The URL can be used to link to this page

Home My WebLink AboutFire Sprinkler Report 10/16/2007 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) 740-44] 2 SHEET I OF 2 - Use separate sheet for each building inspection REPORT OF INSPECTION , i :,..' 'f i..,:',,! "; 'J' ,..! E.-~ \.,.:. j ,~~ Y 1'>"("'" ,f. 'a? "y JOB NUMBER B UILDING/LOCATION INSPECTOR DATE ,::;,"', ( 'i; '- : \ ,\ \.1 MINNESOTA LICENSE NO. C0075 INSPECTION NAME STREET 51)) CITY & STATE . : :,-r (rj J,.,/f,k) r .----<t"- \ 1 . .. '\ '( J ./ /~,'i:/\/ <'::' " ,/ 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: /; "}l\.J C. Describe any fires since last inspection: }/L/c.)l.i D. When was the system piping last checked for stoppage, corrision of foreign material?" E. When was the dry-piping system last checked for proper pitch'? , .I ,. F. Are dry valves adequately protected from freezing? "t' _'> Signature Title ,/J Date Inspector's Section (All responses reference current inspection) 1. General a. Is the building occupied? ~es D No b. Are all systems in service? 13Yes D No , c. Is there a minimum of 18 in': (457 mm) clearance between the top of the storage and the sprinkler deflectors'IPI)'es 0 No d. Does all electrical heat tape appear to be satisfactory? DYes 0 No)3lNA. e. Does the hand hose or standpipe on the sprinkler system(s) appear to be 'satisfactory? DYes D No )Slt~A 2. Control Valves (See Item 15,) . a. Are all sprinkler system control valves and all other valves in the appropriate open or closed position? ~Yes D No b. Are all control valves in the open position locked, sealed or equipped with a tamper switch? /e:lyes 0 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'l DYes D No -{).NA c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? ',~Yes D No D NA Are they accessible and visible?"OYes 0 No 0 NA ' ' 4. Wet Systems / a. Are cold weather valves (O.S. & Y) in the appropriate open or closed position~ DYes D No (it NA b. Have antifreeze system soh)tj~,n~~en tested? DYes 0 No 1Zl,~A '\ c, What temp is antifreeze? i ! l ' d. In areas protecte~by wet system(s), does the building appear to be properly heated in all areas, including blind attics and perimeter areas where accessible? >'\ Yes D No D NA S. Dry System (See Items 11 to 13). a, Are dry valve(s) in service? ~Yes 0 No 0 NA , " b, Are the air pressures and priming water levels in accordance with the manufacturer's instructions'I,t1,Yes 0 No 0 NA c. Has the operation of the air or nitrogen supplies peen tested? ,I2lYes 0 No 0 NA Are they in service? DYes 0 No 0 NA d. Were low points drained during this inspection? ~ta,yes D No D NA How many? e. Did quick-opening devices operate satisfactorily? DYes D No tl..NA f. Did the dry valve(s) trip properly during the trip pressure test? ,~es D No D NA " / g. Did the heating equipment in the dry-pipe value room(s) operate at time of inspection? .,G.yes D No DNA 6. Special Systems (See Item 14.) , / ' a. Did the deluge or pre-action valves operate properly during testing? DYes D NQ"~NA b. Did the heat-responsive devices operate properly J1,,1 uring te,stin~ DYes D No ONA c. Did supervisory devices operate during testing?~Yes ONq ,aNA d. Did flow for kitchen hood system shut off gas oielectric? :ElYes 0 No D NA 7. Alarms I a. Did water motor(s) and gong(s) test satisfactorily? DYes D No \41 NA b. Did electric alarm(s) test satisfactory? )!lYes D No DNA ' c. Did supervisory alarm service test satisfactory?'