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Home My WebLink AboutFire Sprinkler Report - 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 1 OF 2 - Use separate sheet for each building inspection REPORT OF INSPECTION MINNESOTA LICENSE NO. C0075 INSPECTION NAME (Ii c t t1/11~() i t t -~ II // .~. ("- ), .J i . ., ...,-' i1 . ; STREET .I CD.I L'~ t ,K:Prvl-'//jl[ i.c:.:rrl{ CITY & STATE l';.-)/t'I/ 1,.,:4 i<L:. /"JIf.,', JOB NUMBER ,r; r''';;'' -,/) ,_,,,.c. ./" V [/l') 1 BUILDING/LOCATION :,:>,,4/JJL"" INSPECTOR T).j)aev~';A4..i~/1 DATE ~-21-07 . Owner's Section (to be answered by Owner or Occupant) A. Explain any occupancy hazard changes since the previous inspection: i/tl,1/:f~ B. Describe fire protection modifications made since last inspection: A/t7I/~ C. Describe any fires since last inspection: .!/cu.~ . D. When was the system piping last checked for stoppage, cOITision oJ fp~ign material? I/I..,~ 1.l'//;.//t/ E. When was the. dry-pipingsystem last checked f?r propeliJi,tt:h? 11'/':1 F. Are dry valY_~$.'adequj!tely\jtotecteli from freeZIng? /~I1L . '. .' Signaturex! ;,.. \ .' ~\,\(,<'I\_ . Title \:\~'.t",.AI~'1[ Date' ') Inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE 1. General a. Is the building occupied? ~Yes D No b. Are all systems in service? ta.Yes D No c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflectors? tX,yes D No d. Does all electrical heat tape appear to be satisfactory? DYes D No 1l!lNA e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? DYes D No ~A 2. Control Valves (See Item 15.) a. Are all sprinkler system control valves and all other valves in the appropriate open or closed position? 'liiIYes 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 I rJ a. When was fire pump last tested for performance? A//y b. Are fire pumps, gravity tanks, reservoirs and pressure tanks 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? l:ilYes D No D NA Are they accessible and visible? lilYes 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 .aNA b. Have antifreeze system solutjoJls been tested? DYes D No ~NA c. What temp is antifreeze? Il/.ft 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? ~es D No D NA S. Dry System (See Items 11. t(J 13) ,'I a. Are dry valve(s) in sefriFe? DYes D J% D NA ~/ ' b. Are the air pressure]' an~..priming wat1' levels in. ac r ance with the manufacturer's instructions? DYes D No D NA c. Has the operation ~. th air or nitrog~ supplies en sted? DYes D No D NA Are they in service? DYes D No D NA d. Were low points ilraine during thi7"inspectio ,~.O.No D NA How many? __ e. Did quick-openjlig devi~es operat9'satisfactor~y? es D No DNA f. Did the dry va~e(s) trip I'rrperly;during the tt'ip pre ure test? DYes D No D NA g. Did the heati/ig equipment.~ the;{ dry-pip~alue rooili(s) operate at time of inspection? DYes D No D NA 6. Special SysteJ;s (See ltel1! 14.) ......, . , a. Did the deluge or pr~t:.ion valyes oper.~~roperlY during testing? DYes D No DNA b. Did the heat-respopsiv devi~s ope:~.~.!.erlY during testing? DYes D No DNA c. Did supervisory ,devic s oyirate dujifig te ing? DYes D No D NA d. Did flow for ki){;hen hbdd systel1ll'!ihut 0 gas or electric? DYes D No DNA 7. Alarms a. Did water motor(s) and gong(s) test satisfactorily? DYes D No JilNA b. Did electric alarm(s) test satisfactory? .Yes D No DNA c. Did supervisory alarm service test satisfactory? ~es D No D NA d. Did tamper swithces test satisfactory? Ii\.Yes D No D NA 8. Sprinklers a. Are all sprinklers free from cOITosion, loading or obstruction to spray discharge? ~es D No b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) IliilYes DNo c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing) ~es D No d. Is stock of spare sprinklers available? ~es D No e. Does the exterior condition of sprinkler system appear to be satisfactory? JllYes D No f. Are sprinklers of proper temperature ratingjor their locations? )!yes D No g. Are any sppnkl\>f,heads on a recall list? 9Yes ~No Signature:J:}:j/, / /j'\, ^--....... Date: 'S - 2 i- 0 7 ..,,...