HomeMy WebLinkAboutfire alarm system record of completion 2025FIRE AI.ARI SYSTEf, RECORD OF COIPLETIOX
To be completed by tlu tyttem intrallation contractor ot E ,ima of syslern a.ccp,orE and qproedl.
l. Pro|b8t d Prcporly lnroin.Uon
Namc of propcrty: B.nnett & Jill AlEp.l
Addrcss: 121 Camp Sk6et, Unit #128. West Yarmodh
Description of propcrty: SirEle family llsirrncc
Occupancy typc: R3
Nsmc ofpopcrty rcprBcotstivc Linda Walsh
Address: 121 CanD St.cct, Unil #128, West Yarmouth
ptrcoc r-50&5609917 Fax: EmEil: Lw.lsh@TodEyEd.Clta.c.m
Authority haviugjurisdiction ovc this propcrty: Y.ttnouth Fi.e & Bldg Drpt.
Phonc: (506) 39&2212 Fax: E-m.il:
2. Fill Ah]m Sytbm ln t lh0on, S€wic., .nd Tc.tng lnllormrllon
InstEllation contnctor for this cquiDrnqlt: Cap€ Cod Alarm co. lnc.
Address: 204 Old To,vnhouso Road. trbst Yamouth, Ma3s. 02673
Phonc: 506-3986316 Fax: 50E 39&5566 E-nsil: Bill@CapGcodalarm.com
Sgvicc org.nizarion for tbis cquiFncnr: c.pc Cod Al8nn Co. lnc.
Addr6s: 2ozl Old To*nhou6a Road, Wtst Y.nnqJth, Mas!. 02673
Phonc: 50$396{316 Frx: 50&39&5666 E-mail: Blrec.grcodd.rm.com
Locstion ofa&,built dtEwiogs: l,ocstion ofHisloriol T6t RqporB:
Locarion of sys&m op€rsfion and maintcnaocc manuals:
A contact for tcst rnd inspc{lion in sccordrDcc with NFPA strrdads k in cfff€ct Ls of
Cootr.dcd tcning comp&y: Cap€ Cod Alarm Co lnc.
Addrcss: 204 Old Tof.hous€ Road, \rrl.st Yarmouth, Ma!s. 02673
Phooc: 50&39863f6 F.x: 50&398*5666 E-mril: Eill@Capccod.l..m.com
Contsact cxpircs: Contsact numbcr: Frcqucacy ofroutinc inspcctions:
3. Typ. ofFh.Alar Syrbm or S.tYlc.
NFPA 7P, Chryaq Rcfcrrncc of Systctrr Typc:
Nsmc of org.nizarion rccciving alarm sipals with glwli;a r.umb(,s fiIopplicoble)l
Alarm: Cepe Cod Alam Co. lnc phooc: 60&3984316
Supcrvisory: Capc Cod Ala.m Co. lnc Phooc: 5oS39&5316
Toublc: C.p€ Cod Alam Co. lnc phonc: 50&,3996316
Entity to !.rhici rla'ms src Etr-aasmincd: Cape Cod Abm Co. lnc Photc: 50&3984316
Mcttod of Elrmsmission of slaIms to that orguizrtion or location:
CoprrAm O 200! ta.iir[l Frr ftohdEi A.el.irn ]har ,qm m.y b. cQid ia .dav.tu us oti( tm lq ,@1r t m., rEt b ..p.d rd d'dftd .r. (i ddnbrls
Ifchlpts E, no& thc mcans of transmisrion ftom thc protcctcd prcmiscs to thc c4[tIal station:
E Digirsl alam conmunicaror E Mcculloh E Mulriplcx ! 2.way radio E t-way ndio E N/A
lfch8pts 9, notc ttc typc ofconncction: I Local cncrgr E Shunt EN/A
!.1 Syrtqn Softrrrc
OperadnS sy$cm (cxecutivc) softwarc rcvision levcl: DSC 1864
Sit!.spccific softwur rcvision datc: Rcvision complacd by:
4. Slgn llng Lln Ghcultl
Characteristks oftignaling line circuilt conteckd to rhis sytkrn (s.e NFPA 72 ', Toble 6.6.1):
Qusntity: 0 Stylc: Class:
5. Al.tm-lnltLUng Dcvlccr rnd Glrtultr
ChqacterLt ict of initiati/,8 de|ic. ciratitt connected to th',s systea (see NFPA 7Zo, Toble 6.5):
Qustrtity: (7)wra-b smokoE Stylc: B Class, Hardwirod low voh?ge
5.1 Mrilrl hiabti!8 Dcvicct
5,1,1 Mrrml PEll St aio.r Numbcr ofmaoual pull stations: lvA
