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Home My WebLink AboutFire Inspection Report - 12/7/10 - - �r 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 Ot�K DR., WAITE PARK, MN 56387 •(320) 257-6390 760 LIBERTY WAY, NORTH LIBERTY, IA 52317 •(319) 665-4330 4208 ENTER�'RISE CIRCLE • DULUTH, MN 55811 •(218) 740-4412 SHEET 1 OF 2- Use sepazate sheet for each building inspection �pORT OF INSPECTION MINNESOTA LICENSE NO. C0075 JOB NUMBER �`��.� INSPECTION NAME � ��► � au � .t'1 �1 �tt� " BUILDING/LOCATION . _ ,- ,.. _ ..:,�.....-� ,...._.._... STREET _.�� ;:?.•-;�.�,-�, ,l� n f w. � i r �~ ,,5 �,A� INSPECTOR �.f � f+-t � ►' )r 5 ;' �� ,.� �'�'� ,C� ,� � ..:� ,?: J DATE � � � 1 L1 CITY 8i STATE �<' , �` °' +- � ' Owner's 5ection (to be answered by Owner or Occupant) A. Explain any occupancy hazard changes since the previous inspection: /� �j ,. �s 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, corrosion of foreign material? �. E. When was thF dry-piping system la ( checked for proper pitch? �'��'� F. Are dry va v� adequately protect rom freezing? ` ��,� Signature �� ' Title f � te _ , � ``C's _�, , . . Inspector's Section (All responses re ce current ins�e�tion) NA =NOT PPLICABLE 1. General /" a. Is the building occupied? �YeS� ❑ No b. Are all systems in service? �'es 0 No a Is there a minimum of 18 in. (457 mm) clearance between the top of the,�torage and the sprinkler deflectors? [�'es ❑ No d. Does all electrical heat tape appeaz to be satisfactory? ❑Yes ❑ No C]�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 IS.) a. Are all sprinkler system control valves and all other valves in the appropriate open or closed pos'tion? I�es ❑ No b. Are all control valves in the open position locked, sealed or equipped with a tamper switch? '��es ❑ 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 condifion and properly maintained? �es 0 No �NA c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? l�Yes ❑ No ❑ NA Are they accessible and visible? ,L]Yes ❑ No ❑ NA 4. Wet Systems a. Are cold weather valves (O.S. & Y.) in the appropriate open or closed position? ❑Yes ❑ No L'�NA b. Have antifreeze system solutions been tested? ❑Yes ❑ No �1 NA c. What temp is antifreez�?,, ` d. In areas protected by wef system(s), does the building appear to be properly heated in all areas, including blind attics and perimeter areas where accessible? bYes '� No 0 NA 5. Dry System (See Items 11 to 13) a. Are dry valve(s) in service? I�'es ❑ No ❑ NA b. Are the air pressures and priming water ]evels in accordance with the manufacturer's instructions? �Yes ❑ No ❑ NA c. Has the operation of the air ar nitrogen supplies b en tested? �Yes 0 No ❑ NA Ar� they in service? L3�es ❑ No ❑ NA d. Were low points drained during this inspection? �Yes ❑ No 0 NA How many? `� e. Did quick-opening devices operate satisfactorily? ❑Yes ❑ No I�"NA f. Did the dry valve(s) trip properly during the trip pressure test? �Yes ❑ No ❑ NA g. Did the heating equipment in the dry-pipe valve room(s) operate at time of inspection ?