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Home My WebLink AboutFire Sprinkler Inspection Repor 1..lING AUTOMATIC SPRINKLER CO, 1301 L'ORIENT STREET ST. PAUL, MINNESOTA 55117 (651) 558-3300 . (800)-229-6263 FAX: (651) 558-3310 SD 715/ SHEET 1 OF 2 - Use separate sheet for each building inspection REPORT OF INSPECTION MINNESOTA WISCONSIN LICENSE NO. 265989 STREE CITY & sTATE-----.en~;..ffI I -1l Jf, 1f\j'Vy" Owner's Section (To be answered by Owner or Occupant) A. Explain any occupancy hazard changes since the previous inspection: ~BUlLDING OR LOCATION , <: (, -' INSPECTOR (}IAl F 3W 7 r -55''372. DATE ,I, J1 ,c'''') C. ..- ./ escribe fire protection modifications made since last inspection. /' /' II /' \ I~ ./ Describe any fires since last inspection. IJ ./ ./ When was the system piping last checked for stoppage, corrosion or foreign material? ./ When was the dry-piping system last checked for proper pitch? ./ Are dry valves adequately protected from freezing? ./ - B. D D. E. F, ~ature ' 0'- r-l ".- Title Inspector's Section (All responses reference current inspection) 1. General / a. Is the building occupied? ~_~ r:J No ~ b. Are all systems in service?.J-6 I es [- No c. Is there a minimum of 18 in. (457 mm) clearance between the t(~P of the stor~the sprinkler deflectors? --- Yes I I No d. Does all electrical heat tape appear to be satisfactory? ::J Yes [_ No ~ ______ e. Does the hand hose on the sprinkler system(s) appear to be satisfactory? n Yes 1---' No. ..-f'TNA 2. Control Valves (See Item 15.)' a. Are all sprinkler system control valves and all other valves in the appropriate open or"closed position? I ~ ! No b. Are all control valves in the open position locked, sealed or equipped with a tamper switch? I ~ I I No 3. Water Supplies (See Item 16.) ----..., a. Was a water flow test of main drain made at the sprinkler riser(s)~<; n No 4. Tanks, Pumps, Fire Department Connections a. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? I Yes No b. Are fire department connections ~~ ;"factory condition, couplings free, caps in place, and check valves tight? ~ Are they accessible and visible? vres UNo _J NA 5. Wet Systems a. Are cold weather valves (O.S. & Y.) in the appropriate open or clo~sition? LJ Yes II No ~ b. Have antifreeze system solutions been tested? [] Yes C No -tJ""'NA c. Were the antifreeze test results satisfactory? n Yes [- No .:J..,~ d. 111 areas protected, ~Yrt s~~tem(s)., does the building appear to be properly heated in all areas, including ~b!~?~3lJics and perimeter areas where accessible?y res I No n NA Do all exterior openings appear to be protected against freezing'Y""es II No 1-.1 NA 6. Dry System (See Ite.rns 11 .to 1~:) __ / a. Are dry valve(s) III service?' J Yes lJ No [~NA / b. Are the air pressures and priming water levels acc_ordance)lfi1h the manufacturer's instructions? ,:] Xes n No i NA c. Has the operation of the air or nitrogen sup i. en test . 1-_' Yes i] No I j NA Are they in servICe'?' I Yes II No I I NA d. Were low points drained during this i ec i ? Ye' [1 No [J NA e. Did quick-opening devices operate sa t c y?l- es 1-_: No [] NA f. Did the dry valve(s) trip properly duri g tri ressure test? U Yes UNo UNA g. Did the heating equipment in the dry ipe v' e roorn(s) operate at time of inspection? r -; Yes 1-- No [: NA 7. Special Systems (See Item 14.) a. Did the deluge or pre-action valves 0 ate properly during testing? I_J Yes 1__ No n NA b. Did the heat-responsive devices 0 ate properly during testing? [J Yes [] No [J NA c. Did supervisory devices operate during testing? [] Y es [~No .~ NA 8. ~1~~Swater motor(s) and gong(s) test satisf~lY? I Yes I I No .~ b. Did electJjc alarm(s) test satisfactory? f.7Y~C:' IJ No ] NA c. Did supervisory alann service test satisfactory?ir'Yes :] No [~'; NA 9. Sprinklers / a. Are all sprinklers free frorn corrosion, loading or obstruction to spray discharge? r -~s ~ 1 No b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing~s :J No c. Are quick response and residential sprinkJ.etfless than 20 years old? (Older sprinklers require sample testing) ~~ d. Is stock of spare sprinklers availablM' Yes I_~ No ____ e. Does the exterior condition of sprinkler system appear to be sati,)faCtory ? FrY es il No f. Are sprinklers of propel' temperature rating for their 10cations,.Y( Yes ] No 10. Explain any "No" answer and cor!J<ments: 'i r Date 7-- 17- (,5 NA =NOT APPLICABLE ---- NA No I NA /5) L-j -) '7 ;-) ---, /- //-)S- , Signature: .-r-;,-f,4 .)/ /', i ; v~//" ' ///.-,/,!j .(./c""""--' / L'-' [;F~ _Date: / SHEET 2 OF 2 - Use separate slteet for eaclt system inspection Inspection Report 1:".' Ii . I J ;",/J cf--. -l...<?ylVW- N~ ,v~t~- 11. Date dry,pipe valv trip tested (control valve partially open) 12. Date dry-pipe valve trip tested (control valve fully open) (See Trip Test 13. Date quick-opening device tested (See Trip Test Table which follows DRY VALVE TRIP T T TABLE Q, MAKE MODEL MODEL DRY PIPE OPERATING TEST , ~ ~ 1301 L'ORIENT STREET ST, PAUL, MINNESOTA 551]7 (651) 558-3300. (800)-229-6263 FAX: (651) 558-3310 System NnLrtyre~if multiple systems 7 ~ , a.. I h:<' ,/ --/'., ....e.NG AUTOMATIC SPRINKLER CO. Time to Trip Thru Test Pipe MIN, SEe, AlarmOperaled Properly YES NO SERIAL NO. Water Pressure PSI PSI MIN. SEC. Without Q.O.D. With Q.O.D. 14. Date deluge or preaction valve tested DELUGE & PREACTION VALVES (See Trip Test Table which foliows) TRIP TEST TABLE Operation Piping Supervised o PNEUMAT DYES o NO o NO o ELECTRIC 0 HYDRAULIC o NO I Detecting media supervised nllallrip and/or remote control stations in each circuit for testing o NO DYES DYES Does valve operate from the Is there an accessible tacili DY Method of testing-circuits MAKE Does each circuit operate su ervision loss alarm YES NO Maximum time to o erate release YES NO MODEL Does each circuit o erate valve release YES NQ 15. See Control Valve Maintenance Table. Control Valve Maintenance Table Number Secured Control Valves City Connection Control Valve Tank Control Valves Pump Control Valves Sectional Control Valves System Control Valves Other Control Valves -1/' l_~,. "'/A' ~Control Valve 2,d~,-r'VV \ 16. Water Flow Test at Sprinkler Riser Water Su I Source: Last Water Flow Test This Water Flow Test Closed Signs )7.AJ .:Ci--;-::""" Date I City Test Pipe Location Static Pressure Pump Residual (Flow) sure Tank Size of Test Pipe / \ '--' 17. Explain any "No" answers and comments: 18. Adjustments or corrections made during this inspection: 19. Although these comments are not the result of an engineering review, the following desirable improvements are recommended: '. ./ /J: , uj)rp, <#cl /c: ~; :d-C~ SIgnatu :'. , / "/ /~/7<5S Date: