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Home My WebLink AboutFire Protection Report .. SUMMIT FIRE PROTECTION 7301 APOLLO COURT. LINO LAKES, MN 55014. (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 SHEET I OF 2 . Use separate sheet for each building inspection REPORT OF INSPECTION MINNESOTA LICENSE NO. C0075 JOB NUMBER 'I '/ INSPECTION NAME (""f''! . STREET /~"J )~ i':;";" j. CITY & STATE' "'-........ ! ,Jr<,. " [:" "1.' "., i \ .~... .' I '"r 'I),' \ _J/.',,/"'r ~ ' F 5S:'~'3'7 ?- BUILDINGILOCATION .f =v~ ::7~ INSPECTOR-" . -~"': "J -'", "J.. / DATE ..;" -~:r/ 0"-- ! .:-;;c.": ""'., ,'- 1/ . ,1,' . 'I;f l Owner's Section (to be answered by Owner or Occupant) A. Explain any occupancy hazard changes since the previous inspection: I '/ . Fv)J{ , B. Describe fire protection modifications made since last inspection: C. Describe any fires since last inspection: D. When was the system piping last checked for stoppage, corrision of foreign material? E. When was the dry-piping system last checked for proper pitch? F. Are c\J:Y I.'aj.yes adequately protected from freezing? <_____-..;-~~1fgriature Title , / . Date Inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE 1. General a. Is the building occupied') A1Yes D No b. Are all systems in service? .ElYes D No c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? QYes D No d, Does all electrical heat tape appear to be satisfactory? DYes D No [INA e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? DYes D No DNA 2. Control Valves (See Item 15.) a. Are all sprinkler system control valves and all other valves in the appropriate open or closed position') DYes D No b. Are all control valves in the open position locked, sealed or equipped with a tamper switch? []Yes D 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? DYes D No D NA c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? DYes D No D NA Are they accessible and visible? DYes D No D NA 4. Wet Systems a. Are cold weather valves (O.S. & Y.) in the appropriate open or closed position? DYes D No DNA b. Have antifreeze system solutions been tested') DYes D No 0 NA c. What temp is antifreeze? d. In areas protected by wet system(s), does the building appear to lie properly heated in all areas, including blind attics and perimeter areas where accessible? DYes D No D NA 5. Dry System (See Items 1 I to 13) a. Are dry valve(s) in service? DYes D No D NA b. Are the air pressures and priming water levels in accordance with the manufacturer's instructions? DYes D No DNA c. Has the operation of the air or nitrogen supplies been tested? DYes D No D NA Are they in service? DYes D No D NA d. Were low points drained dUfing t)'lis in,spection? DYes [J No D NA How many') e. Did quick-opening devices'ope~te satisfactorily? DYes D No D NA f. Did the dry valve(s) trip properly during the trip pressure test') DYes D No D NA g. Did the heating equipment in the dry-pipe value room(s) operate at time of inspection? DYes D No DNA 6. Special Systems (See Item 14.) a. Did the deluge or pre-action valves op~rate properly during testing') DYes D No D NA b. Did the heat-responsive devicq operat<':.properly during testing? DYes D No DNA c. Did supervisory devices oper'l,fe duririgtesting') DYes D No DNA d. Did flow for kitchen hood system shut off gas or electric? DYes D No D NA 7. Alarms a. Did water motor(s) and gong(s) test satisfactorily? DYes D No r:J NA b. Did electric alarm(s) test satisfactory? t]Yes D No D NA c. Did supervisory alarm service test satisfactory? DYes D No D NA.rl d. Did tamper swithces test satisfactory') .DYes D No D NA 8. Sprinklers a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge') DYes D No b. Are sprinklers less than 50 years old') (Older sprinklers require sample testing) DYes D No c. Are quick response and residential sprinklers less than 20 years old'l (Older sprinklers require sample testing) DYes D No d. Is stock of spare sprinklers available') BYes D No e. Does the exterior condition of sprinkler system appear to be satisfactory') DYes D No r. Are sprinklers of proper temperature rating for their locations'? DYes D No g. Are any sprinkler heads on a recall '!st') DYes .D No / --- Signaturc: Dalc' , SUMMIT FIRE PROTECTION 7301 APOLLO COURT' LINO LAKES, MN 55014' (651) 251-1880 3026 40TH AVE. NW ~ RO('HESTER, 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 SHEET 2 OF 2 - Use separate shect for cachsystem inspection Ins'p~c~io~, N~~e a~~ NU,n.:ber .X. " . 'L _._.- :..'-~'...." .,'. /',-.t .... i Type of System How Many~ What Size? Flow Switch or' Alarm Check with Pressure Switch ~ ,'" 9. Date dry-pipe valve trip tested (contro] valve partially open) ',/, (See Trip Test Table which follows) 10. Date dry-pipe valve trip tested (control valve fully open) ".- -, "'i (See Trip Test Table which fOllows) 11. Date quick-opening device tested (See Tt;pTest 'nfb7e which fOllows) DRY VALVE TRIP TESJ:.TABLE 0.0.0. 12. Date MAKE MODEL I SERIAL NO, ! MAKE I MODEL SERIAL NO. i I DRY PIPE Time to Trip Water Air Trip POint Time Water Reached Alarm Operated OPERATING Thru Test Pipe Pressure pressure Air Pressure Test Outlet Properly MIN SEC. PSI PSI PSI MIN. SEC YES NO TEST Without 0,0.0 With .>,- .*'- 0.0.0. ,.." ,,,--'-'-' deluge or preaction valve tested l / (See Tnp Test Table which fOllows) . . TRU'. TEST TABLE Operalion o PNEUMATIC 0 ELECTRIC o HYDRAULIC Piping Supervised DYES 0 NO I Detecting media supervised DYES o NO DELUGE & Does valve operate from the manual trip and/or remote control stations DYES o NO PREACTION Is there an ar:.:cesslble facility In each circuit tor testing Method of testing,cl~CLJits VALVES DYES o NO Does each circuit operate Does each circuit Maximum time to MAKE MODEL supervision loss alarm-- operate valve release ooerate release YES r NO YES I NO YES I NO .... " I I I antro] Valve Maintenance Tab]e. Control Vahe Mamtenance Table 13. See C Explain Abnormal Control Valves Number Type Open Secured Closed Signs Condition City Connection Control Valve Tank Control Valves Pump Control Valves Sectional Control Valves / ' ,(' ," 'L', .- ...~ ........' ft'" ..." System Control Valves ....l , J.-.,,' i Other Control Valves ; " i Kitchen Control Valve ]6. Water F]ow Test at Sprinkler Riser Water Supply Source: Last Water Flow Test This Water Flow Test Tank Date Size of Test Pipe Static Pressure Differentia] 14. Explain any "No" answers and comments: t.,," , '"". Signature: ,,~ ,<c' j Date: )