[�Yes ❑ No ❑ NA 6. Special Systems (See Item 14.) ,%' a. Did the deluge ar pre-action valves�erate properly during testing? ❑Yes ❑ No ❑ NA b. Did the heat-responsive devices,.�perate properly during testing? ❑Yes ❑ No ONA c. Did supervisory devices opet�e during testing? ❑Yes 0 No ❑ NA d. Did flow far kitchen hood system shut off gas or electric? ❑Yes 0 No ❑ NA 7. Alanns a. Did water motor(s) and gong(s) test satisfactorily? ❑Yes ❑ No � NA b. Did electric alarm(s) test satisfactorily? �Yes ❑ No ❑ NA c. Did Supervisory alann service test satisfactprily? �Yes ❑ No ❑ NA d. Did tamper switches test satisfactorily? C�Yes ❑ No 0 NA 8. Sprinklers a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? ❑Yes ❑ No b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing)"E�Yes ❑No c. Are quick response and residential sprin ers less than 20 years old? (Older sprinklers require sample testing) ❑Yes ❑ No d. Is stock of spare sprinklers available? �Yes ❑ No e. Does the exterior condition of sprinkler system appear to be sat�'sf�ctory? ,�jYes O No f. Are sprinklers of proper temperature ratin far their locations? �$�Yes ❑ No g. Are any sj�r.i�►��t}��ds-�� a-�ca�llist?�Yes ❑ No � �� ;, f � � �;,� i 1 Signature: " � � ; � � �.' `" � ' - - � Date: � � � _ _ ..:,- r "�:--..-�-� . , - �� +.. .. , . . _ . , SUMMIT FIRE PROTECTION `"575MINNEHAHAAVE. W• ST. PAUL, MN 55103 •(651) 251-1880 3026 40THAVE. NW • ROCHESTER, MN 55901 •(507) 280-0622 418 �,�2EA�T OAK DR., WAITE PARK, MN 56387 •(320) 257-6390 760 LIBERTY WAY,NORTH LIBERTY, IA 52317 •(319) 665-4330 4208 �1V'�'�RI?�ISE CIRCLE • DULUTH, MN 55811 •(218) 740-4412 SHEET 2 OF 2- Use separate sheet for eachsystem inspection Type of System � '� �_� Ins}� tion Name and Num How Many? t. �'7=� i� �("l�'('.��` V�haGSize2 ` � f�� { ` Mr A3arm t.`heck rvith Pres ` - - Flow Switch or_ _.._._ __�, = � � �`t` u �� ' --- . ,.,. __ _ S�e s.��b _ . ___._.�. 9. Date dry-pipe valve trip tested (conbrol valve partially open) �' — {See Trip Test Tabie which fotti►ws) 10. Date dry-pipe valve rrip tested (control valve fully open) ` (See i'rip Test Table which foNows) 11. Date quick-opening device tested " (See Trip Test Table which follows) � DRY VAWE TRII" TEST TABLE Q.o.�. MAKE MODEL SERIAL NO. MAKE MODEI SERIA� NO. �~ O � ! P . �---� DRY PIPE Time to Trip Water Air Trip Point Time Water Reached Alarm Operated OPERATING Thru Test Pipe Pressure pressure Air Pressure Test pudet Property TEST MIN. SEC. PSI PSI PSI M{N. SEC. YES NO � Without ^ / r / I �'} ^� Q.O.D. � C� �l 1 �s'�CJ ' .s wm Q.O.D. ,, t. _. _.. . . . ,. ? . . _ , ,.., :: c ; : - 12. Date deluge or preaction valve tested ( e Trip Test Table which follows) TEST TABLE Opera[ton p PNEUMATtC ZECTRIC Q HYDRAULlG Piping Supervised ❑ YES C7 NO Detecting media supervised ❑ YES O NO . DELUGE & Does valve operata from the manuai tri and/or remote control stations ❑ YES ❑ NO PflEACTiON Is there an accessible faciliry in ea cirouit for tesHng Method ot testing-arcuiGs VALVES ❑ YES ❑ NO Does each circun operate Does each circuB Maximum Nme to MAKE MODEI su rvision loss alarm rate vaive release rata release YES NO YES NO YES NO 13. See Control Valve Maintenance Table. Control Valve Maintenance Table �rYl}-� �- Explain Abnwmai Controi Yaives Number Type Open Secured Cbsed Signs Condition City Conneciion Controt /, �� f `% �� , �� ,.