HomeMy WebLinkAboutfire alarm system record of completion 11.08.2024FIRE AI.ART 8YsTET RECORD OF COf,PLETION
To be conpleted by the q,sr.m inslallatidt coato.tor ot the ttne ofsyttem acceptotce and qproval.
l. Prcbct d Proparty lntormrton
Name of propcny: Mr & M.s Hiliierd
Address: 169 C.nlrt StrDel
Dcscriprioo ofprogcrty: Singlg famity horig
Occ.upancy typc: R3
N&nc of propcrty rrprcscntativc: Marga.rt Clancy
Ad&cas: 189 Crntlr St
Phooc: t.50&ZB743li Fax: E-m!il: maErlltrdrncregmril.co.n
Authority havingjurisdictior ovcr this pro,pctty: Y.nnosth Fire a Bk g ocpt
Phooc; (500)39&2212 E^ 3214 Fax: E-mail: llEprsYrntionpylmoulh.m. us
2. Firo Ahrm Syabm llr3trllroon, Sawlco, and Taatng ln ormaton
Instsllation colracto] for this cquipmcnt: crpc Cod Abrm Co. lnc
Address: 2oi old To*nhouse Ro.d, ttltlt Yannodh, Masg. 02673
Ptqrc: 50&300{116 Fax: 50&39&5665 E-m.il: Blloc.pedJ.nn.com
Scrvic€ ory[izrtioo for this cquiFicnt: C.p. Cod Aletm Co. lnc.
Addrcss: 2Oa old Torrnhout Ro.d. V\rcsl Yrynurth, Mais 02673
Phooc: 508.39t{316 Fax: 50&39+1666 E-mait: Billgc*.codal.lm.com
Location ofrs-built drswirts: Locarion ofHistorica.l Tcst Rcports:
Locstion of systlm opcraion aad maintcnsncc msnu0ls:
A cootr.cl for t€st snd iospcctioo in accordrllcc with NFPA yardards is in cffcct as of
Cooractld !6tittg compaly: Cape tu Ala.m Co lnc
Addrcss: 2Oa OE T nhos6. Ro.d, Wb.t Yryrrputi. MGs. 02673
Phooc: 50&3e8816 Fax: 50&39&5666 E-msil: Bill@C.p.codtl.rm.com
Conrad cxpir6: Cootlact rulrlbcr: Frcqucncy ofputine inrycctions:
3. fype of Fh Alrrm sy.bm or Sawloc
NFPA 72o, Ch.{.t RcfcrEncc of Sy*cm Typc:
Alam: C.p€ cod Abtm Co. lnc Ptooc: 5O&39&d|16
Supcrvisory: C.pc Cod Alarm co. Inc PhoDc: 508-3ge€316
Troublc: Cspc Cod Alarm Co. lnc Phonc: 506-398.6316
Entity to t{hich alsnns arc rcEaosmiBcd: caPr cod Ahrm co. lnc Phonc: 50&39E5316
Mcthod of rctransmission of alarms to that organization ot location:
Coptit r O 2@9 N.ldl.l F.. P,o(.dEn atertr tu to.h dry b. c.(r.d to. Rtv.ldl u{ od, rh- ld r.{b fi fr.y nol b. coO.d ir.on6..cEr {r. d dBrDqto.
If Chaptcr 8. notc tfic mcans oft ansmissior from thc prctcctcd p.emiscs to thc cantrsl station:
E Digibl alafln communicator E Mcculloh E Multiplcx E 2-*ay rrdio fl l-way mdio E N/A
Ifchspter 9, not! thc typ€ ofcomection: Q Locol cnergr E Shunt E N/A
3.1 SFTGE Softr.rc
Opcr.ting sysrqm (cxcculivc) softnarc rcvision levcl: Napco 816 conlrol pan6l
Site-specific softwarc rcyisioo dat€: R€vision complctrd by:
4. Slgnlllng Llne Clrcult3
Characeris,ict ofsignalw line circuirt con .ct d to thit tyslern (sc. NFPrI 72 o, Tablc 6-61):
Quantity: , S9-'1", A Class:
5. Ahm{nl0.0ng Dsvlcgs .nd carcultt
Clbr@teritrics of initiating device circltiE conn ct.d to lhit syslem (te. NFPA 7f , Table 6.5):
Quantity: Style: Clrss:
5.1 Mriu.l Initirdog D.vic.r
5.1.1 M.rorrl Pull Slrtloru Nutnbcr ofmanual Frll stslions;
Typ. ofdeviccs: E lddrcssabtc E coovcntional E coaea E traasrnitct E N/A
5.2 Auton.ti. Ilitittiog Dtrico
5,2.1 A1.r Smokc l).trctoE Numbcr of smokc dacctors: (11) Smok6 ror.r. (3) lflta-b. (8) ESL 429ct S.lrldt,ly ot
D>> (2) First Aaon CO2508
Type ofcovcragc: E Complctc ar€a E Partial arca I Nonrcquired partial alga EN/A
Typc ofd.vic.s: E Addrcssabtc E Convcntional E Codcd E Transmittcr EN/A
Typc of snokc dctcctor scnsing trchnology: El looizstion E Photoclcdric
5.2, Duct Srrokc Drl..to.! Nultrbcr ofduct smokr dctcctors: 0
Typc of cov.ragc:
Typ. ofdcviccs: D Addressable E Convmtional E CoOca E rransminc E N/A
