HomeMy WebLinkAboutfire alarm system record of completion 2025FIRE AI-AR sYsTEf, RECORD OF COf,PLETION
To bc conplctcd by the tytr.n intrallation contocror at the ti e of sytted acceptance ond approval.
1. PrDbcbd Prop.tty lnform.ton
NEmcofpropcrty: Prtovrd(Rssilenca
Addrcss: I I Mos! Road, We3t Y.rmouth
Dcscription of prcpcty: Singlc family rcsircica
Occupancy type: n3
Namc ofpropcrty rlprrscrrtarivc: Suo collins
Addrcss: l1 Moss Road, YJlst Ytrmodh.
Phonc: l-(508) 5217237 Fix: E-mail: scofin@.obrro.ul.co.n
Authodty havillgjurisdiclion ovcr this Eopcdy: Yamq.di Fire & Bldg Dept.
Phonc: (50E) 39&2212 Fax: E-rnail:
2. Flr. Al.rm Syrbm lmlrlbUon, S.rylc., rnd T..tng l'liorm.lim
Io$allstioo contrartor for this cquipDcnt: capo cod Alarm co. lnq.
Addrcss: 2O4 Old Townhouse Ro.d, tlr.rt Yannoulh, Mass. 02673
Phonc: 5(8396{316 Frx: 50$3985€66 E{ail: Ba(rcapcood.Ll'rl.com
Sclicc orSaaizdioo for this cquipmcnt; C.p. Cod ALrm Co. lnc.
Addrpss: 2(X Old 'Iownhouso Road, \rJbst Y.rmouth, Mass. 02673
Phone: 5{8396€316 Fax: fl}&39&5665 E-mail: Bil{lcepacodtb,m com
LocxioD of as-built drawiagsi lrcation of Historic.sl Tcst Rcpons:
l,ocstior ofsystcm opcralion md mainrtntcc manuds:
A coord for tcst 8nd inspcction io rccordsncc with NFPA stand.rds is h cffrct &5 of
ConErctcd tcsting coErpany: Capa Cod ALrm Co. lnc.
Addrcss: 2(N OE Towntldrle Road. w€st Yamouth. Mass. 02573
Phonc: 50&3984315 Fax: 50&39&56€6 E-mail: Bill@Cspeoodslam.com
Contrrc-t rxpircs: Contrsrt oumbcr: Frcqucncy of routinc inspGtions
3. Typ. of Fh. Alum Sy.bm or 3.fl1c.
?yFP,{ 72o, Ctaptcr Rcferetlcc ofsystcm Typc:
N.mc of oryanizarion rrcciving allItrl siguls witt pttae lr/umtr,rs (d qplicoble):
Alarm: Local sysGm ody, not oonitor.d phone:
Supcrvisory: phorp:
Troublc: phonc:
Entity to wlich alarms rtc Etssnsnitrcd: phooc:
Mcthod of rctransmission of alarms to that organizdion or locrtioni
c'?'nefi 9269 rrnnr Fi"tsdbn,t\.rdrih tli. tfii rn t !. cop.d b. itindq.t ur. o!., olr! b, nEd. n h.r,!ot b. !.prd ,0. ffiro.r xt c'.trtr!/rm
tf Chaptcr 8, not! the mear$ oftransmission from th€ protcctrd prcmiscs to the c€ntral stdion:
E Digital alarm communicdor E Mcculloh ! Multiplcx fl2-way radio O l-i{ay radio E N/A
tfchspto 9, notc fic typc ofcoorcction: Q Loca.l cocrgr El Shunt El NiA
3.I Syst D Softlvrrc
Opr.sting sysrcm (occutive) software rcvision lcvel: oSC NEo HS2064
sitc-spccific softwaE rcvision datc: Rcvision completed by:
{. Sign llng Llnc Clrcultr
Charoctetistict oftignoling line circLils conneted ro lhb sytaefi (see NFPA 72'. Table 6.6.1):
Qusrtity: 0 Stylc: Clats:
5. Al.rm-lnitrung D.vlcca rnd Gltrulb
Choracr.tistics ofinitiaring dcl,ice circuits connecred ro ,hir sytofi (see NFPA 7f, Tobb 6.5):
Qu8ntity: (4) wta+ lmok6 Stylc: B Class: Herdwared lot{ voltagc
5.1 Mrlud lnltltdr8 DcYic6
5.1.1 M.oorl Pdl St thnr Numbcr of maoual pull stations: N/A
Typc of dqiccs: E Addr6sablc E corvcational E codcd E Transminq EN/A
5, Arto[.lic loitirthS D.vlcc!
