HomeMy WebLinkAboutReport of Inspection 11/3/2008
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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
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SHEET I OF 2 - Use separate sheet for each building inspection
REPORT OF INSPECTION
MINNESOTA LICENSE NO. C007S
INSPECTION NAME (" arf) i4 \ '1 ~ Jo t k.5 BUlLqING/LOCATION
STREET 3't"'d (-)~"':J: I.) ~,;~)"5 '21""! ,'5\\1 INSPECTOR ~ ~ \ Uu.), II
CITY & STATE :J:.;c / L.:... _' ~"I _ 15~ i J 0 DATE }I ..3- () Q
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JOB NUMBER
7S:;;2,7~
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:
C. Describe any fires since last inspection:
D. When was the system piping last checked for stoppage, corrision of foreign material?
E. When waS the dryopipingsystcm last checked for proper pitch?
F. Are dry valves adequately protected from freezing?
Signature Title
Date
Inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE
1. General ..J
a. Is the building occupied? DYe~ D No
b. Are all systems in service? D'Yes D No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? ~es D No
d. Does all electrical heat tape appear to be satisfactory? DYes D No ~NA
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? DYes D No"5lNA
2. Control Valves (See Item 15.)
a. Are all sprinkler system control valves and all other valves in the appropriate open or closed ~tion? ~es D No
b. Are all control valves in the open position locked, sealed or equipped with a tarnflCr switch? L.,I'Yes D 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 ~~o riNA
c. Are fire department connections.,ip satisfactory condition, couplings free, caps in place, and check valves tight? ~s D No D NA
Are they accessible and visible? DYes D No D NA
4. Wet Systems
a. Are cold weather valves (O.S. & Y.) in the appropriate open orslosed position? DYes D No ~NA
b. Have antifreeze system solutions been tested? DYes D No [], NA
c. What temp is antifreeze? -
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? t;ltes D No D NA
5. Dry System (See Items Il to 131.,
a. Are dry valve(s) in service? l2rYes D No DNA
b. Are the air pressures and priming water levels in accordance with the manufacturer's instructions? tlYes D No D NA
c. Has the operation of the air or nitrogen supplies been tested? Otes D No D NA Are f:Jy in service? ~es D No D NA
d. Were low points drained during this inspection? DYes D No D ~A How many?
e. Did quick-opening devices operate satisfactorily? DYes D No I3-NA
f. Did the dry valve(s) trip properly during the trip pressure test? ~Yes D No D NA
g. Did the heating equipment in the dry-pipe value room(s) operate at time of inspection? OYes D No D NA
6. Special Systems (See Item /4.)
a. Did the deluge or pre-action valves operate properly during testing? DYes D N9 cYNA
b. Did the heat-responsive devices operate properly during testin~ DYes D No IZl'NA
c. Did supervisory devices operate during testing? DYes D ~ I.:J NA
d. Did flow for kitchen hood system shut off gas or electric? ~es D No D NA
7. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? DYes D No ~A
b. Did electric alarm(s) test satisfactory? ~es D t:l9 DNA
c. Did supervisory alarm service test satisfl!ftory? Ilh'es D No DNA
d. Did tamper swithces test satisfactory? ..lZWes 0 No a NA _J
8. Sprinklers .!>.l..
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? DYes ~o
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) ~es DNo ,
c. Are quick response and residential sprinjg,ers less than 20 years old? (Older sprinklers require sample testin~) ~es D No
d. Is stock of spare sprinklers available? C1Yes D No
e. Does the exterior condition of sprinkler system appear to be satisfactory? l2IVes D No
f. Are sprinklers 0 roper temperature ratin.gJor their locations? o-~es D No
g. Are any sprin a recall list? ~s D No
( ,'><',"-.. II 2 ,., <.t.
Signatu}.e:'.. /'::..;.'=~_ ...... .'-.::7 Date:r' V' <>
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SUMMIT FIRE PROTECTION
575 MfNNEHAHAAVE. W. ST. PAUL,MN 55103. (651) 251-1~~Q__~ 3r26 40TH AVE. NW. ROCHESTER, MN 55901. (507) 280-0622
418 GREAT OAK DR., WAITE PARK, MN 56387. (320) 2S7-6390 760 LIBERTY WAY, NORTH LIBERTY, IAS2317. (319) 66S-4330
4208 ENTERPRISE CIRCLE. DULUTH, MN 55811 · (218) 740-4412 . / 'vie-/-
SHEET 2 OF 2 - Use separate sheet for eachsystem inspection I 1Ype of System ~ H ~
In~. tion N.'fme and ~." '. ' · How Many? ' / .
