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HomeMy WebLinkAboutSYSTEM RECORD OF COMPLETION SYSTEM RECORD OF COMPLETION This form is to be completed by the system installation contractor at the time of system acceptance and approval. It shall be permitted to modify this form as needed to provide a more complete and/or clear record. Insert N/A in all unused lines. Attach additional sheets, data, or calculations as necessary to provide a complete record. Form Completion Date: 6/4/23 Supplemental Pages Attached: 0 1. PROPERTY INFORMATION Name of property: Nauset Disposal Address: 61 Commonwealth Ave,South Yarmouth,MA Description of property: Office Building Name of property representative: Address: Same Phone: 508-255-1419 Fax: E-mail: 2. INSTALLATION, SERVICE,TESTING,AND MONITORING INFORMATION Installation contractor: Seaside Alarms Inc. Address: 1265 Route 28,South Yarmouth,MA 02664 Phone: 508-394-0599 Fax: 508-760-2830 E-mail: paul@seasidealarms.com Service organization: Seaside Alarms Inc. Address: 1265 Route 28,South Yarmouth,MA 02664 Phone: 508-394-0599 Fax: 508-760-2830 E-mail: paul@seasidealarms.com Testing organization: Seaside Alarms Inc. Address: 1265 Route 28,South Yarmouth,MA 02664 Phone: 508-394-0599 Fax: 508-760-2830 E-mail: paul@seasidealarms.com Effective date for test and inspection contract: 6/24/19 Monitoring organization: Centra-larm Monitoring Inc. Address: 994 Candia Road,Manchester,NH 03109 Phone: 603-623-7930 Fax: E-mail: Account number: 61-S7826 Phone line I: Phone line 2: cellular Means of transmission: Cellular communicator Entity to which alarms are retransmitted: Yarmouth Fire Department Phone: 508-398-2211 3. DOCUMENTATION On-site location of the required record documents and site-specific software: With fire panel 4. DESCRIPTION OF SYSTEM OR SERVICE This is a: ®New system ❑Modification to existing system Permit number: NFPA 72 edition: 2013 4.1 Control Unit Manufacturer: Napco Firewolf Model number: FW-32 4.2 Software and Firmware Firmware revision number: 3.0.5.11 4.3 Alarm Verification ®This system does not incorporate alarm verification. Number of devices subject to alarm verification: 16 Alarm verification set for 30 seconds Copyright 02012 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. SYSTEM RECORD OF COMPLETION (continued) 5. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power Input voltage of control panel: 120 volts Control panel amps: 2.75 Overcurrent protection: Type: Breaker Amps: 15 Branch circuit disconnecting means location: Breaker by panel Number: 5.1.2 Secondary Power Type of secondary power: Battery Back-up Location,if remote from the plant: at control panel Calculated capacity of secondary power to drive the system: In standby mode(hours): 24 In alarm mode(minutes): 5 5.2 Control Unit ® This system does not have power extender panels ❑ Power extender panels are listed on supplementary sheet A 6. CIRCUITS AND PATHWAYS Pathway Type Dual Media Pathway Separate Pathway Class Survivability Level Signaling Line 0 Device Power 0 Initiating Device 5 B Notification Appliance 2 B Other(specify): 7. REMOTE ANNUNCIATORS Type Location Keypad Office Foyer N/A N/A 8. INITIATING DEVICES Addressable or Type Quantity Conventional Alarm or Supervisory Sensing Technology Manual Pull Stations 3 Conventional Alarm Switch Smoke Detectors 16 Conventional Alarm Photo Duct Smoke Detectors Heat Detectors 7 Conventional Alarm Fixed Gas Detectors Waterflow Switches Tamper Switches Copyright m 2012 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. SYSTEM RECORD OF COMPLETION (continued) 9. NOTIFICATION APPLIANCES Type Quantity Description Audible Visible 3 Bathroom Strobes Combination Audible and Visible 4 Horn/stobes in common area&exterior. 