HomeMy WebLinkAboutsprinkler inspection 2011Annual Sprinkler
June 15, 20ll
Property
Sylvester Residence
13 Bay Road
West Yarmouth, MA 02673
DaRe po rt of I n s pectio-7Test
FIRE SPRINKLER SERVICESOwner/Agent
Conducted by: Eric Hubler
lnspection Ref: 1971
Horace Sylvester
(781)6s4-5099
352 Main Stre€! West Ysrmouth, MA 02673
PH: 50t-775-2082 - FAX: 508-775-2880810 Main Street
Hingham, MA 02043
lnspector - Signature Date
6t15t1',!
1 :19 pm
ll state tnat ttre rnformatton on this form ls carrecl at the
Itime and place of my inspeclton. and that all equrpment
Itested at this time was lefr rn ooeratrcnal condition uoonlcomoletron of this insoection eic€ot as notedI
Owner - Printed
Horace Sylvester
Owner - Signature
-//H/)
Date
6115t11
1:30 pm
lExc€pt as noted, the burldinq is occuDied w h the same
hccuiancy classilication and hazard bf contents as last
linspection. Also, the system has remained in servtce
Jwithout modficahon and been ftee of acruahon of
ldevices or alams.
Signatures
System Off 12:40 Monitoring Company
NemeCs Alarm
(508)362{283
Owner
Alarm Paneucode
KeyPad
2000System On 1:'15
THIS IS A RESIDENTIAL ANTIFREEZE SYSTEM MONITORED BY NEMEC'S ALARMS,
Water Based System lnspectionYes Gauges on wet pipe system in good condition and showing normal water supply pressure?Yes Alarm devices free from physical damage?NA Hydraulic nameplate, if provided, securely attached to riser and legible?Yes Valve supervisory switches indicate movement?
Firc D,epar8nent Gonnection
Yes Visible and accessible?Yes Couplings and swivels not damaged and rotate smoothly?Yes Plugs or caps in place and undamaged?Yes Gaskets in place and in good condition?Yes ldentification sign(s) in place?Yes Check valve is not leaking?Yes Automatic drain valve in place and operating properly?NA lnterlor free of obstructions (if caps are not in place) ?NA Valve clapper operational over its full range (if caps are not in place) ?
Pipo
Yes
Yes
Yes
Yes
Yes
Yes
No
ln good condition ?
Free of mechanical damage and not leaking ?
No external corrosion ?
Properly aligned ?
No external loads ?
Visible pipe hangers and seismic braces not damaged or loose ?
Was an obstruction investigation conducted and the system flushed ?
(All "NO" answers are to be fully explained.)
Copyright 2002-2009 Life Safety lnspeclor, Onsite Software, lnc.
Print 6t2012011 Page I of 2
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lnspector - Printed
Eric Hubler fiB--
Report of lnspection/Test
Annual Sprinkler
June 15, 2011
Property: Sylvester Residence
Owner:
FnEtfffi(rrn tEttES
lnspection Ref: 1971
Da
Spdnklens
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
NA
Sprinkler wrench with spare sprinklers?
Proper number and type of spare sprinklers?
Free of corrosion?
Free of obstructions to spray patterns?
Free of foreign materials including paint?
Free of physical damage?
Are all sprinklers in service dated 1920 or later?
Fast Response sprinklers an service for less than 20 years? lf "no' test sample now and every
10 years.
Standard sprinklers less than 50 years old ? lf no test sample now and every 10 years.
lf sprinklers have been replaced, were they proper replacements?
Sprinklers and spray nozzles protecting commercial cooking equipment and ventilating systems
replaced except for bulb-type which show no signs of grease buildup?
AntiFreeze System Sample Basement
Glycerrne Antifreeze type-7 Freezing temp of antlfreeze
Flow Test
Test / Drain Main Drain 82 q)95 Yes
lnspector's Test Valve
System/Location Alarm
Reported
Time to
Alarm l"
Smooth
ore Orifice Signage
Basement
Test / Drain Yes 4 Yes Yes Yes
Vatve lnspectaon List
Connection
Flowed
Outlet
Size
Results
comparable
to prior testStaticStatic
Location Valve
Type
(,.!o Seal
lnspection Maint.Test
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Basement
StreeFSide Butterball 2 ok ok ok ok ok 7 NA ok ok 6
System-Side Butterball NA ok ok ok ok ok 7 NA ok ok 5
Ok - Passes lnspection S - Serviced on site x - Requires Service NA - Not Applicable
-
Pressure (p6i)
System
Resid
Basement
1
Easily
Accessible
E6'
o
I)
Secured
Supervised NA
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