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Home My WebLink AboutFire Sprinkler Report (Church) 2/11/2008 i ~ _A ~ St. Paul, Minnesota 55117 : ". ~. .. c:s (651) 558-3300 . (800) 229-6263 ' UTOMATIC SPRINKLER CO. Fax: (651) 558-3310 Setting The Standard... AGREEMENT AND REPORT OF INSPECTION ilINSPECTION SHEET 1 of 2 - Use separate sheet for each building inspected MINNESOTA LICENSE NO. COOS 7df9 S'7 +- REPORT TO STREET CITY & STATE BUILDING OR LOCA DON INSPECTOR DATE SA >>1t:;- 01i1'\C Z-I'-ut:j Owner hires Viking Automatic Sprinkler Company to conduct an inspection of the fire suppression system at the above location or building, and prepare a written report of that inspection for an agreed upon fee. As part of this agreement, owner agrees to terms and conditions on rear of form and will complete the Owner's Section of this document. Owner's Section (To be answered by Owner or Occupant) A. Explain any occupancy hazard changes since the previous inspection: f-Jc-,vl.J ~ B. Describe fire protection modifications made since last inspection: C. Describe any fires since last inspection: u .... tJ (., /v \;. D. When was the system piping last checked for stoppage, corrosion or foreign material? E. When was the dry-piping system last checked for proper pitch? ).... I li"- F. Are dry valves adequately protected from freezing? IV I A Signature Title Date Inspector's Section (All responses reference current inspection) NjA = NOT APPLICABLE 1 General a. Is the building occupied? ~es 0 No b. Are all systems in service? Jil'Yes 0 No c. Does there appear to be a minimum of 18 in. (457 mm) clearance between the top of the stor~e and the sprinkler deflectors? rAes 0 No d. Does the valve hose on the sprinkler system(s) appear to be satisfactory? 0 Yes 0 No ~j A 2 Control Valves (See Item 15) a. Do sprinkler system control valves appear to be in the appropriate open or closed position? O"fes D No b. ^re control valves in the open position locked, sealed or equipped with a tamper switch? l71"es 0 No 3 Water Supplies (See Item 16) a. Was a water flow test of main drain made at the sprinkler riser(s)? ~s 0 No 4 Tanks, Pumps, Fire Department Connections a. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? 0 Yes 0 No rAJj A b. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? 0 Yes 0 No 0 Nj A Are they accessible and visible? u Yes uNo u N/ A :; Wet Systems a. Are cold weather valves (OS. & Y.) in the approrriate open or closed position? DYes D No JiIl"Nj A b. Have antifreeze system solutions been tested? .!KYes n No 0 Nj A Co Were the antifreeze test r<-'SuIts satisfactory? D Yes ~o 0 N/ A d. In areas protected by wet system(s), does the building appear to be properly heated in all areas, including blind attics and perimeter areas where accessible? J Yes D No [] N/ A Do all exterior openings appear to be protected against freezing? AYes 0 No n N/ A Dry System (See Items 11 to 13) a. dry valves (s) in service? 0 Yes 0 No 0 N/ A Are ressures and priming water levels in accordance with the manufacture's instructions? 0 Yes 0 No 0 Nj A c. lIas the opera f the air or nitrogen supplies been tested? 0 Yes 0 No 0 Nj A Are they in service? [J Yes [J No [] N/ A d. Were all know low po ed during this inspection? 0 Yes 0 No ] ] N/ A e. Did quick-opening devices operate torily? [J Yes [J No 0 N/ A f. Did the dry valve(s) trip properly during the tr ssure test? I~ Yes LJ No [J Nj A g. Did the heating equipment in the dry-pipe valve roo~ operate at time of inspection? 0 Yes 0 No LJ Nj A 7 Special Systems (See Item 14) a. DJti. e deluge or pre-action valves operate properly during testing? [] Yes 0 No [] Nj A b. Did the ive devices operate properly during testing? 0 Yes 0 No I] N/ A c. Did supervisory devices op testing? 