HomeMy WebLinkAboutFire Sprinkler Inspection Report - Inspection - 3/26/2019 SHEET 1 OF
Fire Sprinkler Valve Tags V44937
Inspection Report INSPECTION
CONTRACT
` 31 O. WENTWORTH AVENUE 104 Etna Rd
FIRE PROTECTION
LONDONDERRY, N.H. 03053 Lebanon,NH 03766
TEL. 3 432- 221 TES.. ( 3)448-5461
FAX 3 -31 FAX 3) 3- 334
BILL.TO LOCATION 1060 Osgood St.North Andover,MA 01845
STREET INSPECTOR James Lain athianos
ITS'&STATE DATE 1212 19
A. Is the building occupied? ❑ ❑
B.Are all systems in service? 1:1 0—
C. Have there been any obvious or visual changes to the fire sprinkler system since the last inspection? El ❑ D
D. Is building completelysprinkled? ❑ LEIE.Is all stock or storage properly below sprinklers? � ❑ ❑
F.Are areas protected by wet system properly heated? D ❑ El
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A.Are all sprinkler system main control valves open? � ❑
B.Are all other valves in proper position? ❑ ❑ ❑
C.Are all control v alves in g ood condition and sealed or supervised' E ID 1-1
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A.Was a water...flo......w test rude and results satisfactory? ❑ El IE]
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A.Are fire pumps,gravity tanks,reservoirs,and pressure tanks in good condition and properly maintained? El ❑ -
B.Are fire dept.c onnections In sartlsfactory condition,couplings free,caps In plane and check valves tight? ❑ El EL
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A.Are cold weather valves open or closed as necessary? El I D El
B. Have anti-freeze systems been tested and left in satisfactory condition? ❑ 1 El ❑`
C.Temperature reading taken at the time of the antifreeze inspection: Temp: N/A El ❑ El
D.Have the Wet Alarm valves had internal valve inspections in the last 5 years? Date: Unknown ❑ EL
E.Are alarm valves,water flow indicators and retards in satisfactory condition? El E ❑
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A.is dry valve in service and in good condition and protected from freezing'? ❑ 10 11D-
B. is air pressure and priming water level normal? ❑ ❑ .:
D.Does the air compressor appear to be in good condition and return system to pressure in required time? 8ftm) ❑
D.Were all known low points drained during inspection and the low point drain form signed? ❑ ❑ ❑
E.Are Quick Opening Devioes in service and tested as required? 01 1:1 Ell
F.Have the valves had internal valve inspections in the last 5 years? Date: -i l ❑ ❑ ❑
G.Have dry valves been Rally trip tested in the last three years as required? Date: .-i lA. . ❑ El 0-
H.Are there any known dry sprinkler treads more than 10 years old? Date: M ❑ ❑ ❑
A.Were valves tested as required?.
B.Were supervisory features tested and results satisfactory? El I El 19
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A.Water motor gong test satisfactory' El B ❑
B.Electric alarm test satisfactory? 0 El El
C.Supervisory alarm service test satisfactory? ❑ Local Alarm ❑ Private Alarm E]City Alarm ❑
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A.Do all sprinklers appear to be in good condition,not obstructed, and free of corrosion or loading`
B.Are there any known Quick Response Fire Sprinkler Heads more than years old? Year of Head: .2000. El El I ❑
C.Are there any known Regular Response Fire Sprinkler Heads more than 50 years old? Year of Head: :.: :19 . .. ... ❑ Q ❑
D, is there a sufficient amount/type of spare fire sprinklers on Band? ❑ 1-1 ❑
E.Does the condition of piping,drain valves,check valves,hangers,pressure gauges,open sprinklers,strainers
appear to be inn satisfactory condition Date of Gauges: : :..,.:..: Unlisted'--------------------------------------
❑ ❑
F.Do all accessible fire sprinkler heads appear to be of proper temperature rating? ❑
SKEET 2 OF
x Fire Sprinkler Inspection Report
INSPECTION
- 8 NO. WENTWORTH A VEN E 104 Etna Fed CONTRACT
A T
.. FIRE PROTECTION LONDONDERRY, N.H. 03053 Lebanon, 376 AW
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10. Fire sprinkler system piping checked for obstructions within past fire years: Date: l.��i�C
11. Date dry pipe valve last fully trip tested with water flowing to the inspectors test valve: Date:
'I . o.of Wet systems�Make and Model? "Automatic 3 3 1986
13. No.of Dry systems: Make and Model?
1 . No.of Special Systems: Type
Make and Model.
