HomeMy WebLinkAboutFire Inspection Report 111998 - 11/5/13 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 • 324257 -6390 760 Liberty Way • North Liberty, IA 52317 • 319 -665 -4330
4208 Enterprise Circle • Duluth, MN 55811 • 2 8- 740 -4412 4353 NW Urbandale Dr. • Urbandale, IA 50322 • 515 -867 -2424
SHEET 1 OF 2 Use separate sheet for each building inspection
REPORT OF INSPECTION
MINNESOTA LICENSE NO. C0075 / IOWA LICENSE NO. FP -036 J7$ NUMBER / " I 1 C t 91J
INSPECTION NAME • to yr i r %1 BUILDING/LOCATION � ��
STREET 3 ! a T r t 'f \ . 14 C; LA s. 'T _ S VI INSPECTOR l~t) V- - t t )e m f
CITY & STATE ■ ' /' - •. I,r, a DATE /1/ 13
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:
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C. Describe any, fires since last inspection`
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D. When was the system piping last checked for stoppage, corrosion of foreign material? • ✓Aria,, i
E. When was the dry- piping system last checked for proper pitch? P 1.-,..-0
F. Are dry valve adequately protected fro I freezing? `/o"3
t Signature ..; . C , , / Title Date -
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Inspector's Section (A 1 responses reference current inspection) NA =NOT APPLICABLE
1. General ,
a. Is the building occupied occupied‘TAS Ye 0 No
b. Are all systems in service? es ❑ No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinlder deflectors? C,es 0 No
d. Does the hand hose or standpipe on the sprinlder system(s) appear to be satisfactory? UYes 0 NoA
2. Control Valves (See Item 15.) I , i s
a. Are all sprinkler system control valves and all other valves in the appropriate toper Dr olos ; posu t ion? es ❑ No' i 3 t b. Are all control valves in the open position locked, sealed or equipped with a tamper switch? Jes 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? UYes Cl No TA
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight ?4Yes 0 No O.NA
Are they accessible and visible? Kies 0 No 0 NA
4. Wet Systems
a. Have antifreeze system solutions been tested? OYes 0 No [,P
b. What temp is antifreeze? "`
c. In areas protected by wet system(s), does the building appear to be properly heated in all areas? UYes 0 NoANA
5. Dry System (See Items 11 to 13
a. Are dry valve(s) in service? Zii.es ❑ No ❑ NA
b. Are the air pressures and priming water levels in accordance wit the manufacturer's instructions? 'Yes ga No 0 NA r
c. Has the operation of the air or nitrogen supplies kesp tested? es ❑ No ❑ NA Are they in service? Wes 0 No 0 NA i
d. Were low points drained during this inspection? es 0 No NA How many? I -+ /T1/ ;
e. Did quick- opening devices- operate satisfactorily? OYes ❑ No A
f. Did the dry valve(s) trip properly during the trip pressure test . Yes ❑ No 0 NA "
g. Did the heating equipment in the dry-pipe valve room(s) operate time of inspection Yes ❑ No ❑ NA
6. Special Systems (See Item 14.) � "~`
a. Did the deluge or pre - action valves operate properly during testing? OYes 0 No L4 A ,
; b..Did the heat - responsive devices operate properly during testing? OYes 0 No RNA N
c. Did' supervisory devices operate during testing? OYes 0 No ANA F
d. Did flow for kitchen hood system shut off gas or electric ? es ❑ No ❑ NAr
7. Alarms + i
a. Did water motor(s) and gong(s) test satisfactorily? OYes ❑ No 1'NA
b. Did electric alarm(s) test satisfactorily? es 0 No ❑ NA
c. Did supervisory alarm service test satisfactorily? es 0 No 0 NA
d. Did tamper switches test satisfactorily? Wes CI ❑ NA
8. Sprinklers -�,/'
a. Are all sprinklers free from corrosion, paint, loading or obstruction to spray disch,�rt'ge? Cl ❑`hlo
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) 0 Yes ONo
c. Are quick response and residential sprins less than 20 years old? (Older sprinlders require sample testing) lures r s 0 No ❑ NA
d. Is stock of spare sprinklers available? 1 111Yes ❑ No
e. Does the exterior condition of sprinkler system appear to be satigactory? OYY, J No
f. Are sprinklers of proper temperature ratin g fo their locations? Yes 0 No
g. Is location free of recalled heads? ❑Yes
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SUMMIT FIREx'ROTECTION
575 Millttehaha 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
4208 Enterprise Circle • Duluth, MN 55811 • 218 - 740 -4412 4353 NW Urbandale Dr. ± Urbandale, IA 50322 • 515 - 867 -2424
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SHEET 2 OF 2 - Use separate sheet far each cyst inspection Type: o System
nspection Name L + 4 How Many? y
Inspection Work Ordet l / / Wh, —
/ Flow Switeh e r Al, o' s eck tit Pressure crf ` y t
9 •• D ate by -p v t tested (control valve parti open) / 3 (s ee Tri Test T wh follows "" ,,
10. Date dry -pipe valve trip tested (control valve fully open) , (see Trip Test Table which follows) " :w. , mac,,
11. Date quick - opening device tested (see Trip Test Table which follows)
I," ) DRY )TALVE TRIP TEST TABLE Q.O.D.
