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Home My WebLink AboutFP 2000-0000016 Fire Sprinkler Alterations & Piping Test Documentation City of Oak Park Heights METER NO: 1416Oak Park Blvd. N. #20'' Oak Park Heights , MN 55082-20u7 PERMIT No. : 0000016 651/439-4439 FAX: 651/439-0574 DATE ISSUED: 02/09/2000 Address 14608 60th St N PIN : 33-030-20-43-0045 Legal Desc : Subdivision SUMMIT PARK : Lot 0 Block 6 Parcel Permit Type : Building Property Type : Commercial Construction Type : Fire Protection Activity Valuation 18000 Valuation $18, 000.00 NOTE: INSTALL PER APPROVED PLANS. MUST COMPLY WITH ALL MN STATE BUILDING AND FIRE CODE REQUIREMENTS. THIS PERMIT IS ISSUED FOR ALTERATIONS TO AN EXISTING FIRE SPRINKLER SYSTEM. WATER METER WAS ISSUED TO AND PAID FOR BY MARINE PLUMBING. OWNER BUILDING PERMIT FEE UBC TABL $180.00 Joseph M & Mary A Kohler PLAN CHECK-BUILDING $90.00 4880 Normandale Ave N STATE SURCHARGE-BUILDING $0.50 Stillwater, MN 55082- WATER FUND $60.00 SEWER FUND $30.00 APPLICANT (651/748-9499) Total $360.50 FIRE-GUARD SPRINKLER SERVICE INC Paid with check # 11774 2055 White Bear Ave STE C Maplewood, MN 55109 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to : (1) the conditions of this permit; (2)the approval plans and specifications; (3)the applicable city approvals, Ordinances,and Codes; and, (4) the State Building Code.This permit is for only the work described, and does not grant permission for additional or related work which requires separate permits.This permit will expire and become null and void if work is not started within 180 days,or if work is suspended or abandoned for a period of 180 days any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the Minnesota State Building Code. SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CONTRACTOR'S MATERIAL&TEST CERTIFICATE FOR ABOVEGROUND PIPING ao® PROCEDURE Upon completion of work,Inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shell be corrected and system left In service before contractor's personnel finally leave the job. A certlfI.ate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities,owners and contractor. It Is understood the owner's representative's signature In no way prejudices any claim against contractor for faulty material,poor workmanship, comply or failure to ply with approving authority's requirements or local ordinances. PROPS YNAME DATE 1 e �� __A Z—! — r's%yr PROPERTY AD•R S 1q40 eV, 6014A, 54; Qk; r '�'_� a ACCEPTED EY APPROVING AUTHORITYI'SI NAMES ADDRESS PLANS INSTALLATION CONFORMS TO ACCEPTED PLANS `• YES ONO EQUIPMENT USED IS APPROVED IF NO,EXPLAIN DEVIATIONS V YES []NO HAS PERSON IN CHARGE OF FIRE EQUIPMENT SEEN INSTRUCTED AS TO LOCATION cet YES El NO OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT IF NO,EXPLAIN INSTRUCTIONS HAV CC PA COPIES OF APPROPRIATE INSTRUCTIONS AND CARE AND MAINTENANCE CHARTS El YES ONO HAVE PREMISES IF NO,EXPLAIN LOCATION SUPPLIES SLDO$. OP SYSTEM •i I MAKE MODEL YEAR 0 AIPAIMMI UFACTREE' ORIFICE SIZE ii TEMPERATURE U/,�' SSI RATING SPRINKLERS ;warnw�� S — setw _'__ O PIPE CONFORMS TO I/ ' STANDARD D YES []NO PIPE AND FITTINGS CONFORM TO FA STANDARD []YES ONO FITTINGS IF NO,EXPLAIN ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST PIPE ALARM TYPE MAKE MODEL MIN. SEC. VALVE OR INDICATFLOW I l U.t red ✓' ri See 1 .11 6r' DR VALVE 0 0.0 MAKE. MODEL I SERIAL NO. MAKE MODEL 1 SERIAL NO. TIME TO TRIP WATER