� Valve �a Tank Controi Valves Pump��ntwl Valves Sectional Cantrol Vaives System Controi Valves �'`} j.�,t/ y � � ;� � �' ; ,.� Other Control Valves ! vn^y � � ^`j Kitchen Controi Vaive Ib. Water Flow Test at Sprinkler.Riser -'"` _.-..� Water Supply Source: � City�-�'� Tank Pump Date - Test Pipe Size of Staric Residuai Differenrial Location Test Pipe Pressure (Flow) Pres u e La� Water FIow Test x� `� ;;~ - r; 9 - This Water Flow Test . ' ' / F14 Explain any "No" answers and com ents: � �� iI i! �t �i t� r 1 � 1 � 1� � r�G P .. Q � ,° • ;, � � , , �� p � � ,_.� � �-- 3 ; r' � � !,! f^ ��1 S G.' r'F C-*,/" J t1 '� �G e. ` f � P t � o . �.��. ��..� ��CI ��AC.C�. �. 'L �� U �S/ �Lt/r� �"1 �7j� :�:.ilt= � 'L, C�'� i `� i � � �� C"r �;`�` .�'t�� I `� vr,� N t / c L'� P� � t �;I\ ' � ` C4 p ` t {� ' � . ' � ., /k . � � � i � � Signature: `, i� � �. `'.. . Date: � � SUMMIT FIRE PROTECTION ,� ,�; �.,.,, .. 575 Minnehaha Ave. W. • St. Paul, MN 55103 •(651) 251-1880 418 Great Qak Dr. • Waite Park, MN 56387 •(320) 257-6390 4208 Enterprise Circle • Duluth, MN 55811 �(218) 740-4412 3026 40th Ave. NW • Rochester, }vIN 55901 •(507) 2$Q-0622 { : 760 Liberty Way � North Liberty, IA 52317 •(319) 665-4330 � JOb# �'�..� �� KITCHEN HOOD INSPECTION REPORT Inspection Name: � r � C�'�" �;r a '� �.. � r' � � Date: / � � � '� ,,...--�-- ------- Street `� `;�.,�'� �` �3 r` � „�� n / /;�:,�-�� .�� t�t/ Inspector:^� J � � � �fc� 5c:;� � � ;xs�r��ti+ .. �� Ro:s.'. ,�wrk :.'..u;.+:�; �+'# F ��..�«. a. �. y�+,.r< . . - �( �.; ' �- ' : ��..� r...'�.:.m A ..... . . .. . � ., *. � � , .,.. , f`. � ..,_ . ' . , ...,_ ,.. ..._ City/ State. �� .. �'' � �r�C. `� ��'-''� Bldg/ Location: Is supply to hood system taken from e�sting fire sprinkler system? Yes No f ,,� Does gas or electric shut off with flow? Yes No� Does gas or electric shut off with control valve tamper? Yes No� Is hood systern monitored? Yes; � Co: � � �� y'1 No � " How was flow obtaiz�ed? Water Flow: �_ Manua1 Trip of flow switch , r � r � - , ,� - �' rl � � Control Valve Type: ' ,� �� '' Condition of Control Valve: Good � Fair Need to Rep Condition of Sprinklers and Automatic Spray Nozzels: Good Fair Need to Rep �dition of Pipe and Fittings: Good � Fair Need to Rep Are sprinklers above grease fryers in proper position above grease? Yes � No Is there a manual reset to restore gas or electric to cooking unit? Yes x No ,: � ,� ,; _ .,. . ; . ` � _ . . _ __. . . ,.. . .�,,,�" .,,. �: ,..� j; `Y k � �� Location of reset for gas or electric?� � � 1 `(� �"� n ' C7 V a {/� .� � S Comments / Recommendations: . � / � ;'' # �� (_ ,,: _�s..�,. C;��' � � � � �� f � i.. �;., � � � (Z ; � � � , � , . �r ,, ,. � , �; .� � :,. __ --;�--w._..;, � ti __ ,t. � Signature: �� "ti�`-G � �-