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Home My WebLink AboutFire Sprinkler Report August 2007 SUMMIT FIRE PROTECTION 575 MINNEHAHA AVp. W. ST. PAUL, MN 55]03. (651) 251-1880 3026 40TH AVE. NW.. ROCHESTER, MN 55901 . (507) 280-0622 4]8 GREAT OAK DR., WAITE PARK, MN 56387. (320) 257-6390 760 LIBERTY WAY, NORTH LIBERTY, IA 523] 7. (3] 9) 665-4330 SHEET 1 OF 2 - Use separate sheet for each building inspection REPORT OF iNSPECTION 'r::: .) ,~,. )/1\) JOB NUMBER BUILDINGILOCATION Y Jonp) :;:CT~ ",~;::i i.;( ()-, - : ::...J, , MINNESOTA LICENSE NO. C0075 INSPECTION NAME STREET /6/ 'z()6 ,A1 ~ 1 1 ' CITY & STATE 'I"'.r \ .' l- J L,,{ ! (' )[> f, Owner's Section (to be answered by Owner or Occupant) A. Explain any occupancy hazard changes since the previous inspection: ,;/ '<" B. Describe fire protection modifications made since last inspection: ,?I,L C. Describe any fires since last inspection: J / ",/ J T 7 'y.'''''' . D. When was the s~~te,? piping last checked for stoppage, cO~Tision of forejpn mat~.rial? ( /"'.J E. When was the d,iy,-plpmg system last checked for proper pItch?...,;. ,'., ... 'fI- . [ F. Are dry valve~:rtety j'Jr(j[~cletl1'rt\Ill fI=t:ittg-?-,. /' / A Signature ,'" {/, ~ Title e:;:.. , 'l-t -"'ilr ~. ( "., Date :II ./; Inspector's S'ection (All responses reference current inspection) NA =NOT APPLICABLE 1. General. a. Is the building occupied? DYes D No b. Are all systems in service? DYes D No . c. Is there a minimum of 18 in. (457 mm) clearance between the top of the ~torage and the sprinkler deflectors? ,.ldYes D No d. Does all electrical heat tape appear to be satisfactory? DYes 0 No CfNA e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? DYes D No q.NA 2. Control Valves (See Item 15.) .' a. Are all sprinkler system control valves and all other valves in the appropriate open or closed position? ;:aYes D No b. Are all control valves in the open position locked, sealed or equipped with ~Il).psa:..s.lYitch? )3Yes 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]:k ~NA c. Are fire department connections)nsatisfactory condition, couplings free, caps in place, and check valves tight? ,fjYes D No DNA Are they accessible and visible?'t:!Yes D No D NA 4. Wet Systems " .a. Are cold weather valves (O.S. & Y.) in the appropriate open or clqsed position? DYes D No ~A b. Have antifreeze system solut~een tested? DYes D No DNA c. What temp is antifreeze? ... d. In areas protected ~. wet system(s), does the building appear to be properly heated in all areas, including blind attics and perimeter areas where accessible?mes 0 No 0 NA 5. Dry System (See Items II to /3) a. Are dry valve(s) in service? DYes D No DNA b. Are the air pressures and priming water !evels in accordance with the manufacturer's instructions? DYes D No D NA c. Has the operation of the air or nitrog91 supplies been tested? DYes D No DNA Are they in service? DYes D No DNA d. Were low points drained during tpiS'inspection? DYes D No D NA How many? e. Did quick-opening devices opptate satisfactorily? DYes D No D NA J. Did ths: dry valve(s) trip ptyP'erly during the trip pressure test? DYes D No D NA g. Did the heating equipmoot 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 valvy.lloperate properly during testing? DYes 0 No 0 NA b. Did the heat-responsive devic~perate properly during testing') DYes D No DNA c. Did supervisory devices opyate during testing') DYes D No DNA d. Did flow for kitchen hood'system shut off gas or electric? DYes D No D NA ~~U~ / a. Did water motor(s) and gong(s) test satisJ)ctorily? DYes D No DNA b. Did electric alarm(s) test satisfactory? dYes D No 0 NA c. Did supervisory alarm service test satisfactory? CilYes 0 No 0 NA d. Did tamper swithces test satisfactory? [JYes 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) [JYes DNo c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) DYes D No d. Is stock of spare sprinklers available') "EJ'yes D No e. Does the exterior condition of sprinkler system appear to be satist';;wt6ry? DYes D No f. Are sprinklers of proper temperature rating for theiI)ocations? DYes D No g. Are any sprinkler _he_~ds. on~recall.hst?DYe~,...~o ., ~ Signature: Date: .............. . \. SUMMIT fIRE P~OTECTION 575 MINNEHAHA,A'VE. W. ST. PAUL, MN 55103. (651) 251-1880 3026 40TH AVE. NW. ROCHEST;ER, MN 55901 . (507) 280-0622 418 GREAT OAK DR., WAITE PAlR.K, MN 56387. (320) 257-6390 760 LIBERTY WAY, NORTH LIBERTY, IA 52317. (319) 665-4330 SHEET 2 OF 2 - Use separate sheet for eachsystem inspection I ! Yi,t- t.' .-i Type of System How Many? What Size? Flow Switch or . . .I Alarm Check with Pressure Switch 9. Date dry-pipe valve trip tested (control valve partially open) \j I~~{CTL tsee TrJt Test Table which follows) 10. Date dry-pipe valve trip tested (control valve fully open) I. (SehritlTest Table which follows) 11. Date quick-opening device tested (See Trip Test Table which fojJtfws) Inspe!ti.on Na1<. .aM Nu...m '.!.it" L~f ..' ..:.>{)(' 1<<. VJ' iI... .'. ,I \.1 ., 12. Date DRY VALVE TRIP TEST TABLE ,A.O.D. MAKE MODEL I SERIAL NO. I MAKSt I MODEL SERIAL NO. I ... I / DRY PIPE Time to Trip Water Air ~(({; Point Time Water Reached Alarm Operated OPERATING Thru Test Pipe Pressure pressure r Pressure Test Outlet Properly TEST MIN SEC. PSI PSI PSI MIN. SEC. YES NO Without / 0.0.0. 1/ ,. With -... 0.0.0. / .. deluge or preaction valve tested .... (See Trip Test Table which follows) / TRIP TEST TABLE Operation o PNEUMATIC " o ELECTRIC o HYDRAULIC Piping Supervised DYES i o NO I Detecting media supervised DYES o NO DELUGE & Does valve operate from the manu<jYlrip and/or remote control stations DYES o NO PREACTION Is there an accessible facility in each circuit for testing Method of testing.circuits VALVES DYES o NO Does each circuit operate Does each circuit Maximum time to MAKE MODEL suoervision loss alarm onerate valve release operate release . YES I NO YES I NO YES I NO I I I ontrol Valve Maintenance Table. Control Valve Mamtenance Table ".. .,... j;J 1.t3. 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 System Control Valves I ~n.,.(1. , "4',-- ,,/ ,/ ; i/l 'P"? Other Control Valves J /.)~ ' ..''<'4<'" I/.,,' : ~/l /.\,)~ I' I ":;:'4'" ,~ 7/ J '" , '- " Kitchen Control Valve / --- I 16. Water Flow Test at Sprinkler Riser Water Supply Source: Date City Test Pipe Location Tank Static Pressure Differential Size of Test Pipe Last Water Flow Test This Water Flow Test ~ ' " t , 14. Explain any "No" answers and comments: ;"'1 ,; ~ \ ..." 1 J ~....,-" ..,.~ .'" ~,. Signature: Date: I i 'f, f "