15. No.of Antifreeze Systems: Locations :
Temperature(s) taken daring testing: Degrees Solution Size
:1111E ::::. ': en Secured faced Signs
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Condition
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Yes No Yes No Yes No Yes No
City Connection Control ValvesEl EY El
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Tank Control Valves ...: :.......:..... :.
PumpControl Valves :........................ .. :._......... :.... .... .........
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Sectional Control Valves :...:....:::
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System Control halves ❑ ❑ ❑... ...❑ .
Test Header control Valves ..E].
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Were all S Y Valves Open Closed? �YES []NO ❑NIA
Were all CAS ValvesLubricated? ❑YES []NO NIA
Were all Low Hater Switches Tested? YES []NO ❑ 1A
Were all Low Air Switches Checked? E]YES E]NO E]NIA
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Pressure ::... Ity Te�nk PSI Fire Pump PSI
Flow Test Yes...: (If none made. Why?)
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:: .... o := PSI Static Flow Tes
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C@ Riser 2" 7 3 102
Dumps outside riser room door
o umps e 0 a riser room
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.:. riff a� fi ]. ......::::-.::::::::.::::::= : :...: Unresponsi :Tamper reports s Suite does not function me a�ni ally{switch is mounted with the
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Th is i *gage.3 of 3 Inspection, ep it nn . The inspection is not complete unless all pages am filled o lit. SHEET 3 of
System is due for 5 Year Internal Obstruction lnvesti atlor and non-listed a 2 must be re laced
Si na e lacking: Control Valve, Main Drain, alarm line, alarm lire test, Inspectors Test
Water Motor Gong is nres onsive(fine piping appears to he plugged as it's not corning from WMG drain)
Missing concealed head cover oral surgeon 1
On S
Coverim; Sidewall heads>1 2" below Xl * Re t r nt (walk-in); closets in ac
Recommend engineerinq,review of upright head above furnace in Hot Yoga
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If"YES"please list areas:
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Signature of Inspector- Signature of Owners e
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Riser Location: Door next to Panel Room
Remote a nts: None
IT location: above window in Rear right office of AFS spa e(directly above riser room)
Yellow seal.39187
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nresponsive Tamper
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CITE FIRE ALARM TEST I R PAGE —1 F
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Inspection Perfarined By:
Nor h'Went orth Ave
Londonderry, H 031053
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Phone#,01_-4_32_-_8.M,, Fax#603-434-3194' imFF
BUSINEESS-NA ME ADDRESS
1060 Osgood St. 1060 Osgood St.
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North Andover,M
CONTACT HONE 'TYPE+NSF INSPECTI N
David Samuels
978-8512-1270 Fire Control Panel Information
FIR PANELS MANUFACTURER MODEL SERIAL ' ' F FIDE NEL
Fire-lit -9 U LS N/a Addressable/Conventional
S OE MANSMISS10E DEEM,M E NI
MASTER BOX # N/a RADIO,BOX # 1 DIGITAL ACCOUNT
Customer pats, t r�ri o test C INFO: ,t t F P �1 "
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'MM" Zone cards are on nionresettable power�
LOCAL FIRE DEPARTMENT. 'North Andover Firs Department CENTRAL STATION: Alarm Monitoring Center
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FIRE I EPA T IE'I T PHONE 1-978-683-316'8 CENTRAL STATION PHONE# 1~ ' -432-1 2
DEVICES CONTROLS BATTERIES
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PULL STATIONS 11 Mixed 11 FIRE PANEL BATTERY SIZE. 12v7a,h, DATED.*. Dates
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SMOKE CET. 1. Mixed 17 RADIO BOX BATTERY IMP. DATED:
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t m Sensor DIGITAL DIALER BATTERY SIZE. ECG
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DUCT SMOKES ANELS
AUDIO ISUALS 20 Wheelock, 20 NUMBER OF PANELS:
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STROBES 3 Wheelock 3 BATTERS"SIZE: D TI : x
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SPEAKERS 'TYPE
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BEACONS SNAC NOTES:
DOOR HOLDERS
ALL BATTERIES NEED TO BE REPLACED 4 YEARS AFTER DATE
RADIO *I Starl"ink 1 WERE,,ALL PANELS RMAL RI I L. YES
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NOTE FAILURES NOTE# RECOMMENDATIONS
1 Masterbox no longer in service.Needs to be removed.
F' CR batteries,need to be replaced.Not dated
Horn strobe in vacant suite failed to test.Marked with X
Smoke detector in suite 314,failed to test.Marked with
Hot yoga suite devices report to panel as arrsul system Inspector
Devices in end unit on right side of building report to panel as