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HomeMy WebLinkAboutBLD-19-3457 RECEIVED DEC 06 2018 _ � BU 4.21. R ILDING DEPARTMENTC y' 2 d .1"42 DT-admen, Re • IC . i /� a3y ay ( Tadmrc�c efec aned 9.7:er cee - Office de ✓Jur�du eartu ia&cnnz 1146 2aA 28, eSauM o/a zmat , gQ 02664 APPLICATION FOR FIRE PROTECTION PERMIT - Date I�"lI-�SIS PERMIT NUMBER 3Lb - l9-pa Sys 7 Projected Start Date: 0Q569P Date of issue In accordance with the provisions of 780 CMR and M.G.L. Chapter 148, as provided in Section application is hereby made by Cape Glc/ L O r rn OiO �---� (Full name ofper on,Firm qr Co.rporat' n) Address pO( Ld � oWv)ROuSe e<d/ W Yarrnot,trn Rolla 2 9 O 1 • Ya r (Contact#) 508.--A.58:`�(�'� Job Location; 2� (Street&Cit/or Town) For permission to (state clearl 'p ois se for which permit requested) Cape co( Larn\ 9 O ins r 2_2, Pire swarm eorWCOL pone?, anct tie In )) crot►ress and I FLOW • For rmov wri $ 12. Name of competent operator(if applicable) gene ear rd Berl c1 r e ad Alarm Cert. or icense No. /5S ,- C Estimated Cost of Construction: 1700. O BY (Signature of Applicant) PERMIT# FEE: $50.00 Qe rpom7/n�tuealIA o/o G ssaeluaria, ‘14,11 � %e/artment o/P. re Vervticea - o/t%e luteG'rrre alamalal FPB(rev.3/00) T--_-d - odic01775 APPLICATION FOR PERMIT City or Town YARMOUTH Date DECEMBER 04,2018 In accordance with the provisions of M.G.L. Chapter 148, as provided in Section application is hereby made by Cape Cod Alarm Co., Inc. (Full name of person,Firm or Corporation) Address 204 Old Townhouse Road West Yarmouth, MA 02673 (Street or P.O.Box)(City or Town) For permission to(state clearly purpose for which permit is requested) INSTALL A FIRE ALARM PANEL AND TIE-IN 2 TAMPERS AND 1 FLOW FOR MONITORING @ A CRAIG LOHR CONSTRUCTION • 23. Rowe 3 WEST YARMOUTH Name of competent operator(If Applicable) CAPE COD ALARM COMPANY Cert. No. 1592C Date Issued-rejected By (Signature ofApplicant) D ate of expiration Fee $50.00 $ Paid Due Qe W opoonn4nowuuea c o/Wgzooadeeda Oartmeaeto/ i�rre Vervieea - ��f`ice erne azteP.Wre ale% ectal FPS(rev,3/00) �. ✓lact 1025, elate ,oaa; etow, alc.91 01775 PERMIT City or Town / DIG SAFE NUMBER Date Start Date: Permit Number(if applicable) In accordance with the provisions of M.G.L. Chapter 148,as provided In this permit is granted to (Full name of person,Firm or Corporation) for Restrictions: at (Give location by street and no.,or describe in such manner as to provide adequate identification of location) Fee Paid $ This Permit will expire on Signature of Official Granting Permit Title ♦ This permit must be conspicuously posted upon the premises 4 The Commonwealth of Massachusetts = I — -Department of Industrial Accidents EALS 1 Congress Street,Suite 100 Boston,MA 02114-2017 ,v6� www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individual):CAPE COD ALARM COMPANY, INC. Address:204 OLD TOWNHOUSE ROAD City/State/Zip:.WEST YARMOUTH, MA 02673 Phone#:508-398-6316 Are you an employer?Check the appropriate box: _Type of project(required): 1.01 am a employer with "7 pv, employees(full and/or part-time).• 7. 0 New construction 2.0 l am a sole proprietor or partnership and have no employees working for me in S. ❑Remodeling any capacity.[No workers'comp.insurance required.) 3.01 am a homeowner doing all work myself.[No workers'comp.insurance required.)t 9• ❑Demolition ]0 0 Building addition 4❑1 am a homeowner and will be hiring contractors to conduct all work on my property. 1 will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0 I am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. ]3.�Roof repairs These sub-contractors have employees and have workers'comp.insurance.* P 6.0We are a corporation and its officers have exercised their right of exemption per MGL e. - 14.�Other y7Y1STrC.t Fife a2. rr - 152,§1(4),and we have no employees.[No workers'comp.insurance required] p '1A- 2 ^n,,,eL. ?Lodi TIE z *Any applicant that checks box q I must also fill out the section below showing their workers'compensation policy information. l/{}/�a�Q'?r en a nd t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new a i avit lite*such. FLOCO :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. /am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Associated Employers Insurance Company Policy#or Self-ins.Lic.#:WCC-500-5006433-2018A Expiration Date:September 11,2019 Job Site Address: 27 2J Rowse ,C� City/State/Zip: W&5r: f( enn o Wet Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify undde he pains nd pen les of perjury that the information provided above is true and correct k Signature: i _G ,lotion i'7 Date: 1� —P2O/8 Phone#:50858-2624 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r•! • e. 