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2014-01-23 Summit Fire Protection Inspection Report
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 4353 NW Urbandale Dr. • Urbandale,IA 50322 • 515-867-2424 SHEET 1 OF 2-Use separate sheet for each building inspection REPORT OF INSPECTION MINNESOTA LICENSE NO.C0075/IOWA LICENSE NO.FP-036. JOB NUMBER I INSPECTION NAME fo� N©LLcoc.J BUILDING/LOCATION Sir n.E STREET 1 ti 739 eoci' c7PfLi" A/4401 INSPECTOR-'-"b3)t) CITY&STATE C )k- ApL, // 6/'i s, 1V4f, DATE .?3-iii/47/ 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?_ 8 y • :ted from -zing? Signature Title Date Inspector's Section(All responses reference current inspection) NA=NOT APPLICABLE 1. General a.Is the building occupied?} Yes ❑No b.Are all systems in service? dltes U No c.Is there a minimum of 18 in.(457 mm)clearance between the top of the storage and the sprinkler deflectors? Ottres ❑No d.Does the hand hose or standpipe on the sprinkler system(s)appear to be satisfactory? ❑Yes ❑NoNA 2. Control Valves(See Item 15.) a.Are all sprinkler system control,valves and all other valves in the appropriate open or closed position? 'es ❑No b.Are all control valves in the open position locked,sealed or equipped with '` es❑No 3. Tanks,Pumps,Fire Department Connections 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?. ❑Yes❑ o f IiA 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? Yes GI No CI NA 4. Wet Systems ! a.Have antifreeze system solutipms been tested? ❑Yes ❑No tiaA b.What temp is antifreeze? /4&T c.In areas protected by wet system(s),does the buildio be properly heated in all areas?1es ❑No❑NA 5. Dry System(See Items 11 to 13) a.Are dry valve(s)in service? 15g'es ❑No ❑NA b.Are the air pressures and priming water levels in accordance with the manufacturer's instructions? Yes O No❑NA c.Has the operation of the air or nitrogen supplies been tested? gir$es U.No U NA Arelthey in service? giges❑No ❑NA d.Were low .lints drained during this inspection? ` s ❑;No❑NA How many? I f.Did the dry valve(s)trip properly during the trip pressure test? r s ❑No❑NA g.Did the heating equipment in the dry-pipe valve room(s)oper. e at time of inspection?fitZ❑No ❑NA • 6. Special Systems.(See Item 14.) a.Did the deluge opre-action v o ;to properly during testing? ❑Yes ❑No ❑NA b.Did the heat-responsive dev i s!1- !ro. rly during testing? GIYes ❑No❑NA c.Did supervisory devices o' a . -sting? ❑Yes❑No U NA d.Did flow for kitchen ho•! sys ist ! off gas or electric? ❑Yes U No O NA 7. Alarms a.Did water motor(s)and gong(s)test satisf orily? ❑Yes ❑NoA b.Did electric alarm(s)test satisfactorily? es❑No ❑NA c.Did supervisory alarm service test satisfactorily?Wes ❑No ❑NA LC�+ d.Did tamper switches test satisfactorily? Ides 01"No U NA 8. Sprinklers a.Are all sprinklers free from corrosion,paint,loading or obstruction to spray dischargeV 1SPfes ❑No b.Are sprinklers less than 50 years old?(Older sprinklers require sample testineg?Yes ❑No c.Are quick response and residential sprinklers less than 20 years old?(Older sprinklers require sample testing) es U No ❑NA d.Is stock of spare sprinklers available? 416es ❑No e.Does the exterior condition of sprinkler gystem appear to be satisfactory? tfires U No f.Are sprinklers of proper temperature rating for their locations? SEYes❑No g.Is location free of heads?iteres O No f /7 '- , it Signs Arzi ..�.. _ Date: SUT FIRE PROTECTION 575 Minnehaha Ave.W. • St.Paul,MN 55103 • 651-251-1880 i 3026 40th Ave.NW • Rochester,MN 55901 • 507-280-0622 418 Great Oak Dr. • Waite Park,MN 56387 • 320-257-6390 i 760 Liberty Way • North Liberty,IA 52317 • 319-665-4330 4208 Enterprise Circle. • Duluth,MN 55811 • 218-740-4412 4353 NW Urbandale Dr. • Urbandale,IA 50322 • 515-867-2424 SHEET 2 OF 2-Use set'rate sheet fo ,.ch system inspection. tyf•S stem tP' €! ' y Inspection Name' c� �1#a� b any �} How M -�V i - :i tton Wo>tt Order n / :What ' k }.. n w-e5 Date:dry�3+alve trip tested(cotttrol valve patty open (see Tngn$est Table which follows} (0 .Y}at¢ ty pipe Valve-tiip tested(control valve fully open) '""" (see Trip Test Table which follows) 11. 17atdgtuck-openg device tested ! (see Trip Test Table which follows) • DRY VALVE TRIP TEST TABLE Q.O.D. MAKE ��MOODEL SERIAL NO. MAKE MODEL SERIAL NO. 1 ee1J Alts t...s.., Ammo._.._...` REb Af 6-/ ...,..,,,,_,.__... DRY PIPE Time to Trip Water pressure Air Pressure Trip Point Time Water Reached Alarm Operated OPERATING Then Test Pipe" Air Pressure Test Outlet Properly TEST - Mia,.. - Sec. ., PSI PSI PSI Min. Sec. Yes - No Without 6014 - u 12. Date deluge or preaction valve tested i"f (see Trip Test Table which follows) TRIP TEST TABLE Operation ❑Pneumatic ❑Electric ❑H Piping Supervised ❑Yes ❑No Detecting Media Supervised ❑Yes ❑No DELUGE& Does valve operate from the manual trip and/or remote contro : r.. ? ❑Yes ❑No .,I PR.EACTION VALVES Is there an accessible facility in each circuit for testing?- ❑Yes • Method of Testing:Circuits: ` 1 c MAKE MODEL s• s Each Circuit Operate Does Each Circuit Maximum Tone to 4 } �w. Suparvisioli'Loss Alarm? Opera Valve Release?., Operate Release? , -Oyes ' ❑No, 13Y#~ ©No ❑Xes ❑'No 13. See Control Valve Mehl' atfttenance Tile CONTROL VALVE MAINTENANCE TABLE ''} CONTROL VALVES ER SIZE&.TYPE OPEN SECURED CLOSED SIGNS EXPLAIN ABNORMAL CONDITIONS City Connection Control Valve. . ) V'056z. x "�__scy - y Control Valve / /- [ Es 7,,/�f ®L L _ Pump Control Valves / *jvn Additional Pump Control Valves Test Header —,°:,- „4„.,,,T, 3 Sectional Control Valvei i System Control Valves 1 �6j(. 6 ;!5y, ,- Other Control Valves fir_ f „'"'r ----r Kitchen Control Valves Water Flow Test at Sp Water Supply Source: City Well Tank Pump DATE '. ' ,TEST PIPE LOCATION SIZE OF TEST I'IPE pa C TINT R u DIFFERENTIAL L W } Test -•, ,- 144.14)f �' `7,S 14 «N pas and t Plti aqq v ate±.. : If -- Print Nate t S' r �ar Date J "/