L 0 P ~{J""" ~7;;;-'-'. ~ ~~ W~J~tr:e?. \ 1'/ -;2, / Z-.
. } ~itiyP;:;;~;~'S~i1:Ch-
9. Date dry-pipe valve trip tested (control valve partially open) I/- .j.(} ?h (See Trip Test Table which fO/~
10. Date dry-pipe valve trip tested (control valve fully open) (See Trip Test Table which follows)
11. Date quick-opening device tested (See Trip Test Table which follows)
DRY VALVE TRIP TEST TABLE a.O.D.
MAKE
'r'C 'Y
, .
DRY PIPE
OPERATING
TEST
MODEL SERIAL NO. MAKE MODEL SERIAL NO.
Water Air Ai~'Wr=~ Time Water' Reached
Pressure pressure Test Outlet
PSI PSI PSI MIN. SEC.
0'1.. YO
Without
0.0.0.
With
0.0.0.
Time to TAp
Thru'Test Pipe
MIN. SEC.
12. Date deluge or preaction valve tested
DELUGE &
PREACTION
VALVES
Operation 0 PNEUMATIC
Piping Supervised 0 YES
Does valve operate from the manual trip and/or
Is there an accessible tacility in each circutt f
DYES 0
DYES
DYES
o NO
o NO
Method of testing-circuits
MAKE
Does each clrcutt
rate valve release
YES NO
Maximum tlme to
o te release
YES NO
13. See Control Valve Maintenance Table.
Control Valves
City Connection Control
Valve
Tank Control Valves
Pump Control Valves
Sectional Control Valves
System Control Valves
otiler Control ValVes
Kitchen Control Valve
16. Water Flow Test at Sprinkler Riser
Water Supply Source:
Control Valve Maintenance Table
Number
explain
Abnormal
Condition
Type
Open
Secured
Closed
Signs
Date
City
Test Pipe
Location
Static
Pressure
Tank
Pump
Residual Differential
(Flow)
Size of
Test Pipe
Last Water Flow Test
This Water Flow Test
Explain any "No" answers and co~ts: /00"')
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Signatw:l;::
Date:
11J3-0f>
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SUMMIT FIRE PROTECTION
575 Minnehaha Ave. W. - St. Paul, MN 55103 - (651) 251-1880
418 Great Oak Dr. - Waite Park, MN 56387 - (320) 257-6390
4208 Enterprise Circle- Duluth,~ 55811 -(?18) 7~Q-44l2
3Q26 40th Ave. NW '~...Ro(:hester,MN.55901 .(5,Q7).Z8Q,.Qp?~:)"
760 LiberryWay .NQl"tIiLi])erty,]A 52~17-(~19}~65'-4$30:. . .'.
Job# '7~) 7.3 .
~TCHEN HJlOD 1NSPECTION REPOR!
Inspection Name:C~ a 111- a. /'1 -J (J C ~(5 Date: II '3- O~
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Street:~' '1 ') j elf (;1 1'''\ ; ;" I .!'t' . .,. . I ro, I IA/ Inspector;--.J (.1,1'" ..' ,I'd':;' ('
c;it.YjSt~te: ey.:>;;L l...~"tt<T' : ;vilj. ~"1{.3J{J ..' ...~4"~'''~~i~d;/I:,~;~~~;~''''4''~~'"~~;''~''-'-'--
Is supply to hood system taken from existing frre sprinkler system?
Does gas or electric shut off with flow?
Does gas or electric shut off with control valve tamper?
Yes X No_
Yes X No_
Yes_ NoL
Is hood system monitored?
How was flow obtai11ed?
Yes:
~
--r-
Co: . i. {,,j;'C
,41.
.'~" i. iv'\
No_
Water Flow: X'
.Manual Trip offlow.switch
Control Valve Typ~:
'~BV'
5'.~
Condition of Control Valve:
Good ,i
Good '-/c.
Good .~ .
Fai~ Need to Rep
Condition of Sprinklers and Automatic Spray Nozze1s:
Fai~ Need to Rep
Condition of Pipe and Fittings:
Fai~
. /
Yes-X-
yes,L
Need to Rep
Are sprinklers above grease fryersjn proper position above grease?
No_
i~ ~t.1'-~. .". .";1'~-'
Is there a manual reset to restore gas or electric to cooking \lnit?
Location! of res6tfofgas dielectric?;';',.) (\~'~>~/fh~ X ,
Ill. /1 II
'" "I ./( / . 55 f".A l,,/
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. I i
.5/v. 'If....
No_
S. \ i S-/.'t. .<,
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Com.mehts/Recommendations:
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SignatUre: