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Home My WebLink AboutFire Protection System ~.! J. F. AHERN CO. MECHANICAL & FIRE PROTECTION CONTRACTORS 201 Morris Court, P.O. Box 1316 Fond du Lac, WI 54936-1316 (920) 921-9020 P · (920) 921-8666 f www.jfahern.com February 28, 2007 Building Inspector -- Brian Noe City of Oshkosh 215 Church Avenue -- PO Box 1130 Oshkosh, VVI 54901 T -920/236-5051 F-920/236-1130 RE: FIRE PROTECTION SYSTEM INSTALLATION MERCURY MARINE 2855 OAKWOOI>R.()AD OSHKOSH, WISCONSIN 54902 AHERN FIRE PROTECTION CONTRACT No. 490536 Dear Brian: Enclosed is a copy of the Contractor's Material and Test Certificates covering the above-referenced Fire Protection System Installation for your files. Very truly yours, AHERN FIRE PROTECTION A division of 1. F. Ahem Co. ~!Jd$~ Mark L. Jozefowski, Superintendent MLJlksj LCITY02-28-2007.DOC Building the Midwest Since 1880 An Equal Opportunity Employer RECEIVED MAR 0 1 DEPARTMENT OF COMMUNITY DEVELOPMENT AHERN FIRE PROTECTION Contractor's Material and Test Certificate for Aboveground Piping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left in service before contractor's personn,el finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owl)ers, and contractor. .It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failure to comply with approving authoritv's reauirements or local ordinances. PROPERTY NAME Mercury Marine AFP Contract #: 490536 I DATE: December 7,2006 PROPERTY ADDRESS 2855 Oakwood Road Oshkosh, WI 54902 ACCEPTED BY APPROVING AUTHORITIES (NAMES) 1. Factory Mutual Global (Plan Review Department) 2. Oshkosh Fire Department (Battalion Chief - Stu Schrottky) 3. City of Oshkosh (Building Inspector -- Brian Noe) 4. ADDRESS Plans 1. 300 South NW Highway -- Park Ridge, IL 60068 2. 101 Court Street -- Oshkosh, WI 54901 3. 215 Church Avenue -- PO Box 1130 -- Oshkosh, WI 54901 4. INSTALLATION CONFORMS TO ACCEPTED PLANS -iji YES DNO EQUIPMENT USED IS APPROVED YES DNO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION '110 YES DNO OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? INSTRUCTIONS IF NO, EXPLAIN Item No.'s 2 & 3 will HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: be forwarded by AFP 1. SYSTEM COMPONENTS INSTRUCTION \ .YES DNO at closeout time. 2. CARE AND MAINTENANCE INSrRUCTIONS YES DNO 3. NFPA 25 YES DNO LOCATION OF SUPPLIES BUILDINGS SYSTEM System #1 .1 , MAKE MODEL .YEAR OF K- QUANTITY TEMPERATURE MANUFACTURE FACTOR RATING Vikin(J Micromatic Std VK530 UpriQht 3/4" Brass 2006 11.2 146 266 Dec. Viking MicrofastQR VK300 Upricht 1/2" Brass 2006 5.6 54 26e Deg. Vikinc Mirace QR VK404 Pendent 1/2" White 2006 5.6 71 165 Dec. SPRINKLERS Vikina Micrafast QR VK302 Pendent 1/2" White 2006 5.6 2 200 Dec. . PIPE AND TYPE OF PIPE Schedule 10: Schedule 40: Black FITTINGS TYPE OF FITTINGS Grooved: Threaded: Welded Outlets FLOW ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST CONNECTION TYPE MAKE MODEL MIN. SEC. Water Flow Detector System Sensor WFD ad. ~ t N/A EXPLAIN ANY ALARM PROBLEMS: ALARM DEVICES LOW AIR ALARM DEVICE 1 li€f : tt~m- TYPE I MAKE I J Mg)D E!