Typc of smoke dctcctor scnsing tcchnolos/: E lotrizstion E photoctcctric
5,23 HGla Dctcctorr Numbcr of h.al dctcctoB: 0
Typc ofcov.ragc: E Complctc arca E partidarcr E Noffcquircd panid srls EN/A
Typc ofdeviccs: E Addr6sable E convclltional E codcd E Tran$nittcr EN/A
5.2.,1 Spri[Ucr Wrtcrllow Dctcttor! Numb€r of waterflow dctcctors:
Typc ofdcviccs: I aaarcssaule E conv€otional Elcoaca E Transrnittcr EN/A
5.25 Altrm Vrrificrtion Numbcr ofdcviccs subjcct to slam vcrific.tion:
Alarm vcrification on this systern is: E Enablcd E oisautcd E sa tor scconds
6. Sup.rvlto.y Sign.l-lnitirtng Devlca3 .nd Circultt
5.1 Spri.klr Syltam Numbcr ofva.lvc sLpcrvisory $vitchcs:
Type of dcviccs: D Addrcssablc E Convcntional E Codcd 0 Traasmittq EN/A
Copyilt{ O 2009 NloM Ftr. P.orcr'6 AlleEtis Ths b.6 h.y !. c.CEd io, '.xrsdu.l u.. onr |hr lor h.xb [ 6., mt b. c.ri.d h. drmrad -b r d'.lnur|o6
6.2 Firc Prop
Typc offirc pump: E Elcctric E Diescl
Typeoffircpump supcrvisory dsviccs: E Addreisablc E Convcntional E Coded E Transmittcr E N/A
Firc Pump Functions Supcrviscd
E Fir€ pump powcr I Firc pump ruaring ! Fire pump phasc rcvcnal EI Sclector swirch not in auto
I Engine or eontrol pon€l uoublc E Lo* fuel
Othcr wA
53 Ergiac Drivro Gclcr.tor
Typ. ofgcnrrator supcrvilory devic&s: EI Addrcssablc E Convcntional D Codcd E Transmittcr Et N/A
! Enginc or control pmel trouble E Grocmtor rumiog El Sclcclor snitch not irl auto E Low fucl
Other:
7. AnnuneLtorr
7.1 Aoclrclrtor I E Local E Rcmore
Typ€i tr Addtrss8blc E Dir€ctory O Graphic I N/A Locarion:
7, ArrurcLtor 2 E Local E Rcmotc
Type: o Addrcsrablc E Dircclory E Graphic @N/A l,ocalior
73.A!ou!cirtor! E Locsl E Remot
Typc: tr Addrcssablc E Dircctory I Craphic @ N/A Locslion:
t. Allrm |odf,crton Dovlco. tnd Circult3
t.l Elcrgacy Voicc Al.rn S.rvi..
Numbcr ofsingle voice alarm channcls: 0 Numbct ofmultiplc voicc alrrfl chadrcls:
Number ofDcr&crs: Numbcr of$E8kcr zoncs:
&2 Tchpiooc Jrctr
Numbcr oftelcphooajacks installcd: 0 Numbcr ofrelcphoDc hands€b storcd oo sitc:
Typ. oftclcpbonc systcm installcd: E Elcctrically powqrd E Sound powcrcd O N/A
t3 Noovokc Audibh Syttcn
Chotocteti.stics ofnotilicqtioa delice circltits connccted ro thir sysQm (see NFPA 771, fable 6.5):
Quantity: Stylc: Class:
E.4 Typ6 rtrd Q{rldticr of Noovolca Notilicrtion Applhoc6 Inttrll.d
Bells: With visual dcvice: Ho6s: With visual dcvicc:
Chimcs: With visual devic.: Bells: Wirh visual dcvicc:
Visual dcticcs without audiblc dcviccs: Odlcr (dcscribc): N/A
Corrit r 0 2@O l'labn.l FE Prot dirr Att cr.rfi lhir ifrfi m.y b. coa.d lo. ndldlrt u- otl! thn icr r.$b lr m.y noi b. @pd to. conm..cc t t or dtvuI|dt
9. Em.rg.ncy Cont ol Funcdonr Activ.bd
! Hold-open door rclcasing devices E Smoke manaScmcnt or smokc colrtrol
f! Door unlocking E Elcvstor rccall EI ottro
10. Sy3tem Pomr Supply
i0.l Prinrry Po?cr
Nomiml voltrg€: l1ovAc Amps: 15amp brEaker
Overcu[€nt protcciion: Type: AmPs:
Location (ofprimary supply panelboad): crcuil broaker panol
Discohnecting mcaos locario!:
10, Sccood.ry Powar
Location: Main Pancl ,r*, 3i#,1, Nooinal vohagc: 12v Cunc rdinS: 078h
Numb€r of rtandw bancrics: 1 Amp hour rating: 7AH
Location of cmar8cog- gancrdtori
Location of frrrl storag.:
Calculated capacity of s€condary powrt to drivc thc systcm
ln st ndby mode; ln alattr modc:
ll. Record ol Sy3bm lnttrllrton
Fill out aIEt oll insla otion k coriplct. and wiring hos been checkzdlor qcns, shorts, gtowdfaultt, ard inPW
branching, but beIorc condrlcling oryralional accapronce let,t.
