HomeMy WebLinkAboutFire Inspection Report - 11/23/10 SUMMIT FIRE PROTECTION
575 MINNEHAHAAVE. 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 558ll •(218) 740-4412
SHEET 1 OF 2- Use sepazate sheet for each building inspection �pORT OF I�iSPECTION
MINNESOTA LICENSE NO. C0075 .IOB NUMBER �` i��`� lI
INSPECTION NAME �%� j � r: : � l����t �i r� ( �-� /i�' i ; `-�� ^ �'C BUILDING/LOCATION � �
STREET l � .. �.-. ` � = J �. ; t�o �x� � � _ INSPECTOR �--•.� �' � �'�1 �'`��., � ( +
CITY & STATE ' "°, r " i ,{ i:'z � ' %, , -„�.�' r � i Z - DATE I � ,�. '� � ;.,�
Owner's Section (to be answered by Owner or Occupant)
A. Explain any occupancy hazazd changes since the previous inspection:
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B. Describe fire protection modifications made sincelast inspection: `
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C. Describe any fires since last inspection:
D. When was the system piping last checked for stoppage, corrosion of foreign material? .�
.. :_ :._ ____._. . ;P P g. Y ,1as� ch,ec�.e�for proper.pi�e� • `
Si na ure ; � � i y�p� cted from free�ing? ,�fi" , . . _.... . _ ._.__ . ,... _.__ ___
F: Are valv, ade ua�1 r e ' " ' ' ' " � . -
�. . When was th i i� s stem
g � �- Title Date
Inspector's Section (All respons s reference current inspection) NA =NOT APPLICABLE
1. General
a. Is the building occupied? ��Ye�s ❑ No
b. Are all systems in service? f�Yes 0 No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? �'es ❑ No
d. Does all electrical heat tape appear to be satisfactory? ❑Yes ❑ No �NA
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? ❑Yes ❑ No�.NA �
2. Control Valves (See Item I5.) .
a. Are all sprinkler system control valves and all other valves in the appropriate open ar closed p.o �tion? L�Yes ❑ No
b. Are all control valves in the open position locked, sealed or equipped with a ta� -switch? �es 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? ❑Yes ❑ No I�TA
c. Are fire department connections sausfactory condition, couplings free, caps in place, and check valves tight? I�I'es ❑ No ❑ NA
Are they accessible and visible? �es ❑ No ❑ NA
` 4. Wet Systems
a. Are cold weather valves (O.S. & Y.) in the appropriate open or clpsed position? ❑Yes ❑ No �NA
b. Have antifreeze system solutions been tested? ❑Yes ❑ No O�IA ,
c. What temp is antifreeze? � --�--
-d. �n.areas protected by wet system(s), does the buildigg appear:� be properly heated in ali areas, including blind attics and perimeter areas
where accessible? �TYes ❑ No 0 NA
5. Dry System (See Items Il to 13) -
a. Are dry valve(s) in service? C��es ❑ No ❑ NA
b. Are the air pressures and �►ing water levels in accordance with the manufacturer's insriuctions? ❑Yes ❑ No 0 NA -
a Has the operation of th,�-�ir or mtrogen supplies been tested? ❑Yes ❑ No ❑ NA Are they in service? ❑Yes O No ❑ NA
. d. Were lowpoints draixfed during this inspection? ❑Yes ❑ No ❑ NA How mazry? -
e. Did quick-openin�`�devices'operate satisfactorily? ❑Yes Q No O"NA
f. Did the dry v�lde(s) trip prope,r-kj%during the trip pressure test? ❑Yes ❑ No O NA
g. Did the heating equipmentin`the dry-pipe valve room(s) operate at time of inspection ?❑Yes ❑ No ❑ NA