/ . N/A IV / {. f"'. ..Iy~ ~ I ~ / EXPLAIN ANY ALARM PROBLEMS: ( MARC 1 - DEPARTMENT OF vVilfliVIUI~j , y UtVElO I' I PMENT CENTRAL MONITORING SIGNALS RECEIVED ALARM SERVICE LOCATION(S) TYPE OR PRESSURE NAME OF REMOTE WATERFLOW SWITCH LOW-AIR OTHER SERVICE DETECTOR FLOW SUPERVISORY SUPERVISING LOCATION(S): . , STATION b:-r Roo Y\I1 L{:} ~c. I .'. . ~ijf>- ~'V (ON-SITE) Gce-k REMOTE REMOTE NAME OF SERVICE: MONITORING f-CL I{ ,IV'\ a.. V ALARM SERVICE SIGNALING (OFF-SITE) PHONE: 1J (5" 35'S-> 9'bW OTHER: LOCA TION(S): EXPLAIN ANY ALARM SIGNALING PROBLEMS: DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO. TIME T~~~ WATER 1TR1P P?~R TIME WATER ALARM THROUGH T AIR PRESSU~ ~ REACHED TEST OPERATED CONNECTION PRESSURE PRESS E OUTLET t.2 PROPERLY DRY PIPE MIN. SEC. PSI psI[ ! '1 PSI MIN. SEC. YES NO OPERATING WITHOUT '\ / )' 1 / TEST Q.O.D. / WITH '\ i/ / IJ / .Q.O.D. IF NO, EXPLAIN: \ y . OPERATION: o PNEUMATtV ELECTRIC o HYDRAULIC PIPING SUPERVISED DYES D~ "- DETECTING MEDIA SUPERVISED DYES DNO DOES VALVE OPERATE FROM THE~UAL TRI~EMOTE, OR BOTH CONTROL STATIONS DYES ONO IS THERE AN ACCESSIBLE ~ IN EACH ~ EXMN . DELUGE & CIRCUIT FOR TESTING PREACTION YES 0 NO VALVES Y DOES EACH CIRCUIT ~~ EACH CIRCUIT MAXIMUM TIME TO OPERATE SUPERVISION OPE TE VALVE RELEASE OPERATE RELEASE MAKE LOSS ALARM YES NO YES '\. NO MIN. SEC. / 1\ LOCATION & MAKE & MODEL SETTING STATIC PRESSURE RESIDUAL PRESSURE FLOW RATE FLOOR "- (FLOWING) PRESSURE INLET OUTLET ~~ET OUTLET FLOW REDUCING (PSI) (PSI) SI) (PSI) (GPM) ,V~LVE TEST ,,,,.,, ~ ";, ~ 'i. Ahern Fire Protection so. 6/ 1 MEASURED FROM TIME INSPECTORS TEST CONNECTION IS OPENED. 2NFPA 13 ONLY REQUIRES THE eO-SECOND LIMITATION IN SPECIFIC SECTIONS. 2 TEST DESCRIPTION TESTS BLANK TESTING GASKETS WELDING CUTOUTS (DISCS) HYDRAULIC DATA NAMEPLATE REMARKS SIGNATURES Ahern Fire Protection HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi (13.6 bars) for two hours or 50 psi (3.4 bars) above static pressure in excess of 150 psi (10.2 bars) for two hours. Differential dry-pipe valve clappers shall be left open during test to prevent damage. All aboveground piping leakage shall be stopped. PNEUMATIC: Establish 40-psi (2.7 bars) air pressure and measure drop, which shall not exceed 1-1/2 psi (0.1 bars) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1-1/2 psi (0.1 bars) in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT PSI <-Bar) for ~ HRS. IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED YES 0 NO fYj)4- EQUIPMENT OPERATES PROPERLY YES 0 NO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OR SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED f9R TESTING SYSTEMS OR STOPPING LEAKS? IB YES 0 NO DRAIN READING OF GAUGE LOCATE!;) ~R WATER RESIDUAL PRESSURE WITH VALVE IN TEST TEST SUPPLY TEST CONNECTION:1a..S.- PSI(' Bar) CONNECTION OPEN WIDE: ~ PSI LBar) UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISER OTHER EXPLAIN FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COpy OF THE CONTRACTOR'S MATERIAL AND TEST CERTIFICATE FOR UNDERGROUND PIPING'. 