HomeMy WebLinkAboutfire alarm system record of completion 2025FIRE ALARX SYSTEI RECORD OT COIPLET|oT
To be conpleted b1 the tyttem inttallation convacror at the ti e o/ systefi acceptonce and approvol
L Protactad Proparttl lntonn.Uon
Namc of propcn-v: aaniadrtb vltnfib
Addrcss: 12 Copby Plrce, South Yemorih, Mass.
Description of propcrty: Singlo famrty ,Gir.{E
Occupurcy typc: R3
Narnc of propcn)- raprcscntativc: Tor[ Haugh
Addrcs: l2 Copley Place. Sor[h Yaniodh. Me3s
Phooc: 1-508-737-7357 Fax: E-mail:
Authority having jurisdic-tion ovcr this propcrty: Yrtnodn Fne & Sldg Oept
Phone: (508) 398.2212 Fa.r: E-mail:
2. Flr€ Alrrm gyrtam lmtrll.Uon, Scrvlc., .trd T.ltng ll$orm.Uon
lnstallstion conractq for this equipmcnt: Cape @ Alarm Co lnc.
Address: 2Oa Old Tornhousc Ro.d. Ubgt Yaorlot th. Mas3. 02673
Phonc: 50&3906316 Fax: 50&399-g{86 E-mail: Bt$OGgoodel.rm com
Scrvicc organization foi rhis cquipmcnt: cape cod Alarm co lnc
Addrcss: 20/a Old Townhou3! Roed, lrJ6t Yrrt,lordr, Mar9. 02673
Phone: 5o&398.6i)t6 Fax: 50E-39e5@ E-mail: &l0c+-odrlrrm com
Locstiol of8s.built drawings: Locarion of Historicat Tcsr Rcpons:
Location of slstcm opcration rnd maintcnancc manuals:
A cootract for test and inspcctioo irl rcordrnc! with NFpA standards is in cffcct as of
Contractcd tcsting compEny: Capc Cod Ale.m Co. Inc
Address: ZX Old Torohouse Ro€d, yrEst Ya'tmr,$, Ma5s 02573
Phone; 50&3966316 Fax: 5OG39e5666 E<nail: B{lcrpocod.tam com
Con[act cxpires: Contrafl numhr: Frcquarcy ofroutinc inspections
3. Typ. o, Flr. Alrrm sylt ,n or s.rvlc.
NFPA ?!r. Chrpcr Rcfcrcncc of Sysrem Type:
Natnc oforganizstion rccciving alam siBnals with phonc numbcrs ftlapplicable)l
Alarm: Cape Cod Alam Co lnc
Supervisory: Cape Cod Atrrm Co lnc
Trouble: Cape Cod Alarm Co lnc
Entiq' to which alarns arl rcrnssmi(cd: Capc Cod Atarm Co l6c
Mcthod ofrctrulsmission of slams to thal organizatioo or locrtior:
Phonc
Phonc
Phonc
Phooe
t0&3$6it16
50&.i90{:I6
5&3084:ir6
5{E3e0{316
"k}rt)Coprr!ft O 2009 naE ur Fr! ProradE Airoo.tdi Il]! tsm ,n.y Oa co?l.d b lrdvrLl 6. dtl- t r'r E rarta i ,n.y nor b. cq.ad to. .E(rrm..o.r,at o
IfChapter t, notc ftc mcrns oftransmission from thc protcctcd prcmis€s to thc central $ation:
E Digital alarm commuoicator E Mcculloh E Multiplcx Q 2-way radio E l-way radrc E N/A
lfChaprcr 9, notc thc typc ofconncction: ! Local cncrgr EShurtt ON/A
3.I Syrlcr! Softrtr.
