HomeMy WebLinkAboutSurvey Ledger 12.1217 Plan Review (2—
trtArN ri r -
A [4 1 -1 i /316 V JAI POOP 1° 44 ' 9
CIA" „„„L 5 eY0
Avt t es p- b1 deo 6,-r-
(,557,44.0 ear% Ps %'A c- Oce...
/ 0,4*,
PetPiA
‘,‘ riy,q-
K( r • 4.
C yP ioneS__Zft2fr A-r-Al-v015 —
.rAtiev.
Am, pyr &L4ftrf j26-v
cW- 6/7■IK_
fa. ON
r Mg__ 1 ,5 /A-)//14-. cs•Ltrvukc. ,1?) 40 11°,
es44-4" 2-42 5 f
5 ettnir Lt. t
1
O Y
•
•
•
•
•
1 4
n
a OMIYIERCIAL INDUSTRIAL lac RESIDENTIAL FIRE
SPRINKLER L"rCDi+T fATJftCtgitiflG `ie INSPECTIONS
1CIN
FIRE PROTECTION IN
CUSMMER G
J!NSP7D STREEF ODRESS
�Q J �f � �J � Zi P.O. NUMBER
PHONE
�' ° l —`-� `J J
CONTACT INSPECTED BY = JNSS[ ECTION ' ' 1 0 Z
,L.1,S e ,',:;,
�'`, REPORT r , F
1. General
PA .:
A. (To be answered by the Owner or Owner's representative)
a. Have there been any changes in the occupancy classification, machinery or operations since the last inspection? Yes NIA .-- No*
b. Have there been any changes or repairs to the fire protection systems since the last inspection?
c. If a fire has occurred since the last inspection, have all damaged sprinkler system components been replaced ?........
d. Has the piping in all dry systems been checked for proper pitch within the past five years?
(Checking is recommended at least every 5 years) Date last checked:
e. Has the piping in all systems been checked for obstructive materials?
(Checking is recommended at least every 5 years) Date last checked: 26 i
f. Have all fire pumps been tested to their full capacity through the use of hose streams
or flow meters within the past 12 months?
g. Are gravity, surface or pressure tanks protected from freezing? r
h. Are any of the sprinklers 50 years old or older? (Testing and /or replacement is recommended) i
L Are any extra high temperature solder sprinklers regularly exposed to temperatures near 300 degrees F ? r ...
B. (To be answered by Inspector)
a. Have the sprinkler systems been extended to all visible areas of the building?
b. Does there appear to be proper clearance between the top of all storage and the sprinkler deflector? .---
c. Are the building areas protected by a wet system, heated, including it's blind attics and perimeter areas,
where accessible? r ,
■
d. Are all visible exterior openings protected against the entrance of cold air? 1
2. Control Valves r'
a. Are all sprinkler system main control valves and all other valves in the appropriate open or closed position? n
b. Are all control valves sealed or supervised in the open position?
Control Valves # of Type
Easily Accessible Signs Valve Open Secured? (Sealed ?) Supervision
Valves (Locked'?) Operational
Yes No Yes No Yes No Yes No „, Yes No
M-11 -� 1 �ji _ — - . r- - .: -` —
Locked /Supvd
Locked /Supvd
Locked /Supvd _
Locked /Supvd y
Locked / Supvd ' �; -�
Locked /Supvd
3. Water Supp lies
Locked/Supvd
a. source'? Pressure Fire Pump & Tank
Water su source
Cit Pressure Fire Purr]. & Cit
Waterflow Test Size Stat Flow Static Size Static Static
Pipe Location Test PSI PSI PSI ec. Waterflow Test Test PSI Flow PSI Sec.
Pipe Before After Pipe Location PSI
1 `'set - - 2., (3 I O ( '-`71 Pipe Before After
Tanks, Pumps, Fire Dept. Connections
a. Do fire pumps, gravity, surface or pressure tanks appear to be in good external condition?
b. Are gravity, surface and pressure tanks at the proper pressure and /or water levels? �
c. Are fire dept. connections in satisfactory condition, couplings free, caps or plugs in place and check valves tight? f
d. Are fire dept. connections visible and accessible? 1
)900 73 Avenue North, Suite 108, Maple Grove, MN 55369 Tel: (763)425 -4441 — Fax: (763)425 -7755
•YIine Fi Protection, Inc
,_, INe::#0: ION REPORT, of 2 PACES
. ,zfhs
Number of systems: 1 Make and model: Wet
b. Are cold weather waives in the appropriate open or closed position? Y id No
If dosed, has piping been drained? S
c. Has the owner or owner's representative been advised that cold weather valves are not recommended by NFPA? -
d. Have all the antifreeze systems been tested?
e. Date Antifreeze systems were tested: �=
f. The antifreeze tests indicate protection to: System 1 2
g. Did alarm valves, waterflow alarm indicators and retards test satisfactorily? 3 ----__ temperature.