Thc systcm has bccn installcd itr accordancc with thc followiDg NFPA sland.rds: (NoE sny or all that rpply.)
ENFPATV ENFPA 7F, *rictc76o
fi Manufactura's publishcd instuctions E O$cr (pleasc speciry):
System dcviations from .cfcttnc€d NFPA slsndards:
Printcd namc: Wlliam Fallon
Tirb: Sales / lrctallation Mgr
Dat : 1t-08-24
Phonc: 50&3966316
12. Record otSyrt m Opera0on
All opcrational fcaturrs and functions of this systcm wcrc lcstcd by or in thc prcscncc of ttc signq slrcwn bclo$, on the date
shown bcloq, and wcrc foutrd lo bc opcraring propcrly in accordance with thc rcquircmcnts of:
8 NFPA 72t rJNFPA 7o&, Anicle 160
! Manufacturcr's published iostructioos E Orhcr (Plcasc speciry):
E Documcntation i,t sccordancc with Inspcclion stld T6dng Form (Figurc 10.6.2.3 of NfP.4 723) is attach€d
Sigoed:
Organizalion Cspe Cod Ahrm, Co
lnc
Printed narnc: Davk, Man
Titlc: Tcchnioan
Date
Phooe:
10.2*24
r.50&39E3316
Copr.,g,n O 2oO9 it to.rrF.. pll't don A$oci.lbn Thi. rorn nry b. @p.d lbr lrrtv*Ll!l. od!. thtlld r...l. t m.v rE( b. c.Pad rd...nmrcc ..b a dnrtotdr
sie a, UffrLfun 't
Organization: CaPe Cod Alam
13.Cerdllc.tion .nd Approval.
l3,l Syraco httlll.tior Co[trrctor
This rystcm as spccificd hcrein has bcen installcd ard testcd according to all NFPA standards citcd hcrcin
,,*"0,l)ihh,lrfurt
Organ izat ion:
Printcd nrmc: WillBm F.llon
Tidc: Sal6s / lnstellllgr
Date: 11-08-24
Phonc: 50&398{316
l.3J Sr.a.m S.rvic! Contrrctor
This systcm as sp€cified hcrein h&s been installed and tc$ed according m all NFPA standards cited hcrein
Signed Dilltdit@a-,Printcd nsmc: Wll€m Fallon Dale:
Org8nizefion: C.p. Cod Alarm Co Titlc: SsLs / lnstall llgr
lnc
Phone:
l3J Ccot rl Straion
This systcm as specified
11{6-2,1
50&39E€316
'l l-O&2,1
50&3964316
Signcd:DilLb*
hcrcin will bc monitorcd 8$ordinq ro all NFPA stadards citcd hcrein.
b, p.inaa nal,c, wlram f alon Dalc:
Or8&iafon: C8p. Cod Alatm Co Titlc: Sales / lnstall Mgr
lnc
Phone:
13.{ Propcrty Rtpr.rcrt tivc
I acc.pt thi6 systcm as hEvhg bc€n ilstallcd ad tcsted ro its s?€cifications .rd all NFPA st8ndards citcd hcrcir.
Signcd: Printcd namc: Margaret Chncy Dalc: 11{&24
Organizalion: Titlc: Mgr Phonc: 1-50&450-0550
13,5 Autbority Hrving Jurbdictiotl
I havc wiulcsrcd a sstisfrEtory srcrptsr€ tcst ofthis sy*co alld find it to bc installcd ad opcrating properly in accordancc
with its lppmvcd phrE ard spccificstions, fu apEovcd scqurncc of op.ralions, .nd with all NFPA st&drrds cited hcreh.
Signod: Printcd aame: Da&:
Organization: Titlc: Phonc:
cocvtg e2mg.lro.ErF..P.oLdEra..o.dknThirfo.sm.yb.cop.dlo.ffnau.tu..otsnlrto...r.bIm.yi.tb.co.dtdco6m..{l,.t d drltrlrJrq
Capc Cod Ahm Co.
lnc.