'COMMONWEALTH OF MA. A USETTS ` i • fl Commonwealth of F 1 1 DIVISION OF PROFESSIONAL LICENSUREI lI' Division of of Massachusettsass Licensure s „BOARD OF, I t7) a� ..: 'ELECTRICIANS a i1 ns•` C�HII {4 ISSUES THE FOLLOWING LICENSE ';:;;Al:: '. Secur`t P sL1jsiems�FjS-License ¢ REGISTERED SYSTEM TECHNIC Ip M SSCO-000248 c' '$xpires; 11/07/2020 i , 9i:": q t � a ni,J = I ,5.. y• ypwa GENE A CORMIER 011711 y GEN COR I `tel it p I 9MARGATE LN t 1 E. . 1 w,: Emp'19Yed r ( o y 5 i a • SOUTH DENNIS MA 02660 266T 3r \ � CAPE C(SD AL R �` ' . i'i3 'ei °M 1'C>!SS":tdll~,` t . '. 150713,A C iA:s' 07/3112019 �; ' 212805n am---,, ,.*s-, Commissioner (mow i • COMMONWEALTH OF MASSACHiUSETTS.:';,c:$4) r, . DIVISION OF PROFESSIONAL LICENSURE§r;: ',%#4:'•°,!•: • BOARD OF SUELECTRICIANS �, . ;,.,Y ka , ISESTHEFOLLOWING'LICENSE`ASA $'Ir REGISTERED SYSTEM CONT CTQRs, ' of x GENEA CORMIER `'� ` , tt 9t ).fi 0* t a CAPE COD ALARM CO INC � � �+ 1 '19 • 204 OLD"TONIN HOUSE RD t y1-;;;;„..1,..f z WEST YARMOUTH MA1026731531 `�'A' e `ra '1 e to •'" o °r° 4,"', s ` 1592 r k 'P 07/31/2019: t 123442 , • • • . • c?, ----------_ r _SILENT SK-4 & SK-4E Fire Alarm KNIGHTNit — — _________,Control Panel by Honeywell 4-zone fire protection at a price that won't burn your budget. The SK-4 and SK-4E (SK-4/E) are four zone conventional fire alarm control panels (FACPs)that bring the latest in microprocessor technology to conventional fire controls. The SK-4 is a 120 VAC FACP and the SK-4E is a 240 VAC FACP. These FACPs provide reliable fire signaling protection for small-to medium-sized commercial, industrial, and institutional buildings. For more information about the SK-4/E system, or to locate your nearest source, please call 1-800-328-0103. Description • Selectable for System Sensor, The four zone SK-4/E is a 24 VDC Wheelock, and Gentex protocols tkFiltr'S FACP that provides four Class B • Selective silence feature allows ;hT initiating device circuits and two Class manual silence of horns while strobes t=:`,., B notification appliance circuit(NAC), continue to flash on the same NAC •protocol includes the ervis for cmbination tamper The SK-4/E NAC P supervisorymonitor and waterflow I - - ability to silence audible devices while alarm on one zone strobes continue to flash, using only a . Silent or audible walk test operation single pair of wires.The SK-4/E is also mode - compatible with conventional input • Alarm verification selectable per zone — devices such as two-and four-wire smoke detectors, pull stations, • Program each zone for supervisory or fire with separate red and yellowy waterfiow devices,tamper switches and LEDs ©MMLJ, other normally-open contact devices. • Disable switches provided per zone '""""' Activation of a compatible smoke '.. • Program NACS for detector or any normally-open fire —Silence inhibit alarm initiating device activates audible _Auto silence SK-4 and visual signaling devices, illuminates _Strobe synchronization an indicating LED, sounds the piezo NACs —Temporal or steady signal sounder at the FACP, activates the Signaling Current: 2.5A @ 24 VDC FACP alarm relay, and operates an —Silenceable or nonsilenceable with standard transformer or 5A optional module used to notify a remote —Disablesable total (2.5A per NAC)with additional station or initiate an auxiliary control • Form C alarm,trouble,and EL optionalRetransform4.7er, power-limited 1 2 Wain ited function. supervisory relays • 3A total usable current Form C Relays The SK-4/E is compatible with System Types:Trouble,alarm, and Sensor®Is detectors providing • 6A total usable current with optional supervisory advanced features such as drift second transformer(PN SK-TRM24 Contact Ratings: 2A @ 30 VAC, or SK-TRM24E) resistive compensation,maintenance alert, and_• Optional dress panel(PN SK-DP2/4) Auxiliary Output freeze warning.Automatic ---------Resettabie and non-resettable synchronization of audio/visual devices Electrical Specifications Operating Voltage:24 VDC nominal is provided, using three selections for SK-4 Primary AC: 120 VAC @ 50/60 Current: 500 mA max, power-limited; manufacturer protocol. Hz,2.3A total current for nonresettable power, Features SK-4E Primary AC: 240 VAC @ 50 Hz, resettable power and two NACs must 1.15A not exceed 6.0A(requires additional • Four Style B(Class B)initiating Wiring: 14 AWG (2.0 mm2)with 600 V