-_. 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. (3]9) 665-4330 SHEET 2 OP 2 - Use separate sheet for eachsystem inspection In,spection, I;ia~~ ,a~d N~Ill.b.er., ,,-.' ..', " . tAlk '(I it C' 'I .' #f. ,c.'.- (. /l.! , . ,t' j (I.. ,'- f. '"',,",.~<J l' t ~:~~ Type of System How Many? ~ .? ('-Plow Switch , Alarm C1ieck with Pressure Switch 9. 10, 11, Date dry-pipe valve trip tested (control valve p~ally open) ,', /1 (See Trip Test Table which follows) Date dry-pipe valve trip tested (control valve fully open) / .' / ~ee Trip Test Table which follows) Date quick-opening device tested (See Trip TeSfTabi whiph follows) . I DRY VALVE TRIP T~ST Tj\BLE Q.O.D. MAKE.. MOD~L SERIAL NO. I , MAK I MODEL SERIAL NO. ;' , II I DRY p,IPE/ Time to Tripi Water ,/ " Air / _.TfiIr'PO i Time Water Reached Alarm Operated OPERATING Thru T ~st P}pe Pressure press"""', -..' Air Pres, re Test Outlet Properly TEST MIN.' 3'EC. PSI / PSI/ PSI. MIN. SEC. YES NO Without ./ \ 0.0.0. ., With .,.,..,......../. / \ 0.0.0. .' .. \. deluge or preaction valve tested / (See T,r4{Test/t",tle which follows) II TRIP TEST T ~I;E J ..t Operation o PNEUMAT)t / o ELECTR~ o )'fYDR,AULlC Piping Supervised DYES / " o NO I I Dete9Jlhg mellla supervised DYES o NO ,-' DELUGE & Does valve operate from the m~ual:trip and/or remo\, control st~ns I DYES o NO PREACTION Is there an accessible facility II each circuit for testjlig .:.:-/ Method of testing-circuits VALVES o YEo/ 0 NO/ i ,I . ~~~:,,;:~~';.;t;~i~I,:,~at1 Does each circuit Maximum time to MAKE MODEL one rate valve release operate release .rf ./ YEi1 I NQ YES I NO YES I NO . I I , I I ontrol Valve Maintenance Table. Control Valves City Connection Control Valve Tank Control Valves Pump Control Valves Sectional Control Valves System Control Valves Other Control Valves Kitchen Control Valve 16. Water Flow Test at Sprinkler Riser Water Supply Source: 12, Date 13. See C Last Water Flow Test This Water Flow Test Control Valve Mamtenance Table Explain Abnormal Condition ,.--::,~;""--"'\ Date ( City' Test Pipe Location Differential Tank Size of Test Pipe Static Pressure /" 14. Explain any "No" answers and comments: ,(/(/11;:; Signature: .,(,t//' (/'l./1/""';/\.-/ Date: ~:"?" ;-: i .,'.... ~-"'/ {Y7 .' I =E II Securiry~ Electronic Installations, Inc. 11545 Lakeland Dr. #102 Maple Grove, MN 55369-3663 Phone: (763)425-8850 Fax: (763)424-6529 I Date .. ~'-da- -01 Walk Test AlC Power on dedicated circuit AlC Power has lock off device. TranSfer from Ale to NfA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 [J Proprietary 0 Smoke Detectors .... ~,;. a. \ i Heat Detectors Duct Detectors Gate Valves Water flow Devices Low / High Air Devices ; l.,.." i J '. ~ /, I List all abnonnal condition found that were corrected / not corrected at time IA~.~~~~~. ..............11;;11; 1...ri;~~~~r~~fi~~~~~I~ l;iI~., , :J~.;J IYes~ I l No 0 Water Pressure Switch () '1 Mini Horns Mini Horn-strobes Horns ~<;).. Horns - Strobes ,,,, Strobe Only Bells Inspecting Agents Signature: AI> the inspecting agent, I have thoroughly checked the above minimum requirements and to th.e best of my knowledge, all atements are true. 1..'/ /?":-;;;~ /.'~~/- .' .... /r ~/.. .,c' ./' L- , /.. --(. ,"~ /' . l /, / / ../