10. SYSTEM CONTROL FUNCTIONS Type Quantity Hold-Open Door Releasing Devices N/A HVAC Shutdown N/A Fire/Smoke Dampers N/A Door Unlocking N/A Elevator Recall N/A Elevator Shunt Trip N/A N/A N/A 11. INTERCONNECTED SYSTEMS ® This system does not have interconnected systems. ❑ Interconnected systems are listed on supplementary sheet 12. CERTIFICATION AND APPROVALS 12.1 System Installation Contractor This system as s Tied rein been installed according to all NFPA d ds cit d herein. � Signed: "` Printed name: i/G.4-A- c� Q7C1/Date:Y� Organization: 'Seaside a - a Title: sales rep Phone: 508-394=0599 12.2 System Operational Test Thi:tem, nastestcordin g / /� �� Printed name: �•— �/�� Date: �/h 7-3 Organization: Title: Phone: 12.3 Acceptance Test Date and time of acceptance test: Installing contractor representative: Testing contractor representative: Property representative: AHJ representative: Copyright©2012 National Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial sale or distribution. (0 3 of i METRO •% " Date: 5-Jun-23 GEMC FIRE STANDBY Project Name: Nauset Disposal 3 n Location: Yarmouth,MA LL Amiii z CALCULATION CHART Prepared By: Seaside Alarms COMBINATION Panel Model#: FW-32CONV - 12V 12V I 24V 24V ' TOTAL TAL MODULE DESCRIPTION standby Alarm Standby Alarm QTY STANDBY ALARM Current Current Current Current CURRENT CURRENT (mA) - - mA___ mA -mA (mAl Fire Alarm Current Chart GEMC-CONTROL PANEL Control Panel 96 1 i 96 96 Fire Aux Relay Normally Energized 35 GEMC-F8ZCPIM Conventional(8)zone 2-wire fire input module. 120 72 1 72 72 #of Zones Used 5 3 4 12 96 Devices powered by GEMC-F8ZCPIM AUX PWR Devices powered by GEMC-F8ZCPIM RST PWR GEMC-FK1 LCD Fire Keypad for GEM-C Combo System,Red 110 66 1 66 66 GEMC-RECV Commercial Fire Wireless Receiver(Fire Bus Only) 70 42 -_� • GEMC-EZM8 8 Point Expansion Module 60 36 36 0 _ GEMC-FPRINT Printer Module 90 54 54 _ _ GEMC-RM3008 Relay Output Module(Fire Bus Only) 22 13 13 #of Relays Normally Energized 12 7 #of Relays Energized on Alarm 12 - 7 GEMC-NL-MOD Internet Reporting Module 85 51 51 GEMC-RS232 'RS232 Adaptor 60 36 36 GEMC-OUTS PGM Output Module 35 21 21 GEMC-FW-SLC _ Addressable SLC Fire Module 70 140 FWC-FSLC-SMK Addressable SLC Photo Smoke Detector 0.68 1.40 FWC-FSLC-HEAT ,Addressable SLC Heat Detector 0.61 0.88 FWC-FSLC-DUCT Addressable SLC Photo Duct Smoke Detector 10.88 0.95 i FWC-FSLC-EZM2 Addressable SLC 2 Zone Cony.Input Module 1.05 1.26 IFWC-FSLC-EZMI Addressable SLC Single Input Con/.Input Module. 0.96 1.16 FWC-FSLC-CZM Addressable SLC Cony Single Module 2.17 1.26 FWC-FSLC-RM2 Addressable SLC Dual Relay Module 0.68 0.70 'FWC-FSLC-ISO Addressable SLC Fire Isolation Module 0.47 0.47 FWC-FSLCSOMI Addressable SLC Fire Supervised Output Module 1.39 0.28 'FWC-FSLC-PULL Addressable SLC Fire Pull Station 0.96 1.14 GEMC-NAC7S Remote NAC Extender. 