Opcrating systcm (cxccutivc) softwerc rcvision lcvel: DS NEO 26a
Srte-specific soft$arc rcvision da&: Rcvision complctcd by:
'1. sign llng Lin Clrcult
Characle4slics of signdlhg line circuits connec6d to this syste (teeNFPA72b,Table66I):
Quantity: o Stytc: Cl&5sl
5, Al.rm-lnldadng D.vlcar rnd Circults
Chqracteritucs of inittdriag d.vic. circuits connecled to this t)"t n (see NFPA 72q. Toble 6 5)
Quaolity: lE) l1.+ !.lloft6 Stylc: a Class: ltardiix, b! vonage
. <PASSEO>>
{l) SFt n Scosor 560r
h6.t d!i{*oi<+as!Eo>>
(a) SFlem Scoso. t 2247Cartonlk,rdDrl6o <<FTSSEO>>
5.1 Mrnurl hitirair! Dcvic6
5.1.1 Mrlurl P[ll Stttiorr Numbcr of mmud pull stations: ]UA
Typc ofdcvices: E eddrcssabtc 0 Conventiooal E Coaca E Tran:rnincr EN/A
5.2 Auaotrlrtic lnltirti[I lrwic.r
5.2-l Arcr Smokc Drtlctorc Numbcr of smokc dctcctors: 08. S!flta$,t-y ot aI 06 wtlhrn lmrb. < <PASSED>
Typc of coveragc: @ Complac arca E Partisl srcs E Nonrcquircd panial arca E N/A
Typc ofdcviccs: E Addrcss.blc @ Convortional E Codcd 0 Transmincr ENrA
Typr ofsmokc dctcctor scnsint tcchnology: I lonization E Phoioclcctric
5.2.2 Duct Sooka Drtcclorr Numbcr ofduct srnokc dctcciors: 0
Type ofcoveragc:
Typc ofdcviccs: E Addrcssablc E Conv€'ntional E CoacA E transmincr EN/A
Typc of smokc dctcctor scnsing tcchnology: E lonization E Photoclccrric
3.2J Hcrl Datactors Number of hcst dctrctors: {1} Sy3tem Senso. 5ri04 <<PASSEO>>
Type ofcovcragc: I Complctc arca fi Panial arca E Norrquircd psnial arca EN/A
Tlp€ ofdcviccs: E Addresssblc I Convcnrional I CoOcO flTransmincr E N/A
5.2.i4 Sprinklcr Wtttrllot Dclcctort Numbcr of wstcr{lo$,f dctcctors: 0
Iype ofdcviccs: E Addrcssablc ElConvcnrional I Codcd I Transmincr EN/A
Copttight O 2009 N.llo.!l F.a P.or.doi Assoocxn I1![ lom m.y bG.oo.d lor filvdJt u5. olnr ln'rl lorr.r:t h n., mr !eco9oa,or co.nnrc].Ir.L or dEnDd,o.Q. ors)
5.2.5 Alrrm V.rifi.ation Numb€r ofdevic.s subjcct to alam vcrification:
Alarm vcrification on this systcm is: f] Enabled E OisaUlcA O Set for scconds
6. Sup.rvbory Slgn l-lnlli.dng D.yic.3.nd Circultt
5.l Sprinkhr Syrtcn Numberofvalvc supcrvisorl s\ itchcs:
T.vpc ofdcviccs: I Addressablc I Convcntional E Codcd O Transmincr EN/A
6.2 Firc Punp
Typc oftire pump: El Elcctric E Diesel
'Iype otfirc pump supervisory dcvices: I Addrcssable D Convcmional E Codcd E Transminfi EN/A
Fire Pump Functions Supcrvised
! Firc pump pouer f! Fire pump running ft Firc pump phasc rcvcrsal E Selcclor s$itch not in auto
E Flngine or control psnel troublc ILow fuel
Other: N/A
5J En8inFDrivcn G.ncrrlor
T)pe of gencrator supcrvisory dcliccs: E Add.cssablc E Conventional E Coded O Transmitter BNtA
E Hnginc or sontrol pancl troublc O Generator runoing fl &lcctor switch not in auto E Low furl
Othcr:
7. Annunclators
7.1 Annucirtor I 0 Losal E Remote
Tlpe: o Addresssblc I Directory El Graphic EN/A Locationl
7,2 Arolf,cirtor 2 E Local E Remote
l.vpc: o Addressable I Dircctory D craphic EN/A Locarion:
7.3 Aolluiciraor3 E Locrl E Remorc
'l-ypc: o Addrcssable Q Director_r E Graphic 8N/A Localion:
E. Al.7m l{o0fic.ton O.vlce. rnd Circult
8,1 Emcrgcecy Voirc Ahrrl Sarvicc
Numbcr ofsinglc voice alarm channelsr 0 Numbcr ofmultiple voicc alam channels:
Numb€r of sp.at.rs: Number ol spcaks zoncsj
t.2 T.lcpholc Jtckt
Numbcr of telephooe jacks insralled: 0 Number of telcphonc handsets stored on site:
Type of tclcphonc sysrem installcd: E Electrically powercd E Sound powcred E N/A
t.J Norvoicc Audibl. Syttcm
Characteristics of norilicol@n dewce ctcutts connected ro this syslem tsee !\.Fp.l 1lt. Table 6.51:
Quantiq: o Sryl., Class:
Copyr{hr O 2OO9 N.rE.ll f,t ftd.din &crs! T}tt tod! m.t h rs.d b fitvrrl.l u!. odlr ,ri E rr!{ n m., 16! o. coF.d to. curDGcc !.t d d|.trdJt|o r I d 5)
t.4 Typc! .rd Qurrtiticr of No[voicr Notiftc.tion Appliroc6 Intt.lhd
Bells: with visualdcvicc: Homs' With visualdcviccr
Chlmes: Wilh visual dcvicc: Bells: With visual dcvicc:
Visual dcviccs without audiblc dctic.s: Othcr (dcscribc): N,/A
9. Emerg.ncy Control Func0om Actvrtad
Q Holdopcn door rclcasing dcviccs ! Smokc marugaocnt or smokc conrol
Q Door unlocking Q Elcvator rccall E Ortrcr
10. Sy3t m Powlr Suppty
l0-l Prilnrry Porcr
Nominalvoltagc: l6.5vAc Amps: aoVA
Ovcrcurcnt protcction: Typc: Anps:
Locatior (of primary supply p8nclboad):
Dis€onncctinS mcalls location:
10.2 Sccondrry Po*cr
Location: Uain P.,lal Typc: Nominal voltagc: Cuncnt rating:
Numbcr ofstsndby bsncrics: I Amp hour rating: 7AH
Location of cmcrgr.tlcy gqrcritori
Location of fucl storagc:
Calcularcd capacity ofsccondary powcr to drivc thc systcm
ln siaodby modc: ln alarm modcl
I l. R.cord o, Sy.t m lmt lLtion
Ftll oul altq oll installorion is cot F lete ond wiring hos been checked fot openc. shotts, groud ldults. ond inprcpet
branchng, but before condtctng opcrdrionol dcceptanc. tett!