0 YES 0 NO FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING 0 YES 0 NO IF POWDER-DRIVEN FASTENERS ARE USED IN CONCRETE,HAS REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED? DYES 0 NO LOCATIONS YES 0 NO IF YES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS 82.1? IF 15 EXPYJ NUM8E REMOVED ~YES ONO DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS ~ YES QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO ENSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED? . NAME PLAI~ PROVIDED ID YES 0 NO DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: NAME OF SPRINKLER CONTRACTOR AHERN FIRE PROTECTION, 201 MORRIS COURT - FOND DU LAC, WI 54935 / TESTS WITNESSED BY AU)J=lGRITIES HAVI~JYRISDIC}'I.;.mON (SIGNED) TIJiLE _::::_l~~~ ;; ~~ . FOR PROPERTY OWNER (SIGNED)/ v 3 ONO 1(9 YES ONO DATE " '7 - 2b'- 0 DATE DATE 1 r- d..6 . D f') AHERN FIRE PROTECTION . Contractor's Material and Test Certificate for Aboveground Piping PROCEDURE ........ . Upon completion of work, inspection and tests shall be made by the contractor's representative and witnessed by an owner's representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship, or failur~ to comply with approving authority's reouirements or local ordinances. . ... PROPERTY NAME Mercurv Marine AFP Contract #: 490536 I DATE: December 7,2006 PROPERTY ADDRESS 2855 Oakwood Road Oshkosh, WI 54902 ACCEPTED BY APPROVING AUTHORITIES (NAMES) 1. Factory Mutual Global (Plan Review Department) 2. Oshkosh Fire Department (Battalion Chief -- Stu Schrottky) 3. City of Oshkosh (Building Inspector -- Brian Noe) 4. ADDRESS Plans 1. 300 South NW Highway -- Park Ridge, IL 60068 2. 101 Court Street - Oshkosh, WI 54901 3. 215 Church Avenue - PO Box 1130 - Oshkosh, WI 54901 4. INSTALLATION CONFORMS TO ACCEPTED PLANS YES DNO EQUIPMENT USED IS APPROVED YES DNO IF NO, EXPLAIN DEVIATIONS HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION fjQ YES DNO OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? INSTRUCTIONS IF NO, EXPLAIN HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: Item No.'s 2& 3 will 1. SYSTEM COMPONENTS INSTRUCTION I. YES DNO be fOlWarded by I>FP 2. CARE AND MAINTENANCE INSTRUCTIONS YES DNO at closeout time. 3. NFPA25 YES DNO LOCATION OF SUPPLIES BUILDINGS SYSTEM System #2 MAKE MODEL YEAR OF K- QUANTITY TEMPERATURE MANUFACTURE FACTOR RATING Vikina Micromatic Std VK530 Uoriaht 3/4" Brass 2006 . 11.2 390 286 Dea. Vikina Microfast QR VK300 Upright 1/2" Brass 2006 5.6 22 286 Deg. . SPRINKLERS .. .... PIPE AND TYPE OF PIPE Schedule 10; Schedule 40; Black . FITTINGS TYPE OF FITTINGS Grooved: Threaded; Welded Outlets , FLOW ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST CONNECTION TYPE MAKE MODEL MIN. SEC. Water Flow Detector System Sensor WFD l.\~~(" N/A EXPLAIN ANY ALARM PROBLEMS: . ALARM DEVICES LOW AIR ALARM DEVICE /\ ALARM OPERATED TYPE I MAKE I it1IIIOIPEL J .,/ , '1. < !l I \RO, 'Ill ..... N/A I\.. J / In sltM II lES\f lo-J T / J / EXPLAIN ANY ALARM PROBLEMS: MAR 0 " ni=PADTMj:MT nt' COMMUNITY DEVELOPMENT REMOTE ALARM SIGNALING DRY PIPE OPERATING TEST DELUGE & PREACTION VALVES PRESSURE REDUCING VALVE TEST :t \,/ . ~ii l io ~,i.