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Home My WebLink AboutFire Protection Report 2007 V"...t.NC3 AUTOMATIC SPRINKLER CO. Setting The Standard... 1301 L'Orient Street St. Paul, Minnesota 55117 (651) 558-3300 . (800) 229-6263 Fax: (651) 558-3310 AGREEMENT AND REPORT OF INSPECTION ilINSPECTION ;2. '" r; "I "5 S SHEET 1 of 2 - Use separate sheet for each building inspected MINNESOTA LICENSE NO. COOS 3 (, l~~J \(("- .<:, l,--- i \.;. ~- ~ <.. ---' BUILDING OR LOCA nON INSPECTOR DATE 5',... ...-~; 'v' REPORT TO STREET CITY & STATE ,;; il.'" ( I, H4uv ies' C( " ell ;:,f ~!t! .,' 'Pc> . ; t" P ,11 '1 L; s " L.7 Owner hires Viking Automatic Sprinkler Company to conduct an inspection of the fire suppression system at the above location or building, and prepare a written report of that inspection for an agreed upon fee. As part of this agreement, owner agrees to terms and conditions on rear of form and will complete the Owner's Section of this document. Owner's Section (To be answered by Owner or Occupant) A. Explain any occupancy hazard changes since the previous inspection: ;1 :; r' € B. Describe fire protection modifications made since last inspection: ,f."\ ~_ . ..>( .,:-' C. Describe any fires since last inspection: IF) ( \ 1 \', ,I ""' ,; ". ~ " ,\~, i ;\ ,... (:1 1"'( (; '.;, D. When was the system piping last checked for stoppage, corrosion or foreign materia{?, E. When was the dry-piping system last checked for proper pitd1? n .c. 11,", \. ,~ 5 F. Are dry valves adequately protected from freezing? ,;. . J-, Signature Title Date Inspector's Section (All responses reference current inspection) N/A = NOT APPLICABLE 1 General a. Is the building occupied?,?:: Yes LJ No b. Are all systems in service? ~Y es 0 No c. Does there appear to be a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? )4 Yes n No d. Does the valve hose on the sprinkler system(s) appear to be satisfactory? 0 Yes 0 No )IS, N/ A 2 Control Valves (See Item 15) a. Do sprinkler system control valves appear to be in tl1e appropriate open or closed position? 'A Yes 0 No b. Are control valves in the open position locked, sealed or equipped with a tamper switch?;lYes 0 No 3 Water Supplies (See Item 16) a. Was a water flow test of main drain made at the sprinkler riser(s)?;( Yes D No 4 Tanks, Pumps, Fire Department Connections a. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? n Yes 0 No ,Jo(N/ A b. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? /<I Yes 0 No LJ N/ A Are they accessible and visible?,{,Yes 0 No [] N/ A 5 Wet Systems / a. Are cold weather valves (0.5. & Y.) in the appropriate open or closed position? [] Yes 0 No )(N/ A b. Have antifreeze system solutions been tested? LJ Yes I] No '~N/ A c. Were the antifreeze test results satisfactory? 0 Yes 0 No)6.N/ A d. In areas protected by wet system(s), does the building appear to be properly heated in all areas, including blind attics and perimeter areas where accessible? 0 Yes 0 No 'AN/ A Do all exterior openings appear to be protected against freezing~ Yes [] No 0 N/ A 6 Dry System (See Items 11 to 13) . a. Are dry valves (s) in service?~ Yes 0 No 0 N/ A b. Are the air pressures and priming water levels in accordance with the manufacture's instructions?/tI Yes II No 0 N/ A c. Has the operation of the air or nitrogen supplies been tested? )ll:.Yes LJ No n N/ A Are they in service?;t- Yes 0 No n N/ A d. Were all know low points drained during this inspection~ Yes 0 No II N/ A . e. Did quick-opening devices operate satisfactorily? 