Typc ofdcviccs: E Addr6sabl! E conv€ntional E cod.d E Trarsminrr EN/A
5, Artolrrtlc hltirti!8 Dcvicct
52.1 Artt Snokc ll,laccton Numbcr ofgnokc dstcctors: (07) ,IWTA-B S't|ol(gt, S.n ttivhy ol all 07 within limits,
<< PASSEO >>
(02) 122,aT Ca6on Monoxkl,e Oobctor6. <<PASSED>>
-'NOTE: B6amont CO missing. Linda lo replace"'
Typc ofcovqrgc: E Complac rrca E Psrtial arca El Nonrcquiird panial arca EN/A
Typ. ofdcvic.s: E Addr6sablc @ Convcnrional E Codcd El Transnincr EN/A
Typc ofsmok€ ddrcto. scnsirg lrcholosr: ! Ionization E Ptotoclcctsic
5.2.2 Duct Snokc Dltccton Numbcr ofducl smokc detcctoE: rra
Typc of covcrage:
Typc ofdcvicrs: E addrcssaltc E conveotiooal E codca E transmittlr EN/A
Typc ofsmokc dctcctor scnsiry &cholos/: E Iooizatioo E Photoclcctric
52J ll..t I)tt.ttort Numbcr ofhcal dctccto.s: 0
Typc ofcovcrsgc: E Complac arp I partia arca E Noarcquircd panial arca ENll
Typc ofdcviccs: E Addrcrsablc S Convantiooal E coaca Efraosmitt r EN/A
5.2.a SDrilkhr Wrttrtlot l}lttctort Numbcr ofwalr tlow dctcctors: 0
Typc ofdcviccs: E eaarcssaltc I Convortional Elcoaea E rransmincr ENle
5.2J Ahrrr Vcrilicrtioo Numbcr ofdeviccs subicct !o alam vcrification:
Alarm vcrificstion on this systern is: E EoEblcd E Dissblcd E sct for s€conds
co9,'ti(o2oogl|nih.lFitF''Ebcb.t^t.ocl.lidtltiit'md.'i.6r':llgnd,.ddut.olEtlrlh.E.l.tn.,iolb.co-dld...inrEl..|.rffidim
0, Sup.rvlrcry Slgnal.lnlurong Dovlcor .nd Circuita
5.1 Sprinklc. Syrtc[ Numbcr ofvalvc supcrvisory switchcsi 0
Typc ofdcvi€s: O Addtcssablc E Convcntional E Codcd E Tnasminer EN/A
62 Firc Puap
Typc offircgump: E Elcctric E Dicscl
T}?c offirc pump erp€rvisory dcviccs: E Addrcsrable E Convcutiooal E Codcd O Trursmincr EIN/A
Firc Pump Func,rioas Supcrviscd
I Fire pump power I Firc pump rurning Q Firc pump phasc rcvcFal 0 Sclccto] switch not in auto
I Enginc or control pancl troublc 0 Low fucl
Othcr: N/A
6J f,[gilc-IHrco Gcnmtor
Typc ofgcocrstor supcrvisory dcviccs: E Addrlsssblc E Convcntionsl Q Codcd I Transmittcr E N/A
E Eoginc or cooEol psnel tro{blc E Ccocntor running Q Selcctor switch dot in ruto E Low ftrcl
othcr:
7. Annunclato[
7.lA.lotrddor I El Local E Rcmotc
Typc: o Addrcssablc El Dinctory O Graphic E N/A Localion:
7.2 Alrulcittor 2 E Locd E Rcmot€
Tnc: O Addrcisablc E Ditlctory E Craphic E N/A Location:
73 Ar!!rcirtort tr frcal tr Ramotc
TyF: o AddrBssblc E Dircsrory tr Gnphic E N/A Location:
8. Ahtm l{otifrc.ton Orylc.. rnd Clrcult3
t, I EDCrS.rcy Voicc Alrrn Srrvicc
Numbo ofsiaglc voicc alarm cbanncls: 0 Nutrbcr ofmulliplc voicc alarm channcls:
Numbcr ofspcale$: Numbcr of S€akcr zoocs:
&2 Td.phorc Jrctr
Numbcr ofElcphonejacks instrlLd: 0 Number oftclcphooc hrldr€ts stot d on siE:
Typc oftllsphooc systcm irstallcd: E Ekcticatly powcrcd E Sound powercd E N/A
&3 Noivoi.t Ardiblc Syttt8
Clorqterislict ol notilcalion device circ:,,irs con ccted,o thit syttern (iee NFPA *. Tablc 6.5):
Qu8ntity; 0 StYl€: Class:
co,,r{tlo2@e|{din.lf'.ftd3e.^.Eir!dlrri.irm|tlty!.€o9i,lb.fi6,[dur.odr..trrr,dr...bln!,,idn.q,.,l..c..rh..dr-ad.tl,Lfu.