-" ALARM SERVICE TYPE Ahern Fire Protection CENTRAL MONITORING LOCATION(S) OR NAME OF REMOTE . SERVICE LOCATION(S): LOW-AIR SUPERVISORY SIGNALS RECEIVED PRESSURE SWITCH FLOW WATERFLOW DETECTOR SUPERVISING STATION (ON-SITE) tpi' ~( , . ' i =t:. T {2(0)'\,'"\ REMOTE MONITORING SERVICE (OFF-SITE) OTHER: NAME OF SERVICE: ~( V~~C{V PHONE: '1 I (,"'- 32;'~ q j, '7i ') LOCATION(S): EXPLAIN ANY ALARM SIGNALING PROBLEMS: MAKE DRY VALVE MODEL \ /Q.O.D. MODEL ~AKE I' / fAIR PR$SUR) f~~OINT AIR II "j V /pRESSURE J PSI 1/. v PSI ./-/ '/ \ I / V SERIAL NO. TIME WATER REACHED TEST OUTLET 1,2 MIN. SEC. TIME TO TRIP THROUGH TEST CONNECTION'.2 \ WATER \fRESSURE \ PSI \ MIN. SEC. WITHOUT Q.O.O. WITH Q.O.O. IF NO, EXPLAIN: OPERATION: 0 PNEUMylC "t{ ELECTRIC 0 HYDRAULIC PIPING SUPERVISED 0 YES/O NO \. T DETECTING MEDIA SUPERVISED DOES VALVE OPERATE FROM r MANUAL TRIP, R~TE, OR BOTH CONTROL STATIONS IS THERE AN ACCESS~BLE F. CILlTY IN EACH IF.~' EXPLAIN CIRCUIT FOR TESTING DYES 0 NO ~ DOES EACH CIRCUIT DOE~~ H CIRCUIT OPERATE SUPERVISION OPERATE LVE RELEASE MAKE ODEL LOSS ALARM YES NO YES '" NO '" STATIC PRESSURE RE$i.pUAL PRESSURE . ~LOWING) INLET"'- OUTLET (PSI) (PSI) . OTHER ;v fs<.IV SClY""l Gede \" 1 U SERIAL NO. ALARM OPERATED PROPERLY YES NO DYES 0 NO . DYES 0 NO MAXIMUM TIME TO OPERATE RELEASE MIN. / / LOCATION & FLOOR MAKE & MODEL SETTING INLET (PSI) OUTLET (PSI) , ;; z_": - - , " ',' - - - - ' ':1' MeASURED FROM TIME INSPECTORS TEST CONNECTION' IS OPENED. . 2 NfPA 13 ONLY REQUIRES THE 60-SECONOLlMITATION IN SPECIFIC SECTIONS. 2 SEC. FLOW RATE FLOW (GPM) TEST DESCRIPTION TESTS BLANK TESTING GASKETS WELDING CUTOUTS (DISCS) HYDRAULIC DATA NAMEPLATE REMARKS SIGNATURES Ahern Fire Protection HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi (13.6 bars) for two hours or 50 psi (3.4 bars) above static pressure in excess of 150 psi (10.2 bars) for two hours. Differential dry-pipe valve clappers shall be left open during test to prevent damage. All aboveground piping leakage shall be stopped. PNEUMATIC: Establish 40-psi (2.7 bars) air pressure and measure drop, which shall not exceed 1-1/2 psi (0.1 bars) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1-1/2 psi'(0.1 bars) in 24 hours. .IF NO, STATE REASON ALL PIPING HYDROSTATICALLY TESTED AT CPSI <-Bar) f?b- HRS. DRY PIPING PNEUMATICALLY TESTED YES 0 NO fJ YJ EQUIPMENT OPERATES PROPERLY YES 0 NO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OR SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED F R TESTING SYSTEMS OR STOPPING LEAKS? YES 0 NO DRAIN READING OF GAUGE LOCATE;D ~R WATER RESIDUAL PRESSURE WITHPA4~E IN TEST TEST SUPPLY TEST CONNECTION:~ PSI ( Bar) CONNECTION OPEN WIDE: c.p PSI LBar) UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISER OTHER EXPLAIN FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE CONTRACTOR'S MATERIAL AND TEST CERTIFICATE FOR UNDERGROUND PIPING. . 0 YES 0 NO FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING 0 YES 0 NO IF POWDER-DRIVEN FASTENERS ARE USED IN CONCRETE, HAS REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED? DYES 0 NO LOCATIONS YES 0 NO IF YES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROLPROCEDURE TO ENSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS DISCS) ARE RETRIEVED? NAME PLAIE.PROVIDED ~YES 0 NO v 3 'l)zi.YES ONO rRYES ONO ~YES ONO DATE /- 26- 0'7 DATE DATE 1-0--6 ' () () AHERN FIRE PROTECTION Contractor's Material and Test Certificate for Aboveground Piping PROCEDURE Upon completion of work, inspection and tests shall be made by the contractor's.representative and witnessed by an owner's representative. All defects shall be corrected and system left in service before contractor's personnel finally leave the