6. Special Systems (See Iter�'74.)
a. Did the deluge or p�-action valves operate properly during testing? ❑Yes ❑ No ❑ NA
b. Did the heat-res nsive devices operate properly during testing? ❑Yes ❑ No ONA
' c. Did supervis devices operate during testing? ❑Yes ❑ No ❑ NA
d. Did flow for kitchen hood system shut off gas or electric? ❑Yes O No ❑ NA
7. Alarxns
a. Did water motor(s) and gong(s) test satisfactorily? ❑Yes ❑ No �iA
b. Did electric alann(s) test satisfactorily? l$�'es ❑ No ❑_NA
c. Did supervisory alann service test satisfactp rily? G!'�'es ❑ No ❑ NA
d. Did tamper switches test satisfactorily? �I'es ❑ No 0 NA
8. Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray dischazge? ❑Yes a�io
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) C�Xes ❑No
c. Are quick response and residential sprink�ers less than 20 years old? (Older sprinklers require sample testing) ��Yes ❑ No
d. Is stock of spare sprinklers available? C�Yes ❑ No
e. Does the exteriar condition of sprinkler system appear to be satis actory? f��es 0 No
f. Are sprinklers of pro�per temperature rating for eir locations? �es 0 No
g. Are any sprinklerTje,ads oi��,,�ecall list? ❑Yes o
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Signature: ' t' ,� '`� Date: � /� ' -' r '�'
SUMMIT FIRE �'ROTECTION
575 MINNEHAHAAVE. W• ST. PAUL, MN 55103 •(651) 251-1880 � 3026 40TH AVE. NW • ROCHESTER, MN 55901 •(507) 280-0622
418 ,�G'iF�A,T QAK 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 Type of System
� In crion Name and Nu�ber �, + How Many?
���, ; �t:!��,I�rk w�►azs�� ��
-`' Flow swiccn or
�'� � � �j�� �._—_ ec with Pcessure Switch
�._"`. � :
9� Date dry-pipe valve trip tested (control valve partially open) ,,f (See Trip Test Tab/e which: fo!/ows)
��• Date dry-pipe valve trip tested (control valve fully open) '! (See Trip Test Tab/e which follows)
11. Date quick-opening device tested (See Trip Tes� �"able which fo!lows)
DRY VALVE TRIP �EST TABLE Q.O.D.
MAKE MODEL SERI � O. MAKE MODEL SERIAL NO.
r :�
ORY PtPE Time to Tnp Water Rir Trip Poini Trme Water Aeached Alarm Operated
OPERATING Thru Test Pipe Pressure r� pressure Air Pressure Test Outlet Property
TEST MW. SEC. PS - PSI PSI MIN. SEC. YES NO
Without
(].O.D.
wa,
Q.O.D. ,
i _ ....
. -,: .:..,._.-.:-..«•- . . .. _.. ,...�,w:... _ .
12. Date deluge or preaction vatve tested (See T' Test Tab1e which fo/%ws)
TRIP ST TABLE
Operation ❑ PNEUMATIC ❑ ELEC IC ❑ HYDRAULIC
' Piping Supervised ❑ YES ❑ t?etecting media supervised ❑ YES ❑ NO
DELUGE & Dces vaive operate from the manuai trip and/or ote control stations ❑ YES ❑ NO
.:,� PREACTION Is there an accessible facility in each circui or testing Method of testing-ciroufts
YALVES ❑ YES O
�' Does each circuft operate Does each circuit Maximum iime to
MAKE MOQEL su rvision foss aiartn o rate vaive reteass o rate refease
�
' YES NO YES NO YES NO
. i
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13. See Control Valve Ma3ntenance Table.
� Controt Valve Maintenance Table �
Exptain
Abnormal
� Controi Vaives Number Type Open Secured Cbsed Signs Condition
City Connection Control
Valve
Tank Gontrol Vaives
P��:tlntcol Valves
Sectiona! Controi Valves
System Controi Valves � � ;,,/ � � ' � �'� > `;-�'
Other Control Valves
Kitchen Controi Valve
16'. Water Flaw Test' at Sprinkler iZiser ' , ' �
Water Suppiy Source. City Tank Purnp
Date Test Pipe Size of Static Residual Differential
Location Test Pipe Pressure (Flow)
Pre sur
Last Water Flow Test � '! t �'� /,�
T�is°�at�t Flow Test 7� r ' � � �
_14. Explain any "No" answers and comment� � �� � { �{ ' � � �
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Signature: u ' } !�. h Tlate: ��._ � S� � f i