AIR TRIP POINT E WATER ALARM THRU TEST PIPE' PRESSURE PRESSURE AIR PRESSURE REACHED OPERATED TEST OUTLET' PROPERLY DR P E MIN. SEC, PSI PSI PSI MIN, SEC. YES NO OPE A INO T T Without O.O.D. Witty 0.0.0. IF NO.EXPLAIN •MEASURED FROM TIME INSPECTOR'S!TEST PIPE IS OPENED. SSA SSS0) PRINTED IN USA (OVER) Contractor's Material&Teat Certificate for Aboveground Piping 13-10 SPRINKLER SYSTEMS OPERATION ❑PNEUMATIC ❑ELECTRIC ❑HYDRAULIC SUPERVISEO DYES ONO IDET ECTINGMEDIASUPERVISED []YES ONO S VALVE OPERATE FROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS ❑YES ONO )(pYPINCI HERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING IF NO,EXPLAIN ❑YES ONO DOES EACH CIRCUIT OPERATE DOES EACH CIRCUIT MAXIMUM TIM TO MAKE MODEL SUPERVISION LOSS ALARM OPERATE VALVE RELEASE OPERATE RELEASE YES I NO YES I NO MIN. I SEC. HYDROtSTATIC: Hydrostatic tests shell be made at not less than 200 psi(13.6 bars)for two hours or 50 psi(3.4 bars)above static pressure In excess of 150 psi(10.2 bars)for two hours. Differential dry.pipe valve clappers shall be left open during test to prevent damage. All aboveground piping leakage shall be stopped. TEST FLUSHING: Flow the required rate until water Is clear as indicated by no collection of foreign material In burlap bogs at outlets such as DESCRIPTION hydrants and blow-offs. Flush at flows not less than 400 GPM(1514 4/min)for 4-inch pipe.600 GPM(2271 1./min)for 5-inch pipe, 760 GPM(2839 L/min)for 6-inch pipe 1000 GPM(3785 L/min)for 8-inch pipe,1500 GPM(5678 L/min)for 10-inch pipe and 2000 GPM(7570 L/min)for 12-inch pipe. When supply cannot produce stipulated flow rates,obtain maximum available. PNEUMATIC:Establish 40 psi 12.7 bars)sir pressure and measure drop which shall not exceed 145 psi 10.1 bars)in 24 hours. Test pressure tanks at normal water level and air pressure and assure sir pressrydrop which shell not exceed 1-14 psi(0.1 bars)In 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT/- PSI FOR HRS. IF NO,STATE REASON DRY PIPING PNEUMATICALLY TESTED ❑YES ONO EQUIPMENT OPERATES PROPERLY ❑YES ONO DRAIN READING OF GAGE LOCATED NEAR WATER SUPPLY TEST PIPE, RESIDUAL R RE WITH VALVE IN TEST PIPE OPEN WIDE TESTS TEST STATIC PRESSURE: 7 S PSI PSI Underground mains and lead in connections to system risers flushed before connection made to sprinkler piping. VERIFIED BY COPY OF THE U FORM NO.a5B ❑YES ONO OTHER EXPLAIN FLUSHED BY INSTALLER OF UNDER• GROUND SPRINKLER PIPING EYES ONO INANE TESTING N MEIER USED 1LOCATIONS NUMBER REMOVED GASKETS y� WELDED PIPING I,yJ YES ❑NO f IF YES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS D10.9,LEVEL AR-3 0 YES ONO DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN WELDING COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 010.9,LEVEL AR-3 ,09 YES O NO DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED,THAT OPENINGS IN PIPING ARE SMOOTH.THAT SLAG AND OTHER y,,� WELDING RESIDUE ARE REMOVED,AND THAT THE INTERNAL DIAMETERS OF U[l YES 0 NO PIPING ARE NOT PENETRATED T' HYDRAULIC NAMEPLATE PROVIDED IF NO,EXPLAIN DATA NAMEPLATE DYES ONO DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN! REMARKS ? . 7 D O d NAME OF SPRINKLER CONTRACTOR I / ssi� ,r—� TESTS WIT ESSED BY P` s_ �� or SIGNATURES fFOR FOR OWNER(SIGNED) TITLE DATE • INKLER CONT CT•/,/J TITL/E(/�j��/i DATE Z. / O ADDITIONAL EXPL, TION AND NOTES ..--.3 SSA BACK Contractor's Material&Test Certificate for Aboveground Piping