!r.l Ar.| Sootc Drtccton Numbcr of smote dctcctoB: 04, S.na.tivly of all (X within limits, << PASSEO >>
Typc ofcovcragc: El Complctc 8rra E P.ni8l lrra O NonrcquLd pstial arcr E N/A
Typc ofdevic.cs: E Ad&essablc E Conventional E coded E Tnasmittcr EN/A
Typc of smokc dctcctor scnsiog tcchnoloSy: O looizarion E Photocl€cttic
s.2: Ihct s.oLc l*.cton Numbcr of duct smokc dct6to6: Xl.r3ffig "ffi:i ffi":#iE$r,,
Typc ofcovcragc:
Typc ofdevices: E AddGssablc ! Convcntional EJcodcd E Transmitrcr EN/A
T,.pc of smokc dctcctor s.osing tcclmolos/: E tonizarioo I Ptrotoclcctric
5.23 H.rt lrct.ctors Numbcr ofhcat dctcclors: 0
Typc ofcovcraSc: I Cooplac arca I Panid arca flNonrcquircd panial arca EN/A
Typc ofdcvic.s: E AddrEssablc El Cotrvcrtiooal E Codcd E Transmincr EN/A
S.2.4 Sprirkhr wltcr{lox Dccctorr Numbgt of watcrllow dereclors: 0
Typc ofdcrices: I lddrcssaulc D Corrcntiona! E CoOca E transmittcr E N/A
52J Abrn Vtrlfi{tioo Numbcr ofdcviccs subjcct to alam vcrification:
Al8rm ycrificEtio[ on this sy$crn is: E Enablcd E Disablcd E Set for scconds
0. sup.?vlaory Sbn l-lnitia0ng D.vlc6 llrd Clrcuits
5.1 Sprinklcr Sytt E Numbcr ofvalvc supcrvisory swit hcs: 0
Type ofd.vic6: E Addrcssablc E Convcational E Coded E Transrninc, fl N/A
Copy.'ghl O 2@a ilrirt F.. ftddixi A.t darm Tlrr bh ln., !. cDi, ,g yd\,x,u.t u. oo|. lrfi lb ,...r. I o.y mr b. cori, t!. c.rnmrq.t {a d (litrhJh
6.2 Firc Pullp
Typc offirc pump: E Electric E Dicscl
Typ€ offirr pump suprrvisory dcvices: E Addrcsssble E Conventional 0 Codcd D Transminer DN/A
Firc Pump Functioos Supcrviscd
E Firc pump powcr I Firc pump nurniag E Firc pomp phasc rcversal EI Sclcctor switch not in auto
E Eogin or contol panel houblc ELowfuel
Othcr: wA
5J EoghFDrivco Gctrcrrtor
Typc ofg@crator supcrvisory dcviccs: E Addrcsssble E Convcntional E Codcd E Transnittc! E N/A
I Engine or coatrol pancl roublc E G.flerator running E Sclecto. switch nol in auto E Lorr fuel
Othcr:
7. Annunclator!
7.1 A!trrrci.tor I E Local E Rcmotc
Typc: o AddEssablc E DirEctory E GrEphic E! N/A l.ocatior:
7.2 Alltlllciraor 2 E Local E Rcmote
Typc: o Addr€sssblc E Din€lory E Gnphic E! N/A Locatioo:
73 Aooucittor 3 E Local E Remotc
Typc: tr Addrrssablc E DirEctory E Graphic EN/A Location:
t. Ahrm llotfc.tl,on l]rvic.t .nd Clrcuits
t.l Encrgclcy voicc Ahrn Scrvi.G
Numbcr ofsingle voic€ alalm channcls: 0 Numbcr ofmultiplc voicc alarm chanDels:
Numbcr of +cakcrs: Number of spcaker zones:
t.2 TclcphorG Jrck!
