HomeMy WebLinkAboutfire alarm system record of completion 2025FIRE ALARX SYSTE RECORD OF COiIPLETIOiI
To be compleled by lhc system inslallolion coatacror at the tirne of ttslem accaptonce and approeal
L Prot ctrd Proporly ltrroEnrtion
Namcofpropcrty: HarveyTabachnick
Addrcss: 7 M.k6p9ace Lane, W€61Yermouth. Mess
Dcscriptionofpropcrtyr singlofamilyresidence
Occupalcy type: R3
Nam. of propcrty rcpres{tativc: Patrrck Foran
Addrcrs: 7 Makapcaco Lane, West Ya.moulh, Mass
Phonc. 1-508-385-1355 Fax: E-mail: pform(lronnra.lty.com
Authorit) havingjurisdiction ovcr this p.opcrty: Yarmouth Frre & Bldg Oepl
Phonel (508) 398-2212 Fa,x'. E-mail:
2. Flrt ALrm Sysbm lmllllaton, Sarvlca, .nd T..dng lnrorm.don
Ins'talla on contracior for this cquipment: Cape Cod Alam Co lnc.
Addtcss: 204 Old Townhous€ Road, West Yarmoutt, M933. 02673
Phorc: 50&3984316 Fax: 50&39&5666 E-mail: Billoc.p.cod.larm.com
Scrvicc organization for lhis cquiprncnt: Cape Cod Alarm Co. lnc.
Addrcss: 204 Old Townhouse Road. Wcst Yrrmouth, Ma$ 02673
Phonc: 508-3986316 Fax: 50439&5666 E-mail: g{leC.F,ec.dalarm.clm
Locarior ofas-built dralvings: Locsrion ofHisrorical Tcst Rcports:
l,ocalion ofslstem opcration and maintcnancc manuals:
A conuacl for tc$ and inspcction in accordancc widl NFPA s(andards is in cffcct &s of
Conlractcd tcstihg company: Cape Cod AlErm Co. lnc.
Addrcss: 204 Old TownhouEe Road, West Ylnioult, Ma33 02673
Phonc: 508.39Et316 Fax; 50&39&5606 E-mail: Bill@CspGcodalarm.com
Conlract cxpircs: Contract numb€r: Frcqucncy ofroutinc inspcctions
3. Typc of Fir. Al.fm Sylbm or S.rylcc
NI?,{ 72'. Chafler Rcfc'€'lce of Systcm T],pci
Nrmc of organization rccciving alarm signals with phonc numbc.s r/ opplicoble)'-
Alarm: Cape Cod Alarm Co. lnc Phooc: 50&39M316
SupcrvisorJ: Cape Cod Alarm Co lnc Phone: 50&398{316
Troublc: Capo Cod Alarm Co. lnc Phoner 50&3986316
EntiB to which alarms arc rEtransmittcd: Cape Cod Alem Co. lnc Phonc: 506-3986316
M.fiod of rcransmiasion of alarms to that organization or loc&ion:
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Cotyrdr S2@9 l.ad!.| Fi. ProrGlr Attoo-..r nE n h m, b..ot a td.rdxdr.l u.. odr.. 0!j tr.(r..b I 6.y.ot b. cr.d tor ca.nm.- * r *\
lfChaptcr E, notc the m€ans oftransmission frorn the protccted p,emiles to lhe ccntral statron:
E Digitalalam communic.ior E Mcculloh E Multiplcx ! 2-way radio E) l-way radio ON/A
IfChaptcr 9, note thc r,vpe ofconncction: ! Local energy EShunl EN/A
J.l Syrt.m Soflir.r.