8 5 5 GEMC-12V2APS-CF Remote Supervised 12VDC Power Supply 8 5 5 GEMC-24VR Add On 24V Regulator ;NAC A On Board NAC Circuit A N/A 520 1 520 `NAC B On Board NAC Circuit B N/A 9PI7 1 280 NAC C On Board NAC Circuit C N/A NAC D(set to 24V) On Board NAC Circuit D N/A NAC D(set to 12V) tt.On Board NAC Circuit D N/A W Mother Board AUX PR Mother Board RLY PWR (only if configured for wet operation) i I _ _ FIRE STANDBY CURRENT DRAW 1 246 mA • REQUIRED FIRE STANDBY TIME I 24 Hours i REQUIRED FIRE STANDBY BATTERY CAPACITY I 5.9 AH — TOTAL FIRE ALARM CURRENT DRAW 1130 mA REQUIRED FIRE ALARM STANDBY TIME 5 Min REQUIRED FIRE ALARM BATTERY CAPACITY 0.1 AH BATTERY DERATING FACTOR r Y0 % I TOTAL REQUIRED STANDBY BATTERY CAPACITY 17.5 AH INSTALLED BATTERY CAPACITY QTY: 1 AH: 8 I 8.0 AH CI) Applicant ID No: 123867-002 Service Center No: 0 Expires: 31-DEC-2023 CERTIFICATE OF COMPLIANCE THIS IS TO CERTIFY that the Alarm Service Company indicated below is included by Underwriters Laboratories Inc. (UL) in its Product Directories as eligible to use the UL Listing Mark in connection with Certificated Alarm Systems. The only evidence of compliance with UL's requirements is the issuance of a UL Certificate for the Alarm System and the Certificate is current under UL's Certificate Verification Service. This Certificate does not apply in any way to the communication channel between the protected property and any facility that monitors signals from the protected property unless the use of a UL listed or Classified Alarm Transport Company is specified on the Certificate. Listed Service From: MANCHESTER,NH Alarm Service Company: (123867-002) Service Center: (123867-002) CENTRA-LARM MONITORING INC CENTRA-LARM MONITORING INC 994 CANDIA RD 994 CANDIA RD MANCHESTER NH 03109-5201 MANCHESTER NH 03109-5201 The Alarm Service Company is Listed in the foNlowing Certificate Service Categories: File -Vol No. CCN Listing Cateq_ory BP10724-1 CRZIVI Monitoring Stations, National Industrial Security S5113-1 UUFX [Signal and Fire Alarm Equipment and Services] (Protective Signaling Services) Central Station ***THIS CERTIFICATE EXPIRES ON 31-DEC-2023*** "LOOK FOR THE UL ALARM SYSTEM CERTIFICATE" t. ON) 8 N P el 0( v 'i _- � 3 ,p —� „-4— 2 21 no l i i 9cn p p ,� 5,2"--I 6'2" Acr 1- .- tp `- F CO 4 u i c o aA O O V„ A Q ., ._ .. $ Exopea, ..0 PO .. K laz ,,..„, 13 CD I (16 D-5'6^ ."--1 ."---44 -20 li-4, 'Lit tt -----\- k -2 - =-., _ I. .. O �r�" �� i 1" h �l ■ n `... 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Half Bath /• n rt 14 2 IWi1 i , 11 3' 6" ; 1 1' 10" Cate IC ',,P IC��'�'� District gim g=mnfr.-i- f , J1 'onfcrc ill, c Roo] iI x ,il1l1.Zo...T.../IP•.'i, 1 r ,,, ii,r,_;,. 1 !LW II titi =,—,c ac ,-;.ales Office ,. - e �„.4 . 1.., I u :Mini ��R.- 7�t — /ram L l kl 13' I 14' 6" i 12' 2 11 frcan put against wall � �''� " if you want a larger table HEAT CST GI FT Proposed 2nd Floor 06/05/2023 08:55 ID:D610PDH Customer Activity Report All Activity Include Test Signals Nauset Disposal(Fire) Customer ID:61S07826 Monitoring Status:Pending,Inactive,Active,Deactivated 05/12/2023 10:55:00 Thru 05/12/2023 13:00:59 [Customer's Local Time Zone] 61S07826 [61S/7826] Nauset Disposal (Fire) 61 Commonwealth Ave. (508)255-1419 S.Yarmouth MA 02664 Date Day Time Lou Description 05/12/2023 Fri 10:55:33 Fire Restore'FIRE-FIRST FLOOR FRONT OFFICE' 10:57:08 Fire Alarm'FIRE-SECOND