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Plumbing Division Standpipe Inspection Report

Premises Approved Plan # Construction

Borough

Stories Occupancy

Feet

Date When Installed Area No. of water supplies

Supply: City connection

Size

Control valve

Curb valve

Check valve

Pressure or Gravity tank House supply taken from tank

Capacity Reserve for standpipe

Height above top outlet Separate filling line

Tank heated

Size of heating pipes

Easily accessible Properly secured Capacity in gallons

Exposed piping properly Filling pump Automatic

Size

Size of overflow

Size Iron ladder to tank

Emergency valve Weather-proofed

Type

Size

Intermediate tank Height above outlet next below Size of overflow Filling pump Type

Location

Tank Heated Size

Reserve for Standpipe Separate filling line Emergency valve Capacity in gallons

Size Size Automatic

High & Low Alarms

Electrical

Mechanical

Control Valve

Location

Type

Locked Open

Risers: Number Cross Connection

Size

Top or Bottom

Location

Size

Protected

Hose Outlet Valves Hose Nozzle

Size

Size

In Cabinets Size

Hgt. Above floor In 50’ lengths

Type of Valve Sufficient

Pressure reducing valves Set at what pressure

Location

Type

Fire pump Properly checked

Type

Size Fire pump supply

Capacity in gallons Telephone system

Siamese connections Location

Number

Approved type

Size

Is all piping properly braced Is building sprinklered

Give size and branch lines from riser to outlets If so, is there any connection between standpipe and sprinkler

Entire system at minimum of 300lbs Performance test on standpipe fire pump All required signs posted

Result Result

Recommendations:

Inspector (print)

Inspector (sign)

Report to: Div. Of Fire Prevention Fire Department

B FORM FP 84(Rev. 06/03)

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