Thc systcm has bcen installcd in accordance with thc following NFPA standards: (Notc any or all that apply.)
E NFPA 72* f NFpl tF. anictc'tio
fl Manufacturer's publishcd insrucrions I Othcr (plcasc spcci[.1:
Syst.m dcviations from rcfcrcnccd NFPA sandards:
Signcd: Printcd namr: Datc:
Organization: Titlc: Phonc:
Qors)Cooyngnt C 2C09 Nrlbnal F.. PrcLclbn tu*t3t6n Thl3 lo.r h.y b€ cdpro ro. ridrrlJal ure orx. drzl ,or ,...o rr m.y .or b. coprd i]. coomsoat 3a. or d lr.dilon
12. R.cord o, Syat m Oparrton
All operational fcatures atd functioos ofthis system wcrc tcstcd by or in the prcscncc ofthe signcr shown bclow. on the date
shown belou. and wcrc foud to b€ opcrating propcdy in accordancc wilh thc rcquircmcnts of:
BtFp,t,1, A NFpl 70,. Artictc 760
E Manufaclurer's publishcd in$nrctions I othcr lplcasc spcci$;:
I Documcrtation in acco]dancc wth Inspcction and Tcsting Fo]m (Figure 10.6.2.1 oflt?,| Zr) is anachcd
C8p€ Cod Alarm. Co
lnc
hintcd n nc: Davc MarY
Titlc: Tocrroijrn
Datc: 08{5-2025
Phonc: 1.fl8-3964316
13. Cortification3 and Approvals
l3.l Syrtcnt llltrlhdon Colrrcbr
This s1'slcm as spccified hcrcin has bc.co insrallcd and tcstcd rccording to all NFPA srandards citcd hcrcin.
signed: U)'d)Ur..1dU^, primcd namc: \Mriam Fauon Datc: 0a-o6-25
Ckganizition: Cape Cod Alarm Co .fitlc: Sabs / tnsta Mgr phonc: 50&3904316lnc
13.2 Syrtcm Scrvkr Cottrrctor
This systcm s!,spGcifir{ htrcin hrs bcen installed and aestcd according to all NFPA srandards circi herein
Organization: cape cod Ahrm co Title: Sale3 / lnstatt Mgr phonc: soa-3964316lnc
09825
50&396.6316
ll.4 Propcrty Rrprct rtrtivc
I acccpl this systcm as having krcn instlllcd 8nd tcsted to its specifications ard all NFPA standards citcd her€in.
SiSncdr Printed nstn€: Toft HaWh Datc:
Orgarization: Krnlin Grover Title: Realtor phonc: 1-5o$g3a-8678
lJ.5 Aothority Htving Jorbdidior
I havc witncrscd.a sstisfactory accepbncc tcst of this syslcm and find it ro bc insrallcd and opcrating propcrly in accordmceliith ils approvcd plans 8nd ryccifications. its approved sequcncc ofopcrrtions. and with af f irppe -sana;Iai cited hcrein.
Signcd: Printcd narnc: Datc:
Organization: Titlc: phone:
Q "ot)
Signcd:
organization:
l3J Cattrrl Strtion
This systcm &s specified hcrcin *ill bc monhorcd according to all NFPA srardards circd hcrcin.
siencd,[);ilb'*b- printcd namc: w[iam Faron Datc:
Organization: Cape Cod Alarm Co Tirlc: Sales,/ lBtafl irg. phone:
lnc