Opcraling systcm (cxccutivc) softu'arc rcvision lcv.l: Napco 1632
Site-spccific softwa!. revision dale: Revision complc(cd by:
tt. Slgn.ling Lin. CircuiB
Chatacler5trcs of tgnahnt hne arcu s connected to thts tystem (see tiFPA 724, Table 6 6 l)
Quantity: 0 Style: Class:
5. Al.rm-lnidating Ooyic.3 and Clrcuits
Chaructetisfics ofindanng dewce circu$ con\ected to th$ system (t.. NFPA 771, Tabl. 6 5)
Quantity: (7) WTA'B smokes Style. B Cl"ss, H.r6xirei low voltage
5.1 M.nual Initirting D.vic.s
5.1.1 Mrou.l Pull Strtions Numbcr ofmanual pull stations: N/A
Typc ofdlviccs: E Addr.ssable E convcntional Elcodea E transmiter ENiA
5.2 Aulomrti( Iniii.tiog D.vit.s
5.2.t Ar.. Smok. D.t.ctors Numbcr ofsmokc dctcctors: 07, SrNatlv,ty of a 107 within limrc, pASSED
Typc ofcovcragcr E Completc area E Panialarea E Nonrequircd prnialar€ DN/A
Typcofdevices: E Addrcssable E Convcrtional E Codcd E Tralsmitter EN/A
Typc ofsmokc dctcctor scnsing tcchnology: Q Ionization E Photoekctric
5.2,2 Du.t Sntok. D.t.ctoB Number ofduct smokc detcctors: 0
Typc of covcragc:
Type ofdcviccs: E Addressable E Conventional E Coaca E tr"ns-ifter CN/A
Typc ofsmokc dctcctor sensrng tcchnology: E lonization E Photoclcctric
5.2,3 H..t D.tcctors Numbcr ofheat deteclors: 0
Typc ofcovcragc: E Complete alea S Putial arca O Nonrequired panialarca EN/A
Typc ofdcvi.es: E Addrcssablc I Conventional D Coaca E Transminq EN/A
5.2.4 Sprirld.r Wrt.rllow D.t.ctors Number ofwatcrflow dctcctors: 0
Type ofdcviccs: E Addressable E convcntional E coded E Transoitter EN/A
5.2.S Ahrm Vc.ilicrtiol Numbcr ofdcviccs subjcct to alalm vcrification:
Alarm vcrification on this rystem is: fl Enablcd E Disablcd E Set for seconds
6. Suporvi3ory SignaUniliating Devicos .nd Circuil3
6.1 Sprinklar Syst.m Numbcrofvalvc supervisory switch€s: 0
Typc ofdrvic.s: ! Addressablc E Convcntional O Codcd E lransmincr ENiA
Copyng € 2OOg Naro.'.r Fr. P,otecro A.3e'tr n Tht. ,om 6.r t ccacd to. rnrv'dutl @ olnd ln, 'o. ros.r. I n., nol b. copEd rd c6Mo.l r* o.*.r^r*(? *r)
5.2 Fir! Pump
Typc of firc pump: E Elccrric D Dics.l
Type offirc pump supcrvisory dcviccs: O AddrcssablE E Convcntional E Coded E'lransmincr El N/A
Fire Pump Functions Supcwiscd
! Fire pump power ! Firc pump running fl Firc pump phasc reversal E Selecbr s*irch nor ir auro
I Engine or control pancl troublc D Low fuel
Other: N/A
6.3 EngioG.Driv.n Gancrrtor
Type ofgencralor sup€rvisory dcvices: E Addrcssablc E Convcntional ! Coded I Transmirtcr E N/A
! Engine or control pm€l lroubl€ D Cenc.ator running E Sclcclor s*itch rlot in auto E Lo$ furl
Othcr:
7, Annunclato6
7.1 Anrurci.lor I E Local E Rcmotc
Type: o Addressable ! Directory E Graphic EN/A Location:
?.2 Annullcirtor 2 E Local E Remote
fype: o AddrcssEble E Directory D Graphic I N/A Location:
7.3 Arnun.i.aor 3 EI Local E Remotc
Typc: o Addrcssable E Dircctorl E Graphic EN/A Locatioo:
8. Alarm l{ooncrton D.ylc€3 end Clrruit!
E.l EDcr8arcy Voicc Ahrm Scrvicc
Numbcr ofsinglc voic€ alalm chmncls: 0 Numbq of multiple voicc alarm channels:
Number of pcalcrs: Numbcr of spcakcr zones:
E,2 Tdc4lorc Jrck
Numbcr of telcphone jacks installcd: 0 Numbcr of tclcphonc handsets storcd on sit€:
Type oftclcphonc systcm installcd: E Elcctricall' po*ercd E] Sound poqered E N/A
tJ Norvoic. Audiblc Syta.lr
Charoctetittict ofnolirtcdion deice circuits conhected to this system (see NFPA 72t. Table 6 .