FLOOR OFFICES' 10:58:19 Fire Restore'FIRE-SECOND FLOOR OFFICES' 10:58:39 Fire Alarm'FIRE-SECOND FLOOR OFFICES' 10:59:20 Fire Restore'FIRE-SECOND FLOOR OFFICES' 10:59:51 Fire Alarm TIRE-SECOND FLOOR OFFICES' 10:59:53 Fire Restore'FIRE-SECOND FLOOR OFFICES' 11:00:34 Fire Alarm'FIRE-SECOND FLOOR OFFICES' 11:00:36 Fire Restore'FIRE-SECOND FLOOR OFFICES' 11:01:13 Fire Alarm TIRE-SECOND FLOOR OFFICES' 11:01:15 Fire Restore'FIRE-SECOND FLOOR OFFICES' 11:01:52 Fire Alarm TIRE-SECOND FLOOR OFFICES' 11:01:53 Fire Restore'FIRE-SECOND FLOOR OFFICES' 11:02:31 Fire Alarm'FIRE-SECOND FLOOR OFFICES' 11:02:54 Fire Restore'FIRE-SECOND FLOOR OFFICES' 11:03:17 Fire Alarm TIRE-SECOND FLOOR OFFICES' 11:03:19 Fire Restore'FIRE-SECOND FLOOR OFFICES' 11:04:08 Fire Alarm'FIRE-SECOND FLOOR OFFICES' 11:04:11 Fire Restore'FIRE-SECOND FLOOR OFFICES' 11:05:04 Fire Alarm'FIRE-SECOND FLOOR OFFICES' 11:05:06 Fire Restore'FIRE-SECOND FLOOR OFFICES' 11:05:55 Fire Alarm TIRE-FIRST FLOOR CUSTOMER SERVICE AREA' 11:06:38 Fire Restore'FIRE-FIRST FLOOR CUSTOMER SERVICE AREA' 11:06:39 Fire Alarm TIRE-FIRST FLOOR CUSTOMER SERVICE AREA' 11:07:42 Fire Alarm TIRE-FIRST FLOOR CUSTOMER SERVICE AREA' 11:07:44 Fire Restore'FIRE-FIRST FLOOR CUSTOMER SERVICE AREA' 11:07:47 Fire Restore'FIRE-FIRST FLOOR CUSTOMER SERVICE AREA' 11:08:19 Fire Alarm'FIRE-FIRST FLOOR CUSTOMER SERVICE AREA' 11:08:21 Fire Restore'FIRE-FIRST FLOOR CUSTOMER SERVICE AREA' 11:08:55 Fire Alarm'FIRE-FIRST FLOOR CUSTOMER SERVICE AREA' 11:08:57 Fire Restore'FIRE-FIRST FLOOR CUSTOMER SERVICE AREA' 11:09:31 Fire Alarm'FIRE-FIRST FLOOR CUSTOMER SERVICE AREA' 11:09:33 Fire Restore'FIRE-FIRST FLOOR CUSTOMER SERVICE AREA' 11:10:09 Fire Alarm'FIRE-FIRST FLOOR FRONT OFFICE' 11:10:11 Fire Restore'FIRE-FIRST FLOOR FRONT OFFICE' 11:10:50 Fire Alarm'FIRE-FIRST FLOOR FRONT OFFICE' 11:11:28 Fire Restore'FIRE-FIRST FLOOR FRONT OFFICE' 11:12:00 Fire Alarm'FIRE-FIRST FLOOR FRONT OFFICE' 11:12:01 Fire Restore'FIRE-FIRST FLOOR FRONT OFFICE' 11:12:43 Fire Alarm'FIRE-FIRST FLOOR FRONT OFFICE' 11:12:45 Fire Restore'FIRE-FIRST FLOOR FRONT OFFICE' 11:13:39 Fire Alarm'FIRE-FIRST FLOOR FRONT OFFICE' 11:13:41 Fire Restore'FIRE-FIRST FLOOR FRONT OFFICE' 11:14:34 Fire Alarm TIRE-FIRST FLOOR FRONT OFFICE' 11:14:36 Fire Restore TIRE-FIRST FLOOR FRONT OFFICE' Customer Activity Report Page 1/2 06/05/2023 08:55 ID:D610PDH Date Day Time Loci Description 11:15:15 Fire Alarm'FIRE-FIRST FLOOR FRONT OFFICE' 11:15:17 Fire Restore'FIRE-FIRST FLOOR FRONT OFFICE' 11:16:00 Fire Alarm'FIRE-FIRST FLOOR FRONT OFFICE' 11:16:01 Fire Restore'FIRE-FIRST FLOOR FRONT OFFICE' 11:16:37 Fire Alarm TIRE-FIRST FLOOR FRONT OFFICE' 11:16:38 Fire Restore'FIRE-FIRST FLOOR FRONT OFFICE' 11:17:30 Fire Alarm'FIRE-ATTIC HEAT DETECTORS' 11:18:23 Fire Restore'FIRE-ATTIC HEAT DETECTORS' 11:57:03 Fire Alarm'FIRE-FIRST FLOOR CUSTOMER SERVICE AREA' 11:57:05 Fire Restore'FIRE-FIRST FLOOR CUSTOMER SERVICE AREA' 11:58:17 Fire Alarm'FIRE-SECOND FLOOR OFFICES' 11:59:00 Fire Restore'FIRE-SECOND FLOOR OFFICES' 11:59:02 Alarm Relay(System: 1 Area: 1 Zone:201) 12:02:36 Restore(System: 1 Area: 1 Zone:201) 12:03:20 Fire Alarm'FIRE-SECOND FLOOR OFFICES' 12:03:22 Fire Restore'FIRE-SECOND FLOOR OFFICES' 12:12:20 Alarm Relay(System: 1 Area: 1 Zone:201) 12:13:19 Restore(System: 1 Area: 1 Zone:201) Customer Activity Report Page 2/2