E.4 Typ!! rnd Qo.rtiti.. of Nolvoic. Notifi.ttior Appli.rc:ts l.rt llcd
Bclls: With visusl dcvice: Homs: with visual dcvicc:
ChitrEs: Wilh vi$rl dcvic!: Bclls: With visua.l dcvic-cr
Visual dcviccs without audiblc devic.s: Other (dcscribe): N/A
L Emcrgency Contol Funcdon Actv.bd
E Hold-opcn door rcleasing d€vices ! Smokc management or smokc coatrol
E Door urlockiog E Elcvator rccatl Cl ottrcr
10. Sy3t3m Powrr Supply
l0.l PriE.ry Povcr
Nominalvoltage: i6.5VAC Amps. aOVA
Ovcrcuncrt protcction: T),F: Amps:
Locarion (of primsry supply Foclboad):
DiscooncclinS mcslrs localion:
l0: Soco.d.ry Pov.r
Localion: Main Penel Typ€: NoEinal voltagc: Cunrm rating:
Numbcr ofstsndby brncrics: t O.p hosr 6ting: 7AH
Location of cmcrgcnsy Scncraror:
Locltio[ of fucl storagE:
Calculafcd c8pocity ofs€condary power !o drivc thc sygrm
ln slatrdby modc: Ia alarm modc:
I 1 . R.cofil ot Syrtem lmtrlhuon
Fill otl d[ter a ihttollation it codpleu ard *iring hos bccn chzclod for opc4t, thorlt, gtoutd laula, ard irnpropet
brarching, but before conduclint Wrotio,bl occeptance le$ts
The systcm has b€en installed in arcordance widr thc following NFPA srsndsrds: (Note any or atl that apply.)
8 NFPA D O NFPA 7F, Ntielel6o
E Manufsctur€r's publishcd inst uclions E Othcr (plcssc spccify):
Systsm dcyiatiotrs from refcrcnccd NFPA standards:
sisna,l);ULD,-+U^,PdnEd nsmc: Wlliarn Fallon
Titlc: Sales / ln3lallMg.
Dalc: tGOl-2s
Phorc: 5O&39E5316Organ izltion:Cap. Cod Alarm, Co
lnc
c.crrirrozoSrarsaF..ProE.ElAscainthitromtitrbcoc'df'idrbnutod'tl-tlrl['Nnm'vt6l!'c"idb'EnlEidrbqffnh/rttt
12. R.cord of Syrtam Op.raton
All operationEl fciturcs and firtrctions ofthiJ systcm wcrc tcstld by or in Oc prcscnc€ ofthc signc, shown bclow, oo thc datc
shown bclow, and wcrr foqnd to bc opcratioS propcrly in sccordsncc wirh thc requiremcnts ot
ENFPA 7P EJNFpt zob, tutictc 760
I Manufrrurer's publishcd irutuctions E Orhcr (plelsc spcciry):
ff Documcntation in accord.ncc vith In+cctior and Tcsting Form (Figwc 10.6.2.1 of NFPA 726) is anachcd
Cepe @ Alarm, Co
lnq.
Priltcd namc: M.rtY CrolYell
Titlc: Tsctnbian
Datq 092&2025
Ptonc: 1-50&390€316
I t. C.rf fi crtionr lnd Approv.b
t3.l Syrtco trltrllrtor Coitnctor pll
This sysErD as spccificd hcrcin has bccn install.d lnd tlstcd accordiog to all NFPA standsrds ci&d hercin.
Signcd: Printcd nunc: Date:
Organization; Titlc: Phqrc:
13.2 Syrt.m S.rvic. Contr.ctor
This systcm ar spcciticd hcrcin hss bccn irst8llcd and tcsted accordiog to all NFPA stardards ciGd hcrcin.
si,'rd, h);lb tr%, Prinrcd nunc: wlri.m F.llon Date: lool-25
Orguizarioo: Cep. Cod A,arm Co Title: Sah! / ln3t.llMgr Phooc: 50S3983316ln.
Signed:
Organizsrion
133 C.otrtl Strtio!
This systcm as spccificd hcrein will bc monitorcd acco(ding !o all NFPA sandards citcd hcrcio.
s;r,a,h,)ZLn*{&u Printcd namc: Wlliam Fallon
Titlc: Salos,i lnstall Mg.
Dai.: t0-01-25
Phooc: 50&398€i6Organization:Cap. Cod Al.rm Co
lnc
135 Authority lhvhg Jurirdictioo
I havc wiurGsscd a sstisfacrory acclphacc Eg of this syskm asd lind it ro bc installcd sld opcrating propcrly in &cordancr
wirh its apprcvcd plans and +ccifications, its approvcd scqucncr ofopcrarioN, and with sll NFPA stand6rds citcd hcrciD.
Signcd: Pri cd name: Date:
Organizario[ Titlc: Phone;
Copyndn O 2001 Nnlul Fr. Prot .rfir A.cr.t'o.r ni. rdh n.y b. .op.d ld nl!6!.r u{ orli. rhtr lor 16.r. ll m.y nol !. coF.d h. .onnrcC .C. o rfi.traltr6
13.,4 ProDrrty R3prcscrt tivc
I accept this systcm I having bcca installcd and tcstcd to its spccificatiotB and all NFPA strdsrds citcd hcrein.
Signcd: hintcd namc: Linda walsh Datc: 10'01-25
Organization: Today R.alEslate Tirlc: Realtor Phone: 1-5O&56G9917