Building Survey

Filled out By

Filled out Date

Building Location

Address

Borough

Zip

AKA Address

Access Info

Means of Access

Special Scheduling

Building / Structure Information

Floors

Amount of Stairwells

Other building Info

BulkheadElevatorGarageHeated GarageCompactor

Use Type

Type of Facility

residentialresidential (above 6 floors)commercialhealthcare centerPrivate housein private apartmentStoreRestaurantstorage / warehouseofficeNursing homeSchool / daycareChain store

Other

General System Information

System Type

SprinklerStandpipeCombination

System Components

CompactorDry SystemGravity TankPressure TankTransfer SwitchPreactionNitrogenLobby CabinetsCompactor missing isolating valveFire & Jockey PumpsRoof ManifoldDelugeNo Jockey pumpNon automatic Sprinkler

Other

System Protects

Whole BuildingCorridorsCompactor onlyGarage onlyBasement only1st onlyBasement & 1st

Other

Qty. of Risers

Sprinkler Control Valve / Room Location

BasementSub BasementGround Floor

other

Insert PictureInsert Picture

Floor Control Valve Locations

StairwayCorridor

Other - Details

Fire Pump InformationMark here if not applicable

Manufacturer

Model #

Serial #

Insert PictureInsert Picture

G.P.M.

P.S.I.

H.P.

Volt

Stages

R.P.M.

Pump P.S.I. set to

Pump Room Location

Pump Input Size

Pump Output Size

is there a test Header

Location of test header

QTY of pumps

Controller Manufacturer

Controller Model #

Controller Serial #

Jockey Pump InformationMark here if not applicable

Manufacturer

Model #

Serial #

Insert PictureInsert Picture

G.P.M.

P.S.I.

H.P.

Volt

Stages

R.P.M.

Jockey P.S.I. on

Jockey P.S.I. off

QTY of pumps

Controller Manufacturer

Controller Model #

Controller Serial #

Dry System InformationMark here if not applicable

Qty. of Dry Valves

Dry Valve Location

in spk room

other

Insert PictureInsert Picture

Quantity of Low point Drains

Location of low Point Drain

Maintainance InformationMark here if not applicable

Qty. of OS&Y Valves

Qty. of Butterfly Valves

Other valves (ball, gate) Etc.

Qty. of Tamper Switches (not inc butterfly valves)

Qty. of Waterflow Switches

Qty. of STP Hose valves

Inspector Test Valve Location

curb valve location

Is there a main Drainis main drain piped outis there a guage and drain for main drain test

Main drain size

Main drain location

Alarm System InformationMark here if not applicable

Type of Alarm System

Local OnlyCentral StationElectricMotor Gong

Alarm Servicing Company

Alarm Servicing Company Phone Number

Alarm Account Number

Alarm Account password

Manual Pull Station Location

Alarm Annunciator Panel location

Fire Department Connection Information

Qty. of Siamese

Location of Siamese

Lower Check Location

Ball Drip Location

PRV InformationMark here if not applicable

PRV Station

PRV Qty.

Size

PRV location

PRV Sprinkler - FloorsPRV Standpipe - Floors

FDNY Test Information

FDNY Account #Type of TestLast Test DateNotes

Comments / Deficiencies

FD Connection

Fd Connection

swivels are stuckPainted the wrong colorMissing cap/plugLower check valve is missingBall drip is missingball drip is plugged/cappedBall drip is wrong orientationBall drip is piped outBall drip is not found

Other

Chain and lock neededSpare Head & wrenchspare headspare wrenchITV is missingguage missing on ITVguage broken on ITVwaterflow swith brokenwaterflow switch missing covertamper swith brokentamper switch missing coveralarm bell brokenspk room needs lightspk room/area needs to be clearwater motor gong brokenmains / cross mains need to be painted redmain drain needs to be piped outneed a plumber to make a entry point for drainpressure guage Broken/painted/damagedhas a isolating valve

Qty heads painted

Qty Covers painted

Qty Covers missing

manufacturer

Critical issues

compactor system is offdry system trippedjockey is offmissing head in compactorvalve is shutpump is off

Signs

TS-101Tristate company sign

TS-102Pressurized standpipe

TS-104Sprinkler control valve

TS-106Sprinkler control valve inside

TS-107Compactor SPK control valve located inside

TS-108Automatic sprinkler in garage only

TS-109Automatic sprinklers in _____ only

TS-110Automatic sprinkler shut-off valve

TS-111sprinkler fire alarm

TS-113no standpipe in stairwell

TS-114combination control valve

TS-115dry standpipe (large)

TS-116dry standpipe (small)

TS-117standpipe FD conection

TS-118drain valve

TS-119test and drain valve

TS-120inspectors test valve

TS-121combination FD connection

TS-122sprinkler throughout building

TS-123sprinkler FD connection

TS-124wet standpipe

TS-125standpipe shut-off valve

TS-126standpipe control valve

TS-127combination shut-off

TS-128normally closed

TS-129electrical room

TS-130fire hose cabinet behind this door

TS-131fire pump room

TS-132spk in basement only

TS-133spk 1st and basement only

TS-134manual air relief valve

TS-135Compactor room

TS-136Spk room (right)

TS-137SPK room (left)

TS-138auxillary drain

TS-139no smoking

TS-140fire hose valve

TS-141Sprinkler for curtain walls only

TS-142Blank red

TS-143Blank White

TS-144Exit

TS-145Hydraulic plate

TS-146non combustable (BLACK) FSN

TS-147combustable (RED) FSN

TS-148FSP

TS-149COMBO (FSN,FSP, Smoking

TS-150sprinkler room

TS-151Compactor Sketch

Lobby Cabinet

2 - 2½" to 1½ adapters2 - small spanner wrench2 - large spanner wrench2 - nozzles