Nunbcr oft€lcphoicjacks itrstallod: 0 Numbcr oftclcphooc hardscts storcd on sitc:
Typc oftrlcphorc sy$cm installcd: O Elcciicrlly powcrcd E Sound powercd E N/A
83 Nolvoi.c Audibl. S!'sic!l
Crsto.letbtict ofnorilcation deyice cir.lritt connacted to this system (see NFPA 7Zt. Toble 6.5)
Qu.rtity: o Sryl"' Class:
E,4 Typc! md Qutrliticr of Norvoi.. Notifc.tion ApplLlcc! Illttllcd
B.lls: With visual dcvict: lloms: With visual dcvicc:
Chim6: With visual dcvic.: Bclls: With visualdcvice:
Visual drvicas without audiblc devices: Othcl (dcscribc): N/A
coev.'9n 02@ iLtooJ Fn P.d-lbfi a..oo.lan Tht tdm m., n c.t.<ttt irrrdld ul. oilr |tlr t r r.... n m.y not b. c*r.d tor coomrcd a.b a olri!(nih
e. Emergoncy Conool Funcdon Act v.bd
O Hold-opcn door rrle&sin8 dcvices Q Smokc maaagement or smoke conbol
! Door unlocking E Elcvator rccall ! other
10. Eylt m Powlr Supdy
l0,l Pri..ry Por.r
NominslvoltaSe: 16.5VAC Ampsr 40VA
Ovcrcwrqll pptrction: Typc: Amps:
Locsrion (of primlry supply parclboard):
Disconnccting nErns loc.rion:
102 Sccordrry Pow.r
Location: Main Panel Typc: Nomioalvoltage: Cunent rating:
Numb.r of stsrdby bat&rics: , *p hour raing: 7AH
Location of qrrcI8cncy gcncf,Etor:
Location of fucl sloragc:
Calculrtc/ capscity of s€condsry powcr to drive thc sysqn
ln rtrndby modc: ln alaIm modc:
I I . Rccord of Sy3bm lrEtrllr0on
Fill oul aler oll inslollalion is codplele qnd viring hos been checked f* opnl shottt. groutd lauhs, ard inprcpt
brdrrchw bul b$orc cond|cring operalioial dcc.ptonce tests-
Thc rystlm ha.r bcrn installcd in accordane with thc following NFPA sbndards: (Notc atry or all rh.t eply.)
INFPA 72t E NFPA 7t, &ricl.7fo
fl Manufacrurcr's publishcd iosuudions E Othcr (plcasc spccify):
Systcm dcviations from rcfcrcncld NFPA staadards:
Sign.d: Printcd n m!: Datc:
Oryonizatioa: Titlc: Phone:
12. R.cord ot Sytbm Op.n6o'l
All oPcrrrioDal fcsturcs atrd functions ofthis sy$cm wrre tcstcd by o] in thc prcscrrcc ofthc sigrcr drowD bclow, on th. datc
shown bclow, and wcre found to bc opcrsting propcrly i! sccord&cc vith the rcquircments ot
E NFPA 724 E NF\A 7f . ,.Jlitctclf[
E Manufacturcr's publishcd instruclions E Othcr (plcas€ sprciry):
E Documcdalion io accorda[cc \rirh lnspcction sad T.stillg Form (F iglirc 10.6.2.3 of NFpA 72. ) is dtachcd
Signcd: Printcd narnc: Brian Ms$/hunney Dare: 10.29-2025
Orgaflizrfio[: Cape Cod Alarm. Co. Titlc: Tedrn'c'an phonc: t-508-3986316lnc
co',tlgn .D2@ xd!.' Fn h..lbn a.o.tin ti.lsh n , !. copad b. ifi*insd u o!', nE t da. t e.y,r.r !. cqad hr.o.hrcjd .- o. d*.jtuno.l
13. Certillc.don! .nd Apprcval.
l3.l SyrtcE lrttrllrtior Coltrrctor
This syslcm as spccilicd hcr.in hss bccn instrllcd and tcstcd accordinS to dl NFPA staodsrds citcd hcrcin.
Organization Capc Cod Alrrm Co
lnc.