job. , A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and contractor. It is understood the owner's representative's signature in no way prejudices any claim against contractor for faulty material, poor workmanship! or failure to comply with approving authority's reauirements or local ordinances. ' "., . PROPERTY NAME Mercury Marine AFP Contract #: 490536 I DATE: December 7,2006 PROPERTY ADDRESS 2855 Oakwood Road Oshkosh, WI 54902 ACCEPTED BY APPROVING AUTHORITIES (NAMES) 1. Factory Mutual Global (Plan Review Department) 2. Oshkosh Fire Department (Battalion Chief -- Stu Schrottky) 3. City of Oshkosh (Building Inspector -- Brian Noe) 4. .. ADDRESS Plans 1. 300 South NW Highway.-- Park Ridge, IL 60068 2. 101 Court Street -- Oshkosh, WI 54901 . 3. 215 Church Avenue -- PO Box 1130 -- Oshkosh, WI 54901 4. INSTALLATION CONFORMS TO ACCEPTED PLANS l?tYES DNO EQUIPMENT USED IS APPROVED YES DNO IF NO, EXPLAIN DEVIATIONS . HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION ~ YES 0 NO OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT? INSTRUCTIONS IF NO, EXPLAIN HAVE COPIES OF THE FOLLOWING BEEN LEFT ON THE PREMISES: Item No.'s 2 & 3 will 1. SYSTEM COMPONENTS INSTRUCTION YES DNO be forwarded by AFP 2. CARE AND MAINTENANCE INSTRUCTIONS YES DNO at closeout time. 3. NFPA 25 YES DNO LOCATION OF SUPPLIES BUILDINGS SYSTEM System #3 MAKE MODEL YEAR OF K- QUANTITY TEMPERATURE MANUFACTURE FACTOR RATING Vikina Micromatic Std VK530 Upriaht 3/4" Brass 2006 11.2 400 286 Dea. ISra sc; j!.-?" ",cln..+- 'h.. I, '~W(p IiJ "( J ('"'<",;' \/\' If' A/'J V I( '7. nO s< 0,..,." V1+ y~ 1\ ~'DI'\ ,_ do-" ~ <<t:" (/ SPRINKLERS , PIPE AND TYPE OF PIPE Schedule 10: Schedule 40: Black FITTINGS TYPE OF FITTINGS Grooved: Threaded: Welded Outlets FLOW ALARM DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST CONNECTION TYPE MAKE MODEL MIN. SEC: Water Flow Detector System Sensor WFD if" -.; <? ~ Co. N/A . '" . EXPLAIN ANY ALARM PROBLEMS: dEG~E[ ) ALARM DEVICES LOW AIR ALARM DEVICE A TYPE.~ MAKE I 1 } Urtric.l ../ PRESSURE PRO PERL Y ~ I I I V L,/' SETTING PSI IAKYES ! N/A NO Y - - EXPlAIN ANY ALARM PROBlE;MS/ U1 . ~RTME~ T 01- COMMUNITY UfVt;bOPME N . T .:..H CENTRAL MONITORING .. .. SIGNALS RECEIVED ALARM SERVICE LOCATION(S) TYPE OR PRESSURE NAME OF REMOTE WATERFLOW SWITCH LOW-AIR OTHER SERVICE DETECTOR FLOW SUPERVISORY SUPERVISING LOCATION(S): SO fM. '1'(." '.$Ci STATION --;:-r (260yv\ (ON-SITE) '3.~ ~c.. , " t, . &:.k V~ I REMOTE REMOTE NAME OF SERVICE: MONITORING Pk \( 1M C\. 'V . ALARM SERVICE SIGNALING (OFF-SITE) ~ PHONE: 0 15"- '::555 _Cjlt>?t. OTHER: LOCA TION(S): EXPLAIN ANY ALARM SIGNALING PROBLEMS: DRY VALVE Q.O.D. MAKE MODEL SERIAL NO. MAKE MODEL ... SERIAL NO. " TIME TO TRIP WATER TRIP POINT AIR TIME WATER ALARM THROUGH TEST AIR PRESSU.51 ,...-REACHED TEST . OPERATED CONNECTION,.2 PRESSURE PRESSURE ./' OUTLET 1.2 PROPERLY DRY PIPE MIN. SEC. PSI PS ')/ PSI/ MIN. SEC. YES NO OPERATING WITHOUT r T J ' I / TEST Q.O.D. WITH '" I J I ---I / Q.O.D. IF NO, EXPLAIN: ~ /1/ OPERATION: D PNEU~C 6 EyfTRIC o HYDRAULIC PIPING SUPERVISED DYES ON~/ DETECTING MEDIA SUPERVISED [j YES ONO. DOES VALVE OPERATE FROM THE MANUA~EMOTE, OR BOTH CONTROL STATIONS DYES ONO IS 1HERE AN ACCESSIBLE FACIL:;.z;" ~LAIN DELUGE & CIRCUIT FOR TESTING PREACTION o YES NO VALVES ~~ES EACH CIRCUIT DOE~IRCUIT MAXIMUM TIME TO PERATE SUPERVISION OPERATEVA E RELEASE OPERATE RELEASE MAKE MODEL LOSS ALARM / YES NO YES ~O MIN. SEC. / "\ -' ',.'