HomeMy WebLinkAboutReport of Inspection 4/2/2009
~"~........ -t$~
I:;.
SUMMIT FIRE PROTECTION
3026 40TH AVE. NW. ROCHESTER, MN 55901 . (507) 280-0622
760 LffiERTYWAY, NORTH LffiERTY, IA 52317. (319) 665-4330
575 MINNEHAHA AVE. W. ST. PAUL, MN 55103. (651) 251-1880
418 GREAT OAK DR., WAITE PARK, MN 56387 · (320) 257-6390
4208 ENTERPRISE CIRCLE. DULUTH, MN 55811 · (218) 740-4412
SHEET I OF 2 - Use separate sheet for each building inspection
REPORT OF INSPECTION
MINNESOTA LICENSE NO. C0075
INSPECTION NAME f'Af--Y J/;r-dL/,"1 [Pf.II~ LJlkr)
STREET 16705' FJNlFPIJ! 7I:tilL ;;,
CITY & STATE f/lJDl J..Ak$,/l1AI
Owner's Section (to be answered by Owner or Occupant)
A, Explain any occupancy hazard changes since the previous inspection:
JOB NUMBER 7/17 ~
BUILDINGILOCATION . ~4?&
INSPECTOR D.lW'/~~p.<7
DATE 4.z~
~
B, Describe fire protection modifications made since last inspection:
C, Describe any fires since last inspection: A,bpp
D, When was the system piping last checked for stoppage, corrosion of foreign material?
E. When was ~~ip.ing system last checked f?r ~roper ~~h? ~111
F. Are dry valv s tely protected from freezmg. 4/n
Signature >'- '\-- , Title \'i \'" I. c
_r.., ...1>,-,'
Date t./, I ("\.:: 1,..1'"1
Inspector's Section (AU respomes reference current inspection) NA =NOT APPLICABLE
1, General
a. Is the building occupied? ~ D No
b. Are all systems in service? ~es D No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? .N!es D No
d. Does all electrical heat tape appear to be satisfactory? DYes D No 5lNA
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be "'satisfactory? DYes D No 1lJfA
2, Control Valves (See Item 15.)
a. Are all sprinkler system control valves and all other valves in the appropriate open or closed position? )il:t.es D No
b. Are all control valves in the open position locked, sealed or equipped with a tamper switch?~s 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 in good condition and properly maintained? DYes D No ~A
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? ,ryes D No D NA
Are they accessible and visible? RYes 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 }it.NA
b. Have antifreeze system so~ been tested? DYes D No pA
c. What temp is antifreeze?
d. In areas protected by wet sys e (s), does the building appear to be properly heated in all areas, including blind attics and perimeter areas
where accessible? ~es D No D NA .
5. Dry System (See Items 11 to 13)
a. Are dry valve(s) in service? Yes D No D N
b. Are the air pressures and . g water lev i cordance with the manufacturer's instructions? DYes D No D NA
c. Has the operation of the r nitrogen su Ii n tested? DYes a No D NA Are they in service? DYes D No D NA
d. Were low points drain d . g this ins ti ? Yes 0 D NA How many?
e. Did quick-opening d 'ces perate sa . fac '. Yes a No DNA
f. Did the dry valve(s 'PPf perly d ng trip ssure test? aYes D No D NA
g. Did the heating 'pment th -pi valve f m(s) operate at time of inspection? DYes D No D NA
6. Special Systems (See Item I4
a. Did the deluge or pre-
b. Did the heat-responsi
c. Did supervisory de .
d. Did flow for kitch h
7, Alarms
a. Did water motor(s) and gong(s) test satisfactorily? DYes D No Ql:.NA
b. Did electric alarm(s) test satisfactorily? ~es D No 0 NA
c. Did supervisory alarm service test satisf8f!O?IY? ~es a No a NA
d. Did tamper switches test satisfactorily? ~es D No a NA
8, Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? ~s D No /
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) taYes DNo
c. Are quick response and residential sprinklers less than 20 years old? (Older spri~ld~rs require sample testing) lliiC(es D No
d. Is stock of spare sprinklers available? ~es CI No
e. Does the exterior condition of sprinkler system appear to be satisfactory? 'CilYes D No
f. Are sprinklers of proper temperature rar;g or their locations? )(res D No .
g. Are My ~ on a recallli', . Q '" JlQ!o
Signature~l/1/\/"\...-1,",-"', Date: 4- - z -0 q
properly during testing? DYes D No D NA
roperly during testing? DYes D No DNA
pe e esting? DYes D No D NA
ste sh off gas or electric? DYes D No D NA
. .,-'\
~;_... .r'-r J~;~1 SUMMIT FIRE PROTECTION
575 MINNEHAHAAVR W. ST. PAUL, MN55103 · (651) 251-1880
418 GREAT OAK DR., WAITE PARK, MN 56387 · (320) 257-6390
4208 ENTERPRISE CIRCLE. DULUTH, MN 55811 · (218)740-4412
3026 40TH AVE. NW . ROCHESTER, MN 55901 . (507) 280-0622
760 LIBERTY WAY, NORTH LIBERTY, IA 52317. (319) 665-4330
SHEET 20P 2 - Use separate sheet for eachsystem inspection
Inspection Name and Numt>y,
ffff .A!j(O/.tt/lPf;'/(l!2 L!<)
Ty.pe Of. system. I..~'. . 7" ,."
How Many?
What Size? . I I
~r
~ with Pres~ure Switch
12, Date deluge or preaction vaNe tested
(See TripTest Table which follows)
ee Trip Test Table which follows) .
i h follows)
E 0.0.0.
MA MODEL SERIAL NO.
DRY PIPE
OPERATING
TEST
Without
0.0.0.
With
0.0.0.
SEC.
Alarm Operated
Properly
YES NO
- >
it..~_..~._.~~_......_=_.._._
DELUGE &
PREACTION
VALVES
Operation
Piping Supervised
Does valve operate from th
Is there an accessible fa
o
DYES
DYES
o NO
o NO
MAKE
NO
13, See Control Valve Maintenance Table.
Control Valve Maintenance Table
Last Water Flow Test
This Water Flow Test
Open
'1&6
Control Valves Type
City Connection Control
Valve
Tank Control Valves
Pump Control Valves
Sectional Control Valves
~tem
O\herQontrol Val,v~,
Ki~o Gontr91 N~~ .
16..Watt:r FIO\v Test at Sprinkler Riser
Water SltpplySource:
Tank
Size of
Test Pipe
Static
Pressure
Differential
14. Explain any "No" answers and comments; ~
, ~: .
ilfi (;1
Si~twe " ~.' .~
Date: ~2-{)Cj