!8lYes D No D NA d. Did tamper swithces test satisfactory? ~Yes D No D NA 8. Sprinklers ' a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? .mYes 0 No b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing)'\ZIYes ONo . c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) /QYes 0 No d. Is stock of spare sprinklers available? tijYes 0 No , , ' e. Does the exterior condition of sprinkler system appear to be satiifactory? c;lYes 0 No f. Are sprinklers of proper temperature raYf' for~ir locations? ~Yes 0 No g. Are any sprinkler head$ on a recall list? Yes 'No , _" I }' ~0 \.." .1 t !~; .-.+....-- Signature: \ ' , H, it"> \ NA =NOT APPLICABLE Date: ,I, -, I I i/O' ;. l , i i V:"->'~f "'17"'-"- ;,~ -" ~ - ~ .' - . SUMMIT FIRE P )N 575 MINNEHAHA AVE. W. ST. PAUL, MN 55103. (65]) 251-1880 30264 _ 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 SHEET 2 OF 2 - Use separate sheet for eachsystem inspection In~pectiqn Name and Numper : " "i ,\ \ " )(;..C,\. i<.) Type of System j i, I" How Many? l,,;' / Wb,atSize? if" ,/ /' /7 (~;J~~o~ Pfes~u~~ SWit~~ , ' / .j.','. 9. Date dry-pipe valve trip tested (control valve partially open) ,( (,? (> 7 (See Trip Test Table which follows) 10. Date dry-pipe valve trip tested (control valve fully open) /' it (See Trip Test Table which follows) 11. Date quick-opening device tested~/ .I P (See Trip Test Table which follows) DRY VALVE TRIP TEST TABLE Q,O,O 12. Date MAKE MODEL SERIAL NO, I MAKE r MODEL SERIAL NO. r{, t I T DRY PIPE Time to Trip Water Air Trip Point Time Water Reached Alarm Operated OPERATING Thru Test Pipe Pressure pressure Air Pressure Test Outlet Properly TEST MIN, SEC, PSI PSI PSI MIN, SEC, YES NO Without " .)<'," 0.0.0, /., i ; / ' ! /. .. ,./" ( , " , .... With 0,0.0, ."" -" _. ~ ;.. ~'.-.'--~" ," '-. " -,- i { ! deluge or preaction valve tested I / ! ;-. .. (See Trip Test Table which follows) TRIP TEST TABLE Operation II a Pf)/EUMATIC ! a ELECTRIC a HYDRAULIC ,~ " Piping Superviselj \ o ~S I o NO I Detecting media supervised DYES o NO DELUGE & Does valve ope"te ~om "'e manual1ip andlor remote control stations DYES o NO PREACTION Is there an acc.sible ~ty in eac~' circuit fo rpe~ ing Method of testing. circuits VALVES "a S'aNO 1DEL ~ ~r each circuit operate Does each circuit =:~~~el~~~eto MAKE rvislon loss alarm ooerate valve release 1 YES I NO YES T NO YES T NO '/ J ! I I I /' , ontrolValve Maintenance Tab~. Control Valve Mamtenance Table 13. See C Explain Abnormal Control Valves Number Type Open Secured Closed Signs Condition City Connection Control "l y! ., /C "';1 \/(' ~> /V,-) )"f) S Valve '".....- - Tank Control Valves Pump Control Valves Sectional Control Valves f ~J V 'ip" , \ /,? ," IV!) y,:>,; System Oof1trol Valves Other Control Valves KltCTIen Control Valve' ,,' 16. Water Flow Test at Sprinkler Riser W!ter St1j)ply Source: Date Test Pipe Size of Static Residual Differential Location Test Pipe Pressure (Flow) " i ,... Prpssure Last Water Flow Test {) IDle' ,f:"", ;JA! ....- " j'i:? J. I .. '--" >,,.;' ..-l This Water Flow Test i I. !(.;T! F "-J...!'''')" , 1 " I J ;, "00-'. 7 ... j / City Tank Pump 14. Explain any "No" answers and comments: Signature: i . II (1 \, i;, "I (J <'./ . }',tX,,_ '-J.(!. ,-," \ Date: i ! 1, J