MAKE , „;. MODEL SERIAL NO. MAKE MODEL SERIAL NO.
DRY PIPE Time to Trip Trip Point Tune Water Reached Alarm Operated
Water Pressure Air Pressure
OPERATING Thru Test Pipe Air Pressure Test Outlet Properly
u
TEST - _ .._ . .
Mms S ec, P SI - PSI � Min. Sec Yes No
With It
Q.O.D.
12. Date deluge of preaction valve tested (see Trip Test Table which follows) � -
I' TEST TABLE
Opeilation ❑ Pneumatic ❑ Electric ❑ Hydra
: Ptging Supervised ❑ Yes ❑No Detecting Media Supervised ❑Yes ❑ No �';
»: , DELUGE & Does .valve operate from the manual trip and/or remote con o stations' ❑ Yes ❑ No
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`PREACTION
V ALVES I s there an accessible facility in each circuit for testis_ 0 Yes ❑ No Method of Testing Circuits: '
MAKE ODEL : Does Each Circuit Operate Does Each Circuit - MaxununiTim<e to • {(`
Supervision Loss Alarm? , Operate Val
ve Relelse? OparateRelease?
0 Yes ❑No ❑Yes 0 No Q Nits • 0 No
13. See Control Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE -
CONTROL VALVES NUMBER SIZE & TYPE OPEN SECURED CLOSED SIGNS > EXPLAIN ABNORMAL CONDITIONS`
City Connection Control Valve , l j e N. a
Jockey Control Valve ::
Pump Control Valves
Additional Pump Cont Valves
Sectional Control Valves l - 1, , l t k
System Control Valves /• if 056 I( Ji / 1,6 yes t t l rr�
Other Control Valves ' _ .
Kitchen Control Valves 2 .j 1 ill)
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_ Water Flow Test at Sprinkler Riser / "
` . Water Supply Source: City / * Well Tank Pump
DATE T'ES'F.PIPE LOCATION SIZE OF TEST PIPE 0M;ifi RFSIDIIAL t W) � � •URE DIF'FERElV3'It11.
` Last Water Fluty Te t _ , r r �� ® ',
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This Wuter Flow Test ' o
14, Explaiti No" answers and comments: , ? If x ii.�
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Print Name S ign a ture � . _ lit Da te+
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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, MN 55811 • (218) 740 -4412
3026 40th Ave. NW • Rochester, MN 55901 • (507) 280 -0622
760 Liberty Way • North Liberty, IA 52317 • (319) 665- 4330
Job# / 1 I q q ,
KITCHEN HOOD INSPECTION REPORT
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Inspection Name: ()ICI "1 °�.! V� e ) Date: � P t � )
• '' -- R / s r S ! _ Inspector: 3 1 t J e t.t
City /State: Cr Pr i C Ait h ?O Bldg /Location:
Is supply to hood system taken from existing fire sprinkler system? Yes . No
Does gas or electric shut off with flow? Yes No
Does gas or electric shut off with control valve tamper? Yes_ No
Is hood system monitored? Yes: T Co: 7—rips A / 6 r ti V\ No
How was flow obtained? Water Flow: X Manual Trip of flow switch
Control Valve Type: R
Condition of Control Valve: Good ,K Fair Need to Rep
Condition of Sprinklers and Automatic Spray Nozzels: Good Fair Need to Rep
Condition of Pipe and Fittings: Good Fair Need to Rep
Ate 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 No
Location of reset for gas or electric? - cif ! -° #\-, . { f a tie ( yr
Comments /Recommendations:
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Signature: ;, L ' ,'