6. Dry Systems /�
a. Number of systems: $ (:::2_ Make and model:
Date last trip tested?
b. Are the air pressure and priming water levels normal?
c. Did the air compressor operate satisfactorily? �'
In
d. Were all low points drained during this inspection?
e. Did all quick opening devices operate satisfactorily? •
f. Did all the dry valves operate satisfactorily during this inspection? =nal
nal
g. Do dry valves appear to be protected from freezing?
h. Is the dry valve house heated? MN �
7. Special Systems — agdi ®
a. Number of systems: Make and model:
Type:
b. Were valves tested as required?
c. Did all heat responsive systems operate satisfactorily?
- 4--....--
d. Did the supervisory features operate during testing?
Heat Responsive Devices: Type:
Valve No. Type of test:
Valve No. 1 2 3 4 5 6 ""•.• Valve No. 1 2 3 4 5 6
Auxiliary Equipment: No. 6 Valve No. 1 2 3 4 5 6
Location: Type:
8. Alarms Test Results:
a. Did the water motors and gong operate during testing?
b. Did the electric alarms operate during testing? r
c. Did the supervisory alarms operate during testing? '�
9. Sprinklers — Piping
a. Do sprinklers generally appear to be in good external condition?
b. Do sprinklers generally appear to be free of corrosion, paint, or loading and visible obstructions?
c. Are extra sprinklers available on the premises'? /
d. Does the exterior condition of piping, drain valves, check valves, hangers, pressure gauges, open sprinklers and
strainers appear to be satisfactory?
e. Does the hand hose on the sprinkler system appear to be in satisfactory condition?
10. Explanation of "No "Answers (for sections 1-9): l
`t
N
1. The spector suggests the following necessary improvements, however, these are not the result of an engineering survey:
!e ® €.. 0. e .' .'4.c JJ*i. Cre.. -"-- **&r ANeted re - P' 41)1
12. Adjustments or corrections made;
3. List changes in the occupancy hazard or fire protection equipment, as advised by the owner in sect. 1A:
Inspection and suggested improvements were di cussed with the undersigned owner or owner's representative:
ttia use b f ownero -
n r r epresentative • , ti •
' ' r --. ...........olimem e01.1 .4 ete ... .. m .... ... o. .... .... — ' — — — — —
1 ii 1 , I, 1 •■■■■•■■•••■■•111Rifa41•••••••■••• am womarz•■■•••••■•■■■•■•••■••■•■••
r , ,
!
, 1 , ifillIIMP tem IN.IBDOINIONPWENIIMIIIMEMMOMPWIMIIMODOID4•110••••••■■•■••■•1111•4111•0■•••••■•••• ••■••■•••1111•OW•0”411■■■=ma ••■•••••••••••■■•".
, • I ' 1 ti
I.1
1 i
i 0 0
411111m. .—.,...V--,---4■Nime
1 ii li i, 1 ,` I' ■;1 g i
"Nraftwommor 8° ' fl ................... In■nommor
11•••■ W.-or
i al X 4
[ , ,
' ' I 1 8 I 36"
I 1
•••■••••••••••1001•• OPIUM ONNINIMMI IMMIPS
I
4 41■48■11110
41111=1/11•■••■ .1171•1=116 ....__, • III • •
.............. 4............. ............ ...."... iii ill ilk ill
...._. ,
r , 1
1 1 ...._ ■ 1111M.
1 R
0 i
..........—..............—.....—..............-111.1111••■■•••■••••■••••11MMMI11••■■■■•••
1 ■
01 III I,
1 11 I
01 1 r ■ I , I I,
, 2
i
i
ni
, p 1 (11
_
(
(
■ ., Il! , al Z (
*,......,... * . 7 '
---.. ---
1 '
— I
°
, 1 tz10
- ..... -- -- ..._..,
' VI 0 ■
i 1 1 , 0, RI II
1 ! 1 II:3
11. i
v i i i or 1
I INIVIIII.MIL IMO 01. GIIMOD m. .111■1111,11=110 OD L111:1] g 1 1
1 ' 1
__ Iii ,
......_,
, ..
■
' r I ....
1 - -.*.=................................ 1
!............
I '
(4 1111 I NMI IIIIMM■•• IMO iM MOM 111.,11,1111111,11. V1.11■•• WO fm■71
f )4
I
r) -c
10 . 1 .01Mnt.......M '•■•••■,•■•••••■
‘,..• '..
-
E --- 1 p ■ jj'il c,)
,
hillilli
( , 1
n . ,
..), \\ _ _
' prow •■••:, I 11111111111111111111
1
/
'
1V4' Mr/ MIMI' %
Mil r;
Illi ,
(r4
.... ,... -,
,
.7 1.3 : 10 „ / ,
:I.,
....„:„...., ,
ii
) .....
2
.N -1 1 -
--z \
La \
/ 111 F
, i
, AIL ,)
.
9..i
, , -- III =I I 1 1 '3
i
i ''',
/- . 4 ,
■
111 = =0
1 i 1
i 1
/ ,, 1
/ \
1 r
1 , 71
A ..
1
; -ft
1;1
-°-- \