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HomeMy WebLinkAbout2014-10-07 Report of Inspection - Summit Fire Protection SUMMIT FIRE PROTECTION 575 MinnehahaAve.W • St.Paul,MN 55103 • 651-251-1880 3026 40mAve.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 OP 2-Use aepanma abbot for each building inspection REPORT OF INSPECTION f�J MINNESOTA LICENSE NO. •t t 5/IOWA LICENSE NO.FP-036 JOB NUMBER / .14V INSPECTION N ,t- ersIKU1,P �Ol4rw}TA l BUILDING/LOCATION � STREET i' Gi► .417---1 �r INSPECTOR .CM-1W' '1� �� I CITY&STATE 44 4111 .'1�1, /r //. ,, DATE — 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: de/441. C. Describe any fires since last inspection: _ /`Ne. D. When was the system piping last checked for stoppage,corrosion of forergq ? E. When was the dry piping system last checked for tch e3iim/�' F. Are dry val adequately`protected from freezing? Signature {�-. (If%t, 1'!1 i'iit�Ls,a e�C Date /r 7 /y Inspector's Section(All responses reference current inspection) NA=NOT APPLICABLE L General a.Is the building occupiedo D No l b.Are all systems in service?i Yes D No c.Is there a minimum of 18 in.(457 mm)clearance between the top of the storage and the sprinkler deflectors?Aces D No d.Does the hand hose or standpipe on the sprinkler system(s)appear to be satisfactory? DYes ❑N9, NA 2. Control Valves(See Item 15.) a.Are all sprinkler system control valves and all other valves in the appropriate open or closed position?,,des ❑No b.Are all control valves in the open position locked,s ed or equipped with a tamper switches O No 3. Tanks,Pumps,Fire Department Connections 74--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? DYes❑ o�'�1A c.Are fire department connections in satisfactory condition,couplings free,caps in place,and check valves sigh. Yes O No O NA Are they accessible and visible?,4Yes❑No D NA 4. Wet Systems a.Have antifreeze system soluti tested? DYes ❑No, 'NA b.What temp is antifreeze? c.In areas protected by wet system(s),does the building appear to be properly heated in all areases D No D NA 5. Dry System(See Items 11 to 13) a.Are dry valve(s)in service24Yes ❑No O NA b.Are the air pressures and priming water levels in accordance the manufacturer's instructions "DYea Cl No D NA c.Has the operation of the air or nitrogen supplies been tested? Yes❑No O NA Are they in servic c%4Yes O No ❑NA d.Were low points drained during this inspection?❑Yes D Ng4NA How many? '""� e.Did quick-opening devices operate satisfactorily? DYes O No 0 NA -�it of CR f.Did the dry valve(s)trip properly during the trip pressure test Yes O No Cl NA g.Did the heating equipment in the thy-pipe valve room(s)operate at time of inspection Vies D No D NA 6. Special Systems(See Item 14.) �r a.Did the deluge or pre-action valves operate properly during testing? ❑Yes ❑No,w NA b.Did the beat-responsive devices operate properly during testing? DYes ❑NovdNA c.Did supervisory devices operate during testing? DYes D Noi'NA d.Did flow for kitchen hood system shut off gas or electric? DYes D No U"NA 7. Alarms a.Did water motor(s)and gong(s)test y? DYes ❑NqA NA b.Did electric alarm(s)test satisfactorily? Yes D lip UNA c.Did supervisory alarm service test satisfactpril y?,CIYes ❑No D NA d.Did tamper switches test satisfactorily?Ja es D No D NA 8. Sprinklers ��// a.Are all sprinklers free from corrosion,paint,loading or obstruction to spray dischh�jrr ? DYes D No b.Are sprinklers less than 50 years old?(Older sprinklers require sample testing).OYees ONo c.Are quick response and residential sprinklers less than 20 years old?