0 Yes 0 No ~.IltN/ A f. Did the dry valve(s) trip properly during the trip pressure test? -.).J Yes [J No 0 N/ A g. Did the heating equipment in the dry-pipe valve room(s) operafe at time of inspection? ~ Yes 0 No 0 N/ A 7 Special Systems (See Item 14) a. Did the deluge or pre-action valves operate properly during testing? II Yes No )l. N/ A b. Did the heat-responsive devices operate properly during testing? 0 Yes 0 No AN/ A c. Did supervisory devices operate during testing? 0 Yes 0 No A N/ A 8 Alarms a. Did water motor(s) and gong(s) test satisfactorily? 0 Yes 0 No '!N/ A b. Did electric alarm(s) test satisfactory?~ Yes 0 No LJ N/ A c. Did supervisory alarm service test satisfactory? DYes 0 No A N/ A 9 Sprinklers' . a. Do visible sprinklers appear to be free from corrosion, loading or obstruction to spray discharge? ~ Yes 0 No b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing)~ Yes 0 No' c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) DYes 0 No .XN/ A d. Is stock of spare sprinklers available? j-Yes 0 No e. Does the exterior condition of sprinkler system appear to be satisfactory? Xi Yes 0 No f. Do visible sprinklers appear to be of proper temperature rating for their I~ations? "'- Yes [J No 10 Explain any "No" answers' comments: Signature: (Rev.2/8/fY,) 7 Date: G -1'1 D7 ". ...t. .. C3i AUTOMATIC SPRINKLER CO. Setting The Standard... 1301 L'Orient Street St. Paul, Minnesota 55117 (651) 558-3300 . (800) 229-6263 Fax: (651) 558-3310 SHEET 2 of 2 - Use separate sheet for each system inspected System No. or Description if multiple systems ';;) Ii d r '1 Inspection Report No. ;;). 0 S 4 '5 "5 11 Date dry-pipe valve trip tested (control valve partially open) 12 Date dry-pipe valve trip tested (control valve fully open) 13 Date quick-opening device tested DRY VALVE C,-'''-' V( (See Trip Test Table which follows) (See Trip Test Table w/lich follows) (See Trip Test Table which follows) DRY PIPE OPERATING TEST "" MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. ('t"~ \'1.:, \ Ar: - T I'; C; " _c, c:: -.11 ? ...- - Time to Trip Water Air Trip Point Time Water Reached Alann Operated Thru Test Pipe Pressure Press u re Air Pressure Test Outlet Proper! y MIN. SEe. PSI PSI PSI MIN. SEe. YES NO Without / I ,~ ,./ OD.o / CS 4c~ 1:.:=:., /.,....... /" With 0.0.0 TRIP TEST TABLE QOD 14 Date deluge or preaction valve tested (See Trip Test Table which follows) TRIP TEST TABLE fJlA Operation D PNEUMATIC [] ELECTRIC D HYDRAULIC Piping Supervised DYES CI NO I Detecting Med ia Su pervised [] YES [J NO Does valve operate from the manual trip and/ or remote control stations u YES D NO Is there an accessible facility in each circuit for testing [J YES D NO IMethod of Testing Circuits Does each circuit operate Does each circuit Maximu111 time to MAKE MODEL supervision loss alarm operate valve release operate release YES I NO YES I NO YES I NO I I I DELUGE & PREACTION V ALVES 15 See Control Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE Explain Abnormal Control Valves Number Type Open Secured Closed Signs Condition City Control Valves Bypass Valves Tank Control Valves Pump Control Valves Sectional Control Valves /.. '-I" Gi'j( '1:' - - _. Svstem Control Valves f .. '2 "z B.P- --- ._- Other Control Valves Kitchen Control Valves 16 Water Flow Test at Sprinkler Riser Water Su I Source: .-eft Tank Date Test Pipe Location Size of Test Pi e Sta tic Pressure Pum Residual (Flow) Pressure '-----"..-.-~- Last Water Flow Test This Water Flow Test \. ~-,,/ 'I c o 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: ~\ ..-" I /j/~~ V-7 Signature: Date: (-/'-f '0/ (Rev.2/B/1l6)