HomeMy WebLinkAboutReport of Inspection 6/14/2011 4445 W 77TH STREET, #125 FIRE ALARM
Northland j MINNEAPOLIS, MN 55435
A Fire & .CU1/ 952-893-0905 952-835-4742
INSPECTION REPORT
Your Life Safety Specialists Page I of
P.O. # MONITORING ACCT. # 4L 5 / - 6,2,0e . STATECERTIFICATE # DATE
`fie C. tr — -5/ - 6 v/_ 07iz : TS00857 - /4 - /1
' LOCATION z. r •, " • ADDRESS, INSPECTION TYPE
14 /t'd' C ' ' "�.: Y /, ✓ c FIRE ALARM' SYSTEM
CITY ;,, "� STATE ZIP PHONE 0 RELEASINdSYSTEM
11- --Th /c) �,�,e / WA/ 6'.5 R - ?,, _ y y t 7 _ z q / ❑ SPRINKLER COMMUNICATOR
CONTROL PANEL
MANUFACTURE MODEL NO. LOCATION
//1 ) PG 1 ./0/0 ../0w ...\,-- t /0Ecty ,
BATTERIES VOLT W /CHARGER 0 NOTE # POWER CIR. BRKR. LOCATION NO. LOCKED CIR. BRKR. DEDICATED CIR.
SOURCE ..47—,---- VOLT W/0 CHARGER NEW I N ` / .1? i YES ❑ NO YES ❑ NO
TROUBLE RESPONSE TO ZONE TROUBLE SIGNAL TROUBLE AC /OP POWER LOSS EARTH GROUND
CONDITIONS
r
ti NORMAL ❑ NOTE # r NORMAL ❑ NOTE # 7 NORMAL ❑ NOTE # P NORMAL ❑ NOTE #
COMMUNICATOR
MANUFACTURE � «.. MODEL NO. - _. LOCATION _,,, . ..
':' /f `� r C r r / � I / / ! V/ ..... ,T 7 ) I t A. -- /} ._...,
' - ....
�Jt /.� ic" ° f� i - �
BATTERIES VOLT W /CHARGER 0 NOTE # POWER CIR. BRKR. LOCATION NO. LOCKED CIR. BRKR. DEDICATED CIR.
SOURCE
VOLT W/O CHARGER NEW ❑ YES ❑ NO ❑ YES ❑ NO
CENTRAL RESPONSE TO ALARM TROUBLE RESPONSE TO ZONE TROUBLE SIGNAL TROUBLE AC /OP POWER LOSS EARTH GROUND
MONITORING
STATION , ' NORMAL ❑ NOTE # , a NORMAL ❑ NOTE # NORMAL ❑ NOTE # fJ NORMAL ❑ NOTE # A NORMAL ❑ NOTE #
COMMUNICATOR COMMUNICATOR
PRIMARY # SECONDARY #
AUXILIARY EQUIPMENT & FUNCTIONS - Annunciator, Elevator Recall, HVAC Shutdown, Duct Det. Stations, etc.
SYSTEM TANK SIZE & WEIGHT
EXTINGUISHING SYSTEM TANK SIZE. TANK WEIGHT TANK DATE/HYDRO TEST DATE
ZONES
DEVICE ' ' A e G ,so
'`� MFG. & MODEL #
Manual Stations C C c /C/i- 23.--- //---//v/./2"- K
Heat Detectors Z
CHE_A/17 ry /C
Smoke Detectors `50 - /A17 L- X 1/4 1c lA' — ?71
Duct Detectors 6- ,s.-,('_.-, ,f,-> . Al
Waterflow /..� 7-7 ,•
GVT 6 0b7-7- ;2_
Strobe only
Horn / Strobe — 4/P S //N)p/ _�
Door Holders - j tv ,� 4 A r
NOTATIONS - FAILURES AND RECOMMENDATIONS ENCOUNTERED DURING THE TEST
/. 5A/4 J..57A7/ e>A' 5, 4 !`i 2 f 7 7c c7.2 ro` u1/4'E.A4 /,),( 4i 4- ` ). . - ll/..a7 A
7 f ) t C G /- .E.. c14-5 A , / /v-) \J.6 /4; ' / G 1 ‘ ( )..e . L // - .t „ . 1
2. / 0,(.. /4/ .e. 2 ,.57- .) / /z ,e.- , ,S/:.r 006, . 7- -,
- - `fU? /12 re/ C- 7(r)AAE.0 ;<- ()14'E -, , fL..j e .4v'/71 1 ( 7 . £4 C&,'7 >o , c- `4/
CUSTOMER'S SIGNATURE SERVICE REP. SIGNATURE
WHITE - OFFICE YELLOW - FIRE DEPT. "OK" PINK - CUSTOMER