ❑Yes ❑No
r DELUGE& Does valve opc,satefrom the manual trap andlor remote coutro ,'us? Oyes DNa '
m �
V Is liio ett ac:tessl facility in eachcitenit(or ti ig? ❑Yes. s.. Method v€Testing mutts'
e MAKE ODEL' S a Does Eaeh tyreuir fa
Supervision Lost.Atatmi 0tiettueNralve141eve. . OTC
Yes �No ' ❑Y ON :[}Yes. ONo
13. See Contr$Valve-Maui'tenance Table CONTROL VALI/E-It4AMITErtliNeE TABLE
-E `: colitrRoL VALVES NUMBER SIZE&TYPE OPEN SECURED , CLOSED SIGNS EXPLAIN NABNORMAL CONDITIONS 4
City Connection Control Valve
Jockey Control Valve
Pump Cool Valves
Additional Pump Control Valve _
r
Sectional Control Valves
System Ci.oettal des' / 6'S y,ais 5..>di4A) •.."""”'
f
ac Control Valves
Kitchen Control Valves 4ti,3 iYi " - Oil' S .)/Ci ( 17 Sol.4
Water FloirTest at Sp' ��"
Wolfe Supply Source,:;' Tank Pump
5 C .,_,,,,21,43., REST tlA3.(MO DIFF L
DAT 'IERI PIPE IACATION . SIZE ai r PIPE . i ,., .1 �t>
ftiVt I_... . ,fit.
:,.� .Y.k 1.,----- r . A '�� ,� rye
I
14. E,c 1ant att,3�'O,"`answers and comments - °_- ;�,
Print Name Q s Signa Se `�' to *8,-13
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