0 Yes 11 No 0 N/ A 8 Alarms ___ a. Did water motor(s) and gong(s) test satisfactorily? [] Yes 0 No D~/ A b. Did electric alarm(s) test satisfactory? ~s rJ No [] N/ A Co Did supervisory alarm service test satisfactory? [~S 0 No II Nj A 9 Sprinklers a. Do visible sprinklers appear to be free from corrosion, loading or obstruction to spray discharge? Ll Yes ~No b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) AYes ]] No c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) I"f'Yes 0 No 0 N / A d. Is stock of spare sprinklers available? .IJ Yes 0 No e. Does the exterior condition of sprinkler system appear to be satisfactory? ,/fYes 0 No f. Do visible sprinklers appear to be of proper tem?.e~ature rating tor ,th.eir l~ati0l1s? 1'\ ;':::Sj \ e No~ 10 Explain any "No" answers and comments: .:> (:, b y\ \ i t\ \ C t 1 L \\ ,..), ,t t, I A../J.... -".- L':___, II n. Ii V'ii /'? /. ( L--- ". ...t. .. C3i AUTOMATIC SPRINKLER CO. Setting The Standard... 1301 L'Orient Street St. Paul, Minnesota 55117 (651) 558-3300 . (800) 229-6263 Fax: (651) 558-3310 SHEET 2 of 2 - Use separate sheet for each system inspected Inspection Report No. l:,->-/"S"},~ System No. or Description if multiple systems 11 Date tiry-pipe valve trip tested (control valve partially open) 12 Date dry-pipe valve trip tested (control valve fully open) 13 Datc qui~~=~)pening dcvice tested - -""'Oll.ty A LV E (See Trip Test Table which follozl's) (See Trip Test Table which follows) (See Trip Test Table which felllows) DRY PIPE OPERATING TEST MAKT'"---,_. MODEL SERIAL NO. MAKE MODEL SERIAL NO. r--_ ~-- Time to Trip Waicl'-~.__ Air Trip Point Time Water Reached Alarm Operated -~ Thru Test Pipe Pressu re '-"'-',.J~essllre Air Pressure Test Outlet Properly MIN. SEe. PSI Psf-.-..-...... PSI MIN. SEe. YES NO ! Without --_..~ Q.O.D With Q.O.D " TRIP TEST TABLE QOD 14 Date de1l1ge..or prt.'action valve tested (See Trip Test Table which follows) TRIP TEST TABLE DELUGE & PREACTlON VAL VES Operation ] PNEU1VtA"fK:._ cJ ELECTRIC cJ HYDRAULIC Piping Supervised 0 YES '--- Ll NO I Detecting Media Supervised " YES , NO -- Does valve operate from the manual trip and/ or remo~'''l.!;ltrol stations 0 YES NO Is there an accessible facility in each circuit for testing . '-_.., L YES u NO IMethod of Testing Circuits bbti..S.._~~..ch circuit operate Does each circuit Maxinl111ll tinlc to I MAKE MODEL supervlstou)oss alarm operate valve release operate release I YES I NO YES I NO YES I NO I I I I I 15 See Control Valve Maintenance Table Explain Abnormal Control Valves Number Type Open Secured Closed Signs Condition City Control Valves Bvpass Valves Tank Control Valves Pump Control Valves Sectional Control Valves Svstem Control Valves l , ~ \ - - Other Control Valves .tl Kitchen Control Valves I , .>. CONTROL VALVE MAINTENANCE TABLE 16 Water Flow Test at Sprinkler Riser Water Su 1 Source: l_.er \. ~ \( Cit !.J i Tank '.; Pum Residual (Flow) Pressure j-- Last Water Flow Test This Water Flow Test Test Pipe Location Size of Test Pi e Static Pressure 'i_:> if ';,q- I ;,.-~, -~~ , , 17 Explain any "No" answers and comments: 18 Adjustments or corrections made during this inspection: 19 Although these comments are not the result of an engineering review, the following desirable improvements are recommended: ~::l L , ~'- ~ Signature: \\/\ .1 ""(4: / 4- ,,-'/' ... l Date: Z'I' (Rev.2/H/1I6) ~~---~--- --~-- I I I ] ] I I I I I -- AUTOMATIC SPRINKLER CO. 1301 L'ORIENT STREET ST. PAUL, MINNESOTA 55117 (651) 558-3300 . (800)-229-6263 FAX: (651) 558-3310 Report of Inspection Additional Comments z r..i-t 5'1 '1 ,/ \ ~ /( U 1.1) . ~ C{?~'"C( - 1\11\ {,. -\.vee LL Dv t20V1l.Que<.\ /970 t. 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