HomeMy WebLinkAboutFire Protection 5/6/2008
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
SHEET I OF 2 - Use separate sheet for each building inspection
REPORT OF INSPECTION
MINNESOTA LICENSE NO. C007S
INSPECTION NAME (-;
STREET
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JOB NUMBER
BUILDINGILOCATION
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INSPECTOR
CITY & STATE
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DATE
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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:
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32;2..13~ ~ \50
C. Describe any fires since last inspection:
D. When was the system piping last checked for stoppage, corrosion of foreign material?
E. When was the dry-piping system last checked for proper pitch?
F. Are dry valves adequately protected from freezing?
Signature Title
Date
Inspector's Section (All n~sponses reference current inspection) NA =NOT APPLICABLE
1. General
a. Is the building occupied? i21.Yes D No
b. Are all systems in service? ClYes D No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? DYes ANo
d. Does all electrical heat tape appear to be satisfactory? DYes D NoCilNA
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? DYes D No D\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? DYes D No
b. Are all control valves in the open position locked, sealed or equipped with a tamper switch? DYes 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? DYes D No CtNA
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? Q-Ves D No D NA
Are they accessible and visible? i:lYes 0 No D NA
4. Wet Systems
a. Are cold weather valves (O.S. & Y) in the appropriate open or closed position? DYes D No CtNA
b. Have antifreeze system solutioIJs j;een tested? DYes 0 No [;} NA
c. What temp is antifreeze? /l./'
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? QYes 0 No D NA
5. Dry System (See Items Il to 13)
a. Are dry valve(s) in service? DYes 0 No 0 NA
b. Are the air pressures and priming wat:e'r levels in accordance with the manufacturer's instructions? DYes 0 No 0 NA
c. Has the operation of the air.4r ni~ogen supplies been tested? DYes D No DNA Are they in service? DYes D No DNA
d. Were low points drained duringtl)is inspection? DYes D No D NA How many?
e. Did quick-opening devisi'\' operate satisfactorily? DYes D No DNA
f. Did the dry valve(s) trip pr1Jperly during the trip pressure test? DYes D No D NA
g. Did the heating equipment in the dry-pipe valve room(s) operate at time of inspection? DYes 0 No 0 NA
6. Special Systems (See Item 14.)
a. Did the deluge or pre-action valves oper<lteproperly during testing? DYes D No D NA
b. Did the heat-responsIVe devices op~ate p~perly during testing? DYes D No DNA
c. Did supervisory devices operateliuriJIg }es'fing? DYes D No D NA
d. Did flow for kitchen hood system shut off gas or electric? DYes D No D NA
7. Alarms
a. Did water motor(s) and gong(s) test satisfastorily? DYes D No aNA
b. Did electric alarm(s) test satisfactorily? jJYes D No D NA C '"
c. Did supervisory alarm service test satisfactorily') CtYes 0 No 0 NA _::'f
d. Did tamper switches test satisfactorily? r:)Yes DNo D NA
8. Sprinklers / . ~. y' / .
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? ~es D No r
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) [).Yes DNo
c. Are quick response and residential spriQklers less than 20 years old? (Older sprinklers require sample testing) ctY~s 0 No
d. Is stock of spare sprinklers available? O:Yes 0 No
e. Does the exterior condition of sprinkler system appear to be satisfactory') aYes D No
f. Are sprinklers of proper temperature (~ing for their locations) aYes D No
g. Are any s~ler heads on a recall list? DYes 'QNo
.,
Signature:
Date:
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SUMMIT FIRE PROTECTION
WORK ORDER
DA YWORK #
326715
DATE DUE
5/9/2008
DATE TAKEN 5/6/2008
JOB SUPT
JEFF
PHONE # 612-325-0762
BY
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GENERAL CONTRACTOR
KEYLAND REMODELING
OFFICE#
PRIOR LAKE
PROJECT MANAGER
PHONE
JOB SITE INFO:
GA TEW A Y CENTER
5117 GATEWAY ST. SE
PRIOR LAKE
Buildin~ Information
BLDG. OWNER: ALM CO:
ENGINEER: ELIZABETH ALM. PH:
ENG. PH: ACCT. #:
I MN SECURITY PH: 952-736-4349 PN #:
BLDG. NOTES:
PERMIT
PLAN
REQUEST TECH
PO#
MAT ORDERD
TRUCK STOCK
LOCK BOX
DECK HGT.
LIFT
CALL TO SCH: YES / NO
CEILING REQ: Y / N / EXT.
WALLS REQ: Y / N / EXT.
LIGHTS REQ: Y / N / EXT.
CONTRACT AMT. NTE600.00
HEAD COUNT
# DAY'S
1/4 # FITTERS
DESCRIPTION OF WORK:
ADD HEAD UNDER GARAGE DOOR IN SHOE REPAIR SHOP.
RELOCATE HEAD TO DECK IN PAINT STORAGE AREA OF NAP A AUTO. USE EXISTING OPENING FROM DROP.
WORK DONE AS ABOVE
YES
IF NOT, LIST WORK PERFORMED BELOW:
I DATE
SERVICE MAN
HOURS
REG
OT
DT
DA YWORK #
322133
JOB SUPT
JEFF
GENERAL CONTRACTOR
PROJECT MANAGER
JOB SITE INFO:
GATEWAY CENTER
5117 GATEWAY ST. SE
PRIOR LAKE
PERMIT
PLAN
REQUEST TECH
PO#
CONTRACT AMT.
$150.00
DESCRIPTION OF WORK:
BRING HORN TO JOBSITE
WORK DONE AS ABOVE
DATE
SERVICE MAN
SUMMIT FIRE PROTECTION
WORK ORDER
DATE DUE
PHONE # 612-325-0762
5/6/2008
KEYLAND REMODELING
PRIOR LAKE
BLDG. OWNER:
ENGINEER:
ENG. PH:
MN SECURITY PH:
BLDG. NOTES:
MAT ORDERD
TRUCK STOCK
LOCK BOX
DECK HGT.
LIFT
HEAD COUNT
~lIl
YES
DATE TAKEN 5/1/2008
BY
ANGELA SWEET
OFFICE#
PHONE
Buildin!=l Information
. "ALM CO:
ALM. PH:
ACCT. #:
PN#:
. CALL TO SCH: YES 1 NO
CEILING REQ: Y 1 N 1 EXT.
WALLS REQ: Y 1 N 1 EXT.
LIGHTS REQ: Y 1 N 1 EXT.
# DAY'S
1/4 # FITTERS
IF NOT, LIST WORK PERFORMED BELOW:
HOURS
REG
OT
DT