HomeMy WebLinkAboutFire Sprinkler Report 3/17/2008
SUMMIT 1JRE PROTECTION
..d:mAHAAVE. w. ST. PAUL, MN 55103. (651) 25-.ttt880 302640THAVE.NW. ROCHESTER, MN 55901. (507) 280-0622
.0 GREAT OAK DR., WAITE PARK, MN 56387. (320) 2?7-.6390 760 LmERTYWAY, NORTH LmERTY, IA52317. (319) 665-43)0
4208 ENTERPRISE CIRCLE. DULUTH, MN 55811 · (218) 740-4412
SHEET I OF 2 - Use separate sheet for each building inspection
REPORT OF INSPECTION
JOB NUMBER 72.f;Q4-
MINNESOTA LICENSE NO. C0075
t.
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Owner's Section (to be answered by Owner or Occupant) 11
A, Explain any occupancy hazard changes since the previous inspection: N~JJE
B. Describe fire protection modifications made since last inspection: .A/uJ/6-
C. Describe any fires since last inspection: A/(J,.(/13
D. When was the system piping last checked for stoppage, corrision oj fOJeign material?
E. When was the. dry-piping system last checked for proI1~tch? &1".'. ..
F. ~;n:r:~~~~urtel~l~~~ freezing? /f/.It Title \: lot \'. \ { _0' ,vt II c t
VII K,VoI1lI/
Date (
n (r'
Inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE
1. General
a. Is the building occupied? ~es 0 No
b. Are all systems in service? ~es 0 No .
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? ~es 0 No
d. Does all electrical heat tape appear to be satisfactory? DYes 0 No )B:.NA
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? DYes 0 No)S.NA
2. Control Valves (See Item 15.)
a. Are all sprinkler system control valves and all other valves in the appropriate open or closed e~ition? ~es 0 No
b. Are all control valves in the open position locked, sealed or equipped with a tamper switch? ~es 0 No
3. Tanks, Pumps, Fire Department Connections "hI
a. When was fire pump last tested for performance? /V/f
b. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? DYes 0 No 3.NA
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? ~es 0 No 0 NA
Are they accessible and visible? WYes 0 No 0 NA
4. Wet Systems
a. Are cold weather valves (O.S. & Y) in the appropriate open or s;losed position? DYes 0 No ~NA
b. Have antifreeze system soluti,jbeen tested? DYes 0 No I2S.NA
c. What temp is antifreeze? /t If
d. In areas protected by wet system(s), does the building app~ to be properly heated in all areas, including blind attics and perimeter areas
where accessible?).!hes l:J;No 0 NA /1
5. Dry System (See/terns tp 13) / /;; I
a. Are dry valve(s) in :f.' e? DYes 0 No".O NA //
b. Are the air pressu s priming wate evels in ord ce with the manufacturer's instructions? DYes 0 No 0 NA
c. Has the operati of air or nitro supplie en tes ? DYes 0 No 0 NA Are they in service? DYes 0 No D NA
d. Were low poi drain~Uring . inspecti -8 NA How many?
e. Did quick-o 'ng de ces ope e satisfac ly? oYi 0 No 0 NA
f. Did the dry alve(s) tri pro y during trip press e test? DYes 0 No 0 NA
g. Did the ting equip nt jrl. the dry_po e value room ) operate at time of inspection? DYes 0 No 0 NA
6. Special S terns (See Item I..) .
a. Did the deluge or pre- on val oper e roperly during testing? DYes 0 No 0 NA
b. Did the heat-respo v devic opWU1y during testing? DYes 0 No DNA
c. Did supervisory i sop te d g't ting? DYes 0 No 0 NA
d. Did flow for ki en Ii syste hut gas or electric? DYes 0 No 0 NA
7. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? DYes 0 No ~A
b. Did electric alarm(s) test satisfactory? ~es 0 ~ 0 NA
c. Did supervisory alarm service test satis!a~ory? ~es 0 No 0 NA
d. Did tamper swithces test satisfactory? &es 0 No 0 NA
8, Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? .t!tYes 0 No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) 14y~s aNo
c. Are quick response and residential spr4Ugers less than 20 years old? (Older sprinklers require sample testing) fltyes 0 No
d. Is stock of spare sprinklers available? ~es 0 No
e. Does the exterior condition of sprinkler system appear to be satist;lctory? ~es 0 No
f. Are sprinklers of proper temperature rating ~ locations? RS,Yes 0 No
g. Are any J)fny;reads on a recall list? 0, J No
Signatu~~^'/'-'/"\~ _' Date: ,,-~ -/7- 0 8
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SUMMlTFIIJE PROTECTION
..-ctAiIAAVE. w. ST. PAUL, MN 55103:' (65b 25Ll~8() 3026 40TH AVE. NW. ROCHESTER, MN 55901 · (507) 280-0622
~AT OAK DR., WAITE PARK, MN56387. (320) 257--6~90 760 LIBERTY WAY, NORTH LIBERTY, IA 52317. (319) 665-4330
4208 ENTERPRISE CIRCLE. DULUTH, MN s5S11. (218) 74~4412
dry-pipe valve trip tested (control valvepartill-lly open) . (See Trip Test Ta,ble ol/cws)
(See Trip Te e whichfoHows)
(See Trip Test Table which s
TRIP TEST 0.0.0,
SHEET 2 OF 2 ~ Use separate sheet for eachsystem inspection
I~ection N.lpe and Number If' )'
U1k-Kttft C O'-l.E'rf.::-Lt. (OR /../1 icE
SERIAL NO.
DRY PIPE
OPERATING
TEST
....______ With
/~ Q.O.O.
--
12, Date ~reaction valve tested
--
DELUGE &
PREACTION
VALVES
(See Trip Test Table which follows)
TRIP TEST TABLE
o ELECTRIC 0 HYOR
o NO
DYES
DYES
o NO
o NO
Maximum time to
ate release
y
-----.
----
13. See Control Valve Maintenance Table.
Control Valve Maintenance Table
Control Valves
City Connection Control
Valve
Tank Control Valves
Pump Control Valves
See 'onal Control Valves
System 'Con rot' Valves
O1her Control Valve~
Kitchen Control Valve
Number Type
I Lv!, Iii
Explain
Abnormal
Condition
16. ~~:ilow Test at Sprinkler Riser
Water Supply Source:
Date
Tank
Static
Pressure
Differential
Size of
Test Pipe
Last Water Flow Test
This Water Flow Test
14. Explain any "No" answers and comments: A/O# t-:
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Date:
,.3-/7-0B
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