(Older sprinklers require sample testing4Yes ❑No ❑NA d.Is stock of spare sprinklers availableydYes D No e.Does the exterior condition of sprinkler system appear to be satisf ry?DYes O No f.Are sprinklers of proper temperate re jating for their locations❑No g.Is location free of recalled heads Yes D No Signature: 6?Pal hate: SUMMIT FIRE PROTECTION 575 Minnebaha Ave.W • St.Paul,MN 55103 • 651-251-1880 3026 40th Ave.NW • Rochester,MN 55901 • 507-280-0622 418 Great Oat Dc • Waite Park,MN 56387 • 320-257-6390 760 Liberty Way • North Liberty,IA 52317 • 319-6654330 4208 Enterprise Cmole • Duluth,MN 55811 • 218-740-4412 4353 NW Urbandale Dr. • Urbandale,IA 50322 • 515-867-2424 SHEET 2 OF 2-Use separate sheet for �,pe of System I w yri 11//L ' Inspection Name ERA /' 3 /'9 1111 How . Inspection Work Order , Ail fro What Sias? •K"" 42!/.62 / Flow Switch ardinn•6Yck with Pressure Switch 9. Date dry-pipe valve trip tested(control valve r+ ••�•—� partially open) (see Trip Test Table which follows) 10. Date dry-pipe valve trip tested(control valve fully open) r (see Trip That Table which follows) ` 11. Date quick-opening device tested P . (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 Water Air Peewee A�Q t Pipe OPERATING Then Tbnly TEST » Sec. PSI INN PSI lag. Sec. Yr No 'Without 0.0.0. Wth Q.O.D. 12. Data deluge or resection valve tested (see Trip Test Table which follows) TRIP TEST TABLE Operation ❑Pneumatic ❑Hydraolie Piping Supervised ❑Yes ❑N Detecting Media Supervised ❑Yes ❑No DELUGE a CTION Does Calve operate hoer the manual and/or control stattona? CI Yee ❑No VALVES 1a there an accessible facility in each circuit testing? ❑Yes ❑No Method of Testing Circuits: MAKE MODEL Does Each Chouit Operate Does Each Circuit Maximum lime to SupervisionLan/►farm? Operate Vales Release? Operate Release? DYes 0 N ❑Yes 0 N ❑Yes 0 N 13. See Control Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE CONTROL VALVES _NUMBER SIZE&TYPE OPEN SECURED CLOSED SIGNS EXPLAIN ABNORMAL CONDITIONS City Connection Control Valve riaa>•9 Control valve Tau 4- 6'I er V YES' y41 Ai, yEs ,,days/ Pump Congeal Valves Additional Pump Control Valves Test Header Sectional control Valves �y System Control Valves ON �••6.1 , + '. // 1, // /1 �tlk Ctouoi valves mss., //" 1 1 ./ !J & , ..., Kitchen Control Valves A 7 y�� `�� Water Flow Test at: •-- Water Supply Serums City Well Tank Pump DATE VOCATION SIZE OF TEST PIPE '` r :L' arMIDaal, Last Water Flow That u ' ON This Water Plow That rJ©A'IIPi:`L/iI NIFA ��1 14. Explain any"No"answers and comments: Print Name______6„r . w'vA Si Date_ M// / \ 575 Minnehaha Avenue West / St. Paul, Minnesota 55103 PH:651-251-1880• FAX: 651-748-9143 SUMMIT FIRE PROTECTION MN License No.C075 DRY PIPE VALVE TEST /' 1 NAME OF PROPERTY: /e ,,�Pi�ee_re /� #/tI/ ATE: /� ` 7 ADDRESS J Pcf d"'"i'3r £WlA #WORK ORDER NO. /GT3A . tiro DRY PIPE VALVE. NO. 1 NO.2 NO.3 SIZE, MAKE, MODEL&YEAR . Co plot// am .7CO ,cpy� ( OF MANUFACTURER R07-144609i • �'l'-/� uA /5 CONTROL SPRINKLERS IN e, 4.. PtTIG PRESSURE(LB.) AIR S BEFORE TESTS WATER 4 s gic CONTROL VALVE WIDE OPEN? (IF NOT, HOW MANY TURNS?) tCe ic OPERATED AT: AIR PRESSURE(LB.) `, 1 TIME(MIN.,SEC.) OPERATION INDICATE:PARTLY SATISFACTORY,�OR FAILED) ,,?i'. 5 REASON FOR FAILURE OR �� PARTLY SATISFACTORY I0 - VALVE RESET DRY? yes- yes- LIST REPAIRS MADE ,J* NA-. CONDITION: /�'� INTERIOR OF BODY 616„0 ,y .0 j) WATER FROM TEST PIPE /t d MOVING PARTS 4 /i SEALS 1) /1 RUBBER FACING /0 N ALARMS OPERATED? Yea' y QUICK OPENING DEVICES MAKE, MODEL,YEAR ! , OPERATION INDICATE: 1,! g SATISFACTORY.FAILED OR SHUT OFF 6321ID SIGNATURE TITLE OF PERSON MAKING TESTS COMPANY NAME AND ADDRESS /s 7.- / WITNESS(OWNER OR LEASEE OF THE PROPERTY) DATE OF EXAMINATION '