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Home My WebLink AboutSummit Fire Protection Inspection - 12/12/13 SUMMIT F�RE PROTECTION 575 MINNEHAHAAVE. W• ST. PALTL, MN 55103 •(b51) 251-1880 3026 40TH AVE. NW • ROCHESTER, MN 55901 •(507) 280-0622 418 GREAT OAK DR., WAI'TE PARK, MN `5638'1 •(320) 257-b390 760 LIBERTY WAY, NORTH LIBERTY, IA 52317 •(319) 665-4330 4208 ENTERPRISE CIRCLE • DULUTH, MN 55811 •(218) 740-44I2 SHEET 1 OF 2- Use sepazate sheet for each building inspection �pORT OF INSPECTION f' MINNESOTA LICENSE NO. C0075 JOB NUMBER ^ t�� j� INSPECTION NAME � � `ff' c � �=` k� � ''? � � ^y� �° ` BUILDING/LOCATION STREET f�=;��,� � �;� ..�f� � n ) � � � ,� � ---�" -' � 4 � �; ��J,�� ,� t ,,. ,,< r , , �`;� : � .�� , INSPECTOR ---a- CITY & STATE r t ; t i� r; �` �""- �, �7 �` . DATE �_ � T; :� f 3 Owner's Section (to be answered by Owner or Occupant) A. Explain any occupancy hazard changes since the previous inspection: _ � B. Describe fire protection modifica6ons 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 the dry-piping system last checked for proper pitch? -�" ' ° F. Are dry al�es adeyuately protected from freezing? �' ��/ Sign�e ��` k F- t 7 Title Date � ' �� Inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE 1. General a. Is the building occupied7l�Ye ❑ No b. Are all systems in service? �s 0 No a Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors7.�Yes ❑ No d. Does all electrical heat tape appear to be satisfactory? ❑Yes ❑ No' O�IA e. Does the hand hose ar standpipe on the sprinkler system(s) appear to be satisfactory? �I'es ❑ No 0 NA 2. Control Valves (See Item I5.) a. Are all sprinkler system controT valves and a11 other valves in the appropriate open or closed p�o}s tion? ,�es ❑ No , b. Are all control valves in the opemposition locked, sealed or equipped with a tamper switch? L�FYes 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 condi6on and properly maintained? C3`i;es ❑ No ❑ NA c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight?,�Yes ❑ No ❑ NA Are they accessible and visible? G�'es ❑ No ❑ NA 4. Wet Systems a. Are cold weather valves (O.S. & Y.) in the appropriate open or closed position? ❑Yes ❑ No �1VA b. Have antifreeze system solutaeas been tested? ❑Yes ❑ No L� NA < c. What temp is antifreeze? d. In areas protected by wet system(s), does the building appeax ie�lie properly heated in all areas, including blind attics and perimeter azeas where accessible? �'es ❑ No 0 NA 5. Dry System (See Items 11 to 13) , a. Are dry valve(s) in service? �-I'es 0 No ❑ NA b. Are the air pressures and priming water levels in accordance with the manufacturer's instructions? L'�Yes �I No 0 NA : c. Has the operation of the air or nitrogen supplies been tested? O�es ❑ No ❑ NA Are,t�iey in service? �yes ❑ No ❑ NA d. Were low points drained during this inspection? L�Xes ❑ No 0 NQ� How many? _�, e. Did quick-opening devices operate satisfactorily? ❑Yes ❑ No ��NA f. Did the dry valve(s) trip properly during the trip pressure test? �es ❑ No ❑ NA g. Did the heating equipment in the dry-pipe valve room(s) operate at time of inspection ? Q'�es ❑ No ❑ NA 6. Special Systems (See Item 14.) a. Did the deluge or pre-action valves opera properly during testing? ❑Yes ❑ No ❑ NA b. Did the heat-responsive devices opera roperly during testing? ❑Yes ❑ No ❑NA c. Did supervisory devices operate d' g testing? ❑Yes ❑ No ❑ NA d. Did flow far kitchen hood syst shut off gas or electric? ❑Yes ❑ No ❑ NA 7. Alarms a. Did water motor(s) and gong(s) test satisfaCJorily? DYes ❑ No ,�NA b. Did electric alarm(s) test satisfactorily? 1�Yes 0 No ❑ NA c. Did supervisory alarm servi�ce test saGsfactorily? C�Yes ❑ No ❑ NA d. Did tamper switches test satisfactorily? Q7�"es ❑ No O NA 8. Sprinklers a. Are all sprinklers free from corrosion, loading or obstruction to spray dischazge? C�Yes ❑ No b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) �Yes ONo c. Are quiek response and residential sprinklers less than 20 years old? (Older sprinklers requue 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�s actory? .�Yes ❑ No f. Are sprinklers of proper temperature rating for their, locations? �es ❑ No g. Are any spriir�r heads �n ecall list? ❑Yes �k1Vo � �i � --� Signature: r i i? �t+l.�. f'.'�' Date• ! � Lt �� ,: - , � SUMMIT` FIRE` PROTECTION 575 Minnehaha Ave. W. • St. Paul, MN 55103 • 651-251-1880 3d26 4qth Ave. NW • Rochester, MN 55901 • 507-280-0622 �18 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 • 21$-740-4412 4353 NW Urbandale Dr. • Urbandale, IA 50322 ► 515-867-2424 � � ° � "�"", � � . . � ��at1 3HEET 2 OF 2- Use,� e arate sheet for each system inspection Type of System f �? � � P �� Inspection Name t- �-� � y c" � '� � ''"):� f" �" ' � How Man . • � � _ ` r ; � . � � f � , Inspection Work Order �" �� What Siae7 � � ` .� _ _ ,. Flow Switch or Al�n Check wit,h �ressure Switch -'� `�-°"� (�� ._. , _: f �.-- �� f •. .;;�_.,_ ,.��-- ._� __....._ _�-= � 9. Date dry-pipe valve trip tested (control valve partially open} �'�' �� 't f �� "' (see Trip Test Table which follows) ' G= �� 10. Date dry-pipe valve trip tested (control valve fully open) / (see Trip Test Table which follows) 11. Date quick-opening device tested (see Trip Test Table which follows) �---..l� �„�-- � . . - ,, nxY vaLVE TRIP TEST TABLE Q.o.D. MAKE ��MO EL SERIAL NO. MAKE MODEL SERIAL NO. / `� ! � ;`_f ,' r _ � - � . `� DRY PIPE Time to Trip Water Pressure Air Pressure Trip Point Time Water Reached Alarm Operated OPERATING Thru Test Pipe Air Pressure Test Outlet Properly � �EST � �� Mia .�. ..��..Sec. . , ,. PSI�..-. ..�.._ .:.:�PSI -:...2.:, ..�,_. PSI` _. Mid. � . .. _ ,-, ..Yes- ._.. - "No Withou[ � � � / O.D. � � With Q.O.D. 12. Date deluge or preaction valve tested (see Trip Test Table which fo7lows) TRIP ST TABLE Operation ❑ Pneumafic ❑ Electric ❑ Hydraulic Piping Supervised ❑ Yes ❑ No Detecting Media Supervised ❑ Yes ❑ No ; D�LUGE & Does valve operate from the manual trip and/or remote control s ions? ❑ Yes ❑ No - PREACTION VALVES Is there an accessible faciliry in each circ�it for tes(ing? ❑ Yes. ❑ No Method' of Testing Circuits: DEL floes Each Circuit Operate Does Each Circuit Mazimum Time to MAI{� Supervision Loss Alarm? Operate Vaive Release? Operate Release7 ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ 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 f , � � '�.' i / ✓ �7-/� /!/� ��i Jockey Control Valve Pump Control Valves Addiiional Pump Control Valves Test Header - , Sectional Control Valves � System Conhol Valves —�+ 5 ''�i /Cq f� `� a i ' L-t + r�� ! �� ` �/� J � ::/'� OtheL Control Valves t Kitchen Control Valves Water Flow Test at Sprinkler Riser Water Supply Source: City Well Tank �mP . DATE TEST PIPE LOCATION SIZE OF TEST PIPE STATIC PRESSURE RESIDUAL (FLO� DIFFEgElyTIAL . - . � PRE �TEST � � POST TEST � � PRESSURE Last Water Flow Test ` � � , � . �� This Water F1ow Test �� '� � � ' 14. Explain any "No" answers and comme ts: h � J 1 -� , -' - ; n � {�Y :y'� � 1 rl` brt �'"' � ��° 4V4 � ? � �"0 � ^ ,.� r �a ' �„ ,.�. i� �-� '�� ,...._..-'- i-- :�, -• 5 . , t Narr�r^--..J" �`'�� `'�� 4 ,/ • ' � /�, ad... ` .� �� Date / �..� � � �� . Y'l��' L Signature�,�— , � w� - � - �.