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Home My WebLink AboutFire Sprinkler Report 6.18.2007 & .. ... ~' 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. (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 JOB NUMBER 6 F11'") 5 BUILDINGILOCATION<;:..tAfE INSPECTOR t)'4:~fPilt-1<,I"I',,'..IL{1 DATE (~. 'j/f"C/~:>" MINNESOTA LICENSE NO. C0075 INSPECTION NAME tA""( ".}'i.; /'1..A-P.4 STREET /(; K1 ,Aj.I/'/-1,.' ..1!/'/'. 'i/ CITY & STATE rIZ,,/iJ, '....,4 A',f ;./1~:1'!: .~_. ,/ ~:.,.::. ~.) Owner's Section (to be answered by Owner or Occupant) If //11/1" A. Explain any occupancy hazard changes since the previous inspection: / If/!L' r B. Describe fire protection modifications made since last inspection: / :;/;1../ C. Describe any fires since last inspection: ./,i /(',(/1 ,fo" , 'l' ~,1 D. When was the system piping last checked for stoppage, corrision of.{o{eign E. When was the dry-piping system last checked for proper pitch? ..i /2/ F. Are dry valves adequately protected from freezing') :"./ '~, Signature, ~< .1,/<:. it :4,-f'"", t ' Title I .'~ " ,~. ',.,~_.. ~ ." Date Inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE 1. General a. Is the building occupied?)3Yes D No b. Are all systems in service? .,B;Yes D No c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? iifYes D No d. Does all electrical heat tape appear to be satisfactory? DYes D No \2fNA e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? ~es D No D NA 2. Control Valves (See Item IS.) a. Are all sprinkler system control valves and all other valves in the appropriate open or closed position? ~es D No b. Are all control valves in the open position locked, sealed or equipped with a tamper switch? ~es D No 3. Tanks, Pumps, Fire Department Connections -,_.--- a. When was fire pump last tested for performance? ./1 ,/;4. b. Are fire pumps, gravity tanks, reservoirs and pressuret;nks in good condition and properly maintained? DYes D No ...l!J'NA c. Are fire department connections ~n satisfactory condition, couplings free, caps in place, and check valves tight? jilYes D No D NA Are they accessible and visible? ~Yes 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 ~,NA b. Have a. ntifr~eze system soluti~'1f been tested? DYes D No !iJ'.NA c"WtI'at t,.el'ftp IS antIfreeze? .//4- 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?:!;aYes D No D NA 5. Dry System (See Items 11 to 13) a. Are dry valve(s) in service? .~es D No D NA b. Are the air pressures and priming water levels in accordance with the manufacturer's instructions? ~s D No 0 NA c. Has the operation of the air or nitrogen supplies been tested? ,!)Yes D No D NA Are they in service? .Ci!Yes D No D NA d. Were low points drained during this inspection? J&Yes D No D NA How many? t e. Did. quick-opening devices operate satisfactorily? ]fil.Yes ~o DNA f. Did the dry valve(s) trip properly during the trip pressure test? ):ii(yes D No D NA g. Did the heating equipment in the dry-pipe value room(s) operate at time of inspection? .M:es D No D NA 6. Special Systems (See Item 14.) a. Did the deluge or pre-;.attion vaI1='0 fate properly during testing? DYes D No D NA b. Did the heat-re.sPo~.lye devic~ t' properly during testing'? DYes D No DNA c. Did supervisory..devices operate ri testing? DYes D No D NA d. Did flow for kjtcheliho~syst,fu sh' off gas or electric? DYes D No D NA 7. Alarms \' I " a. Did water motor(s) and gong(s) test satisfactorily? DYes D No )il,N'A b. Did electric alarm(s) test satisfactory? JiZXes D No DNA c. Did supervisory alarm service test satisfactory? afyes D No D NA d. Did tamper swithces test satisfactory? )!Yes D No D NA 8. Sprinklers . a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? ~es D No b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) j:ilYes DNo c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) BYes D No d. Is stock of spare sprinklers available? ~es D No e. Does the exterior condition of sprinkler system appear to be satisfactory? PfYes D No f. Are sprinklers of proper temperature rating for th~ir locations? p.yes D No g. Are any sprinkl5f Reads on a recall list? aYes.'i1.No I J '-7 Signature: /. ,::/ i .'1 ./~.~---\......-, Date: ( - /l~ I .... .....' ..... .' '" - 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. (320) 257-6390 760 LIBERTY WAY, NORTH LIBERTY, IA 52317. (319) 665-4330 Type of System ,: (.f1" i' , How Many? What Size? ...Flow Switch jl)r. . , . -.. .. "AfarmCheck witti.:p':essure Switch 9. Date dry-pipe valve trip tested (control valve partially open) (;/I/'.U 7 (See Trip Test Table which fOIlO';;5)-'---"'--- 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) DRY VALVE TRIP TEST TABLE 0.0.0. MAKE SHEET 2 OF 2 - Use separate sheet for eachsystem inspection Inspection Name and Nl)JI1ber L;.,' " ". I' ,t.. lJ, ., ~" 1- /( v.' ,; :,:., ..',' , ",.,-"; .... . . ), , ~'#'w:_- ':. ",r ,if', J" ~. SERIAL NO. 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 TEST MIN. SEC PSI PSI PSI MIN. SEC. YES NO Without -:':-;f; .. 0.0.0. --"7" ,.. With .....',...,,"'"' . / " "'Yi )/ ,~ 0.0.0. "..... DELUGE & PREACTION VALVES (See Trip Test Table which follows) TRIP TEST TABLE Operation 0 PNEUMATIC 0 ELECTRIC 0 HYOR~'yI,.IC-'-"-"'" Piping Supervised 0 YES 0 NO Clingr;,edia supervised Does valve operate from the riianuaJ-llip,e.!JflIOI-rem6fe control slations Is there an accessible laciliW JIl-eatfi circuit for iesllng ',_, _.O'vES 0 NO Does each circuit operate SU rvision loss alann YES NO DYES DYES o NO o NO 12. Date deluge or preaction valve tested Method of testing-circuits .' MAKE MODEL ,NO.. .-' 13. See Control Valve Maintenance Table. Control Valve Maintenance Table I / Closed Signs Explain Abnormal Condition Control Valves City Connection Control Valve Tank ConYol Valves Pump'tontrol'Valves Sectional Control Valves System Control Valves Other Control Valves Kitchen Control Valve 16. Water Flow Test at Sprinkler Riser Water Supply Source: Number Date ...,...."e.,""" 'City' st Pipe Location Tank Size of Test Pipe Static Pressure Pump Residual Differential (Plow) Pressure Last Water Flow Test This Water Flow Test -<::- ') ..',,~ 2' .:;1 .'/~ 'J '\ ~ :;..~ . I;'. .s~J 14. f I l:f II t A f ,flA'S/tt-',{rU.( i ~d/ '/' i;-;1 7C;l;r /1(1 "j;i r.-fltrL1 .:5 1/(11/L-./J ./3/; ./ e.1-/~/~/;'L~ .", // j /.j J / S. '/ ~'/ If i -"'" / Ignature:i~/ po ,I' / /\.,..-"'\ "" ~'-......- ("/ Date: (>/R-(J 7