Quantity: 0 Sryl", Class:
t.il Typ...nd QuaItiti.! olNonvoicc Notifi.rtio[ Appli.nc.. Init ll.d
Bclls: With visualdevice: Homs: With visual dcvicc:
Chimes: With visual dcvicc: Bclls: With visual dcvicc:
Visual dcviccs without audiblc devicas: Other (dcsctibc): N/A
c@ynohl c 2oo9 ,{esd ar. PioLdn a.lo.laon Ths ro.n n.y 6. co9.d ro. rtMtsl u$.llE ln5 ior r.!.b r hay not b. cop.d rq @nnrc.l el.,"'""'P
"r s)
9. Emargency Confol Functonr Activatod
Q Hold-opcn door rclcasing dcviccs E Smokc managemenl or smoke control
E Door unlocking E Elcvator recall E Ottrcr
'10. Sy3t m Pow.r Supply
l0.l Primrry Porv.r
Nominalvoltage: 16.5VAc Amps: 40VA
Ov.rcurent protcction: Typc: Amps:
Location (ofprimary supply panclboard ):
Dsconncctrng mcans location:
10.2 Sccondrry Powcr
Location: MaJn Paoel Typc: Nominal voltag.: Currcnt ralinS:
Nuobcr ofstandby ba.ttc.ics: 1 Amp hour ntittg: 7AH
Localion of cmergcncy gcncrator:
Location of fucl sloragc:
Calculatcd capacity ofsccondary powq to drivc thc systqrh
In standby mode: [n alarm modc:
I'l . Rccord of Systom lmt llaf on
Fill out afiet all installation it complete and *nng has been checkcd lor opew. shorts, ground/auhs, and nproper
branchng, b* before conducting operulional acceptan e tests
Thr systcm has bccn installed in accordancc with lhc following NFPA standards: (Notc any ot all lhat apply )
E NFPA 72" D NFPA 7e. A^icts-7(n
I Manufaaurer's published instruclions E Othcr (ple&se spcciry):
Syscm dcviations from rcfcr.nccd NFPA standsds:
s;enea,Ullblillr- p.n,cdnamc l);t,'tm (*tlot) Dat. O9ilt'Ji
o,e^,rur,on Ch?E<21il19. r,rt",strl6|l*t*tlno) ttbt\ Ph""" 58'398'byb
12. Rocord ot SFtom Op€ralion
All opcrational fcaturcs and functions of this systcm wcrc lcstcd by or in drc prcscncc of thc siStlct shoen bclo*. on lh. dalc
shown bcloe, and wcre found to bc oPerering propcrly in accordancc with lhc tcquircmcnts of:
8NFPA72& rlNFPA 7e, Anirlc160
! Manufactucr's publishcd instruclions El Othcr (plcasc sFciry): (4) Syltcm S.nsor Co1224T <<PASSEo>>
E Docum€otatiofl in accordancc with lDPcction and Testing Form (Figure 10.6.2.3 of FPl 7ro) is attachcd
Signcd: Pnntcd namc: oav! Mar Datc: 06-11-2025
Organization: Cape Cod Alarm, Co. Titl.: Technrcian Phonc' 1'50&3086315
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C.prnd O 2OO9 Nasa Fr. r,roi.riM Ai!o.!rs Thlt rr.fr o.y D. c.@d,oi .divt!.|!t orrd Lh- lr l..& n n.y nol b. GlDcn t dnErod r.l c ffirin
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13. Certficruon. rnd Approvals
l3.l Syitcm ltrlblLtiotr Contrrctor
Ihis syslem as spccificd hcrc_in hss hccn installed and t.stcd sccording lo allNFPA standards citcd h€rcin.
sien a, l);h {UU- printcd namc: w .am Faflon Date: oa-r't-25
OrganiTrtion: Cape Cod Alarm Co Titlc: Sabs / lnslall Mgr Phone: 50E-3986316
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13.2 Sy$cm Scrvicr Contr.clo.
This systcm as specificd herrin has b€en inslalled 8nd tcs{cd according to all NFPA standards cited hcrcin.
s;ena, l)ib*4rlb- prinred name: wrham Farron Date: 06.11-25
Organiz,ation: Cape Cod Alarm Co. Titlc: Salc! / lnslallMgr Phone: 50&398{316
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0&1 'r -25
50&39863r 6
13.4 Propcrty Rcpr.!.rt tivc
I acccpt this syst n 6s having been installcd and teslcd to its s?ecifications and all N['PA stsldards citcd hcrcin,
Signcd: hintcd namc: Palnck Foran Dats:
O.ganization: Foran Realty Titlc: Realtor Ptonc: 1-50E 38t1355
13,5 Autbority Hrvi!8 Juridictior
I havc witncssed a satisfactory acccptance tcst ofthis syslcm and find it to be innallcd and opcratiog prop€rly in accordance
wilh its approved plans and specifications. its approved sequcnce ofop€rations. and with allNfPA stsndards cil€d hercin.
Signed: Printed namc. Date:
Organization: Titlc: Phone:
rEl h c4oe ro. c@mrc'd raL d dr.lnbd6Copynlhl O 2009 N.IBC F . ProL.loi AsidElron lhE lm m., b€ @rx.d tq .dv'ds6l !s orhd lhm i*..!.r. t ht
Qore;
133 Cclttr.l Stltion
This system as specificd hcrcin will bc monitorcd according to all NFPA standards citcd hcrein.
siend: l) lllba) {AAt prinrcd namc: wnram Faron Datc:
Organization: Cape Cod Alarm Co f itle: Sales / lnstall Mgr Phonc:
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