~":--"" LOCATION Y RESI~~ALPRESSURE ,,",..wi"\ j v . FLOOR MAKE & MODEL SETTING STATIC PRESSURE (FLOWING) FLOW RATE PRESSURE . / INLET OUTLET INLET OUTLET FLOW "'~REDUCING~ VALVE TEST (PSI) (PSI) (PSI) (PSI) (GPM) ./ .~. ~ ;-' Ahern Fire Protection "Y (){" 1 MEASURED FROM TIME INSPECTORS TEST CONNECTION IS OPENED. 2 NFPA 13 ONLY REQUIRES THE 60-SECOND LIMITATION IN SPECIFIC SECTIONS. 2 Ahern Fire Protection HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 psi (13.6 bars) for two hours or 50 psi (3.4 bars) above static pressure in excess of 150 psi (10.2 bars) for two hours. Differential dry-pipe valve clappers shall be left open during test to prevent damage. All TEST aboveground piping leakage shall be stopped. DESCRIPTION TESTS BLANK TESTING GASKETS WELDING CUTOUTS DISCS) HYDRAULIC DATA NAMEPLATE REMARKS SIGNATURES PNEUMATIC: Establish 40-psi (2.7 bars) air pressure and measure drop, which shall not exceed 1-112 psi (0.1 bars) in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall not exceed 1-1/2 psi (0.1 bars) in 24 hours. ALL PIPING HYDROSTATICALLY TESTED AT PSI '-Bar) for ~ HRS: IF NO, STATE REASON DRY PIPING PNEUMATICALLY TESTED YES 0 NO EQUIPMENT OPERATES PROPERLY YES 0 NO DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT ADDITIVES AND CORROSIVE CHEMICALS, SODIUM SILICATE OR DERIVATIVES OR SODIUM SILICATE, BRINE, OR OTHER CORROSIVE CHEMICALS WERE NOT USED F R TESTING SYSTEMS OR STOPPING LEAKS? YES 0 NO DRAIN READING OF GAUGE LOCATE!? NPR WATER RESIDUAL PRESSURE WITH VALVE IN TEST TEST SUPPLYTESTCONNECTION:125-PSI ( Bar) CONNECTION OPEN WIDE: !i? PSI LBar) UNDERGROUND MAINS AND LEAD IN CONNECTIONS TO SYSTEM RISER OTHER EXPLAIN FLUSHED BEFORE CONNECTION MADE TO SPRINKLER PIPING. VERIFIED BY COPY OF THE CONTRACTOR'S MATERIAL AND TEST CERTIFICATE FOR UNDERGROUND PIPING. . 0 YES 0 NO FLUSHED BY INSTALLER OF UNDERGROUND SPRINKLER PIPING 0 YES 0 NO IF POWDER-DRIVEN FASTENERS ARE USED IN CONCRETE, HAS IF NO, EXPLAIN REPRESENTATIVE SAMPLE TESTING BEEN SATISFACTORILY COMPLETED? DYES 0 NO NUMBER USED LOCATIONS WELDED PIPING IF YES... DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS B2.1? DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CONTROL PROCEDURE TO ENSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH, THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED, AND THAT THE INTERNAL DIAMETERS OF PIPING ARE NOT PENETRATED? DO YOU CERTIFY THAT YOU HAVE A CONTROL FEATURE TO ENSURE THAT ALL CUTOUTS (DISCS) ARE RETRIEVED? NAME PLA~PROVIDED ~YES 0 NO DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN: NAME OF SPRINKLER CONTRACTOR AHERN FIRE PROTECTION, 201 MORRIS COURT - FOND DU LAC, WI 54935 TESTS WITNESSED BY AUTHORITIES HAVINSWUftISD~CTI9>N (SIGNED) " tl ~E J' ~ ~G~..A1 -1/ U "'1 FOR PROPERTY OWNER (SIGNED) f TITLE ~ 3 NUMBER REMOVED ijj YES ONO '9'f YES ONO ~YES ONO YES 0 NO IF NO, EXPLAIN )- }-.'-o Y'\ DATE )-Z6- c7 DATE DATE ~ J.G ". (j 7 Re(l~lated Obiect Number: Safety and Buildings Division P.O. Box 7302 Madison, WI 53707-7302 Fax: (608) 267-9723 TTY: (608) 264-8777 http://www.commerce.state.wi.us http://www.wisconsin.gov Personal information you provide may be used for secondary purposes [Privacy Law, s.1504 (1 )(m)]. Please print clearly in ballpoint pen. Additional information on back page. AFP #490536 Street Address W6250 Pioneer Road Double Check/DC Detector Performance Test ~cons;n Department of Commerce OWt.JER INFORMATION Owner Name Mercury Marine City Fond du Lac, WI 54935 FACILITY INFORMATION FaciUy Name Mercury Marine City Oshkosh, WI 54902 Assembly Location 5A:ltt4!aasl 8". 1\8f' State Zip Code Owner's Contact Person Adam Kulhanek Telephone Number (920/929-5187) Zip Code Street Address 2855 Oakwood Road County Winnebago 5 ....J r Manufacturer WiI kins Size 8" Assembly Type INITIA.L TEST 1 ST check Closed tight ~!~~ked ,,~, l\ FINAL TEST o Closed tight 0 Closed tight Static PSID Static PSID 's' -OETECTOR BYPASS ASSEMBLY INITIAL TEST '/4 RECEfV~D 1 ST check 2nd check / o Closed tig 0 Closed tight _ o Leaked D Leaked Static Static PSI - M ^ n .0 --------------------------------------------------- ---------------------------- -------------------------------~:~- --1---------------- DETECTOR BYPASS ASSEMBLY FINAL TEST o Closed tight Static 2nd check ~ Closed tight ~~~I?__ _ _ _ _ _ _ _ __m __ _~!~!t~ked d'''] .PSID _____M_________~_________________________________________________ PSID EPARTMENT OF -ASSEMBLIES IN FIRE PROTECTION SYSTEMS Note: Include hose stream demand where applicable --..------:-::~~:-~::.=::~----g.:~~~.:~-~-~~-:~~:-~-~-~-~-~~-------.---------------~~!-~-~!-!!.~-~~~~----L~-~__j___~~~_______._____________________.. ndicatin Control Valves No. one control valve open . No. two control valve 0 en Valve supervision: Part (5) Replaced/Comments I HEREBY CERTIFY THE TEST RESULTS ARE TRUE AND THE TEST WAS CQNDUCTED BY ME PERSONALLY. J I s:o_ Tester Name (print) f\t\.: K-'? F SGh, Registration No. 9~~ )"OS-'Time of Day L-- Tester Signature f\W'U.....-- ~ Phone No. (:(_1'"' 4~ ad~) Date 1- JCj-6 580-10754 N.12/02 Distributed to the following: Owner and tester C:--.. . "'-A.,-. " OWNER INFORMATION The backflow preventeris a mechanical device designed to protect the potable water supply system from being contaminated. Thereisa physical connection to equipment or water of either unknown or questionable quality, thereby requiring the installation of the backflow preventer. In order to ensure that this device is working as designed, it must be periodically tested. A test shall be conducted on each backflow preventer prior to it being put' into serv,ice, after any repairs, and a minimum of once a year thereafter. It is the responsibility of the owner to make sure the device is tested. The test shaU be performed by a department registered Cross Connection Control Device tester. . OWNER'S CONTACT PERSON: The owner's contact person is the name of the person responsible forthe backflow preventer maintenance and records. (Note: Please provide full name.) . OLD VALVE REPLACEMENT INFORMATION If this test is for a replacement valve, please include all information for the replacement valve on this form. The manufacturer, model no., serial no., size, and the assembly type of the "old" valve must included on the comment line of this form. DOUBLE CHECK VALVES AND DOUBLE DETECTOR CHECK VALVES INSTALLED IN FIRE PROTECTION SYSTEMS A copy of this completed test must be attached to or located near the double check valve or double detector check valve. .MINIMUM REQUIREMENTS FOR PASSING TEST' , DC and DC'Detector . The first check must close tight, and have a minimum static 1 PSID. ... The second check must close tight, and have a minimum static 1 PSID. Do not send a copy of this report to the Department of Commerce, Safety and Buildings Division. Copies of this report shall be distributed to the following: Owner and tester as indicated on the bottom of each page.. SBD-10754 N.12/02 Distributed to the following: Owner and tester ~ OJHKOJH ON THE WATER City of Oshkosh Inspection Services 215 Church Ave., PO Box 1130 Oshkosh, WI 54902-1130 (920) 236-5052 (920) 236-5184 FAX March 2, 2007 Valentine Reader Plumbing W2015 Industrial Drive Kaukauna, WI 54130 Ref: Plumbing Plan Approval: Morgan Crossing (interior only) 495 Pearl Ave. Oshkosh, WI Plan ID# Y1-239-0207-P Dear Sirs, Examination of the plumbing plans and specifications for this project has been completed. In accord with Chapter 145, Wisconsin Statute, and COMM 81 through 85, Wisconsin Administrative Code, the plumbing plans and specifications are approved contingent upon compliance with the stipulation(s) noted below. 1. Enclosed parking area drains shall discharge to approved disposal per COMM 82.36 table 82.38-1. This does not allow for storm sewer disposal. 2. Exterior sub-surface area drains shall discharge to storm sewer per COMM 82.36 table 82.38-1 3. Fixture vent shall not connect to a vent stack less than 38 inches above the lowest floor penetrated by the vent stack per COMM 82.31 4. Elevator pit drain shall comply with requirements of COMM 82.33(9)(f) 5. Standpipe receptors installed in the garage level shall be used for sanitary waste only; air- conditioner condensate waste shall be limited to no more than 50 gallons per day. 6. Horizontal branch drain connection at the base of a drain stack serving as a drain vent shall be limited to a minimum of 20 times the horizontal drain pipe diameter set back from the base of the drain stack per COMM 82.31 7. Water calculation worksheet requires and "A" value of 6 be used for loading of distribution pipe sizing per COMM 82.40 8. Roof drain overload system may not connect to the primary roof drain system and shall discharge in accord with COMM 82.36, table 82.38-1 In the event installation of this plumbing system has not commenced within two years from this date, this approval shall become void. A new application accompanied by full examination fees shall be filed and an updated approval received before work may commence. In granting this approval, the City of Oshkosh or its representative does not hold itself liable for any defects in plans or specifications, plan omissions, examination oversight, construction or any damage that may result in or after installation. The City of Oshkosh reserves the right to order changes or additions should conditions arise making this necessary. It shall be necessary for the installing plumber to obtain a plumbing permit from the City of Oshkosh before proceeding with actual installation of this plumbing system or any of its parts. Respectfully, Richard Wood, Plumbing Inspector