transformer) device circuits (IDCs) insulation min • Two Style Y(Class B)notification Initiating Device Circuits(IDCs) appliance circuit(NA ) Operating Voltage: 22 VDC nominal; • Optional module converts all IDCs power-limited and NACs to Class A(PN SK-CAC4) Standby Current:4 mA • Support for synchronization of Alarm Current: 15 mA min standard ANSI audible signals and Short-circuit Current:40 mA max ADA compliant strobes per NFPA 72 Loop Resistance: 100 max EOL Resistor:4.7K 61, 1/2 watt SK-4 & SK-4E Fire Control Panel • Engineering Specifications The contractor shall provide a completely electrically supervised fire alarm control panel Silent Knight Model SK-4/E.The system shall contain a fire alarm control panel capable of operating and supervising smoke detection devices,alarm notification devices,and an on- board annunciator. It shall be compatible with a digital communicator accessory. The fire alarm control panel shall have a power limited supply,four Class B initiation circuits which shall accommodate heat detectors, smoke detectors,and manual pull stations.Smoke detection shall be achieved with either 2-or 4-wire detectors that are compatible with the system.The initiation inputs shall be programmable as 1)verification zones in which detectors are automatically reset one time before signaling an alarm condition;or 2)combination waterflow supervisory zones that allows the FACP to distinguish between an alarm switch(waterflow device)and a supervisory switch(tamper)installed on the same circuit.The FACP shall have two 2.5 amp or 5 amp (with an additional optional standard transformer)programmable notification outputs.It shall have dedicated relays for alarm,trouble,and supervisory.It shall have two power outputs,one resettable and one non-resettable,each rated at 500 mA. The FACP shall have an on-board annunciator to indicate alarm,supervisory,trouble,and maintenance conditions.The annunciator must include LEDs for AC,GENERAL TROUBLE,ALARM SILENCE,WALK TEST, EARTH FAULT,AND LOW BATTERY.The annunciator shall also contain LEDs to annunciate fire alarms,troubles, supervisory,and maintenance by zone.The FACP must be fully operational from the annunciator and include buttons for ACKNOWLEDGE,ALARM,SILENCE, RESET,and WALK TEST.The annunciator must also have separate DISABLE switches for each zone and notification circuit. Electrical Specifications (cont) Battery Approvals SK-4XLM Type:Sealed lead acid only NFPA 72; UL Listed; Charging Circuit:27.6 VDC Q 0.8A CSFM 7165-0559: 145; LED Interface Module. max normal flat charge MEA 297-01-E-3 SK-XRM24 Charging Capacity: 18 AH 110 Volt Transformer 3-6A. Size: 7 AH max allowed in FACP. Ordering Information Larger batteries can housed SK-4 SK-XRM24E in an RBB accessory cabinet 120 VAC Four Zone Conventional 220 Volt Transformer 3-6A. Compatible Initiating and NAC FACP SK-RZA4 Devices SK 4E Remote Annunciator. See SK document PN 52612. 240 VAC Four Zone Conventional SK-4XZM Mechanical Specifications FACP Zone Relay Module. Cabinet Backbox Dimensions: 14.5"W x 15" H x 3" D Accessories RBB (36.83 W x 38.10 H x 7.62 D cm) SK-DP2/4 Remote Battery Box Accessory Cabinet Door: Dress Panel.Allows access to the Cabinet:Use if back up batteries are 14.677"W x 15.342" H x 0.375"D panel controls but restricts access to too large to fit into FACP cabinet. (37.28 W x 38.97 H x 0.95 D cm) system wiring. Dimensions: 16W x 10"H x 6"D Cabinet Color: Red SK-CAC4 Digital Communicator Accessories Installation Class A Convertor. Converts Style B 5104B The SK-4/E can be surface mounted (Class B) IDCs to Style D (Class A)and Six-zone fire control communicator using two key sloth at the top of the Style B(Class B)NACs to Style Z backbox and two additional 0.25" (Class A) 5129 diameter holes at the bottom, or semi- Four channel slave fire communicator flush mounted using the optional Trim SK-4XTM Ring P/N TR-1-R Transmitter Module. Provides a supervised output for local energy municipal box transmitter and alarm and trouble reverse polarity. SILENT This document is not Intended to be used for Installation purposes.We try MADE IN AMERICA to keep our product Information up-to-date and accurate.We cannot cover KNIGHT all specific applications or anticipate all requirements.All specifications are FORM#350305 Rev. E subject to change without notice. For more information,contact Silent _by Honeywell - Knight 12 Clintonville Road,Northford,CT 06472-7161 ©2012 Honeywell International Inc. Phone:(800)328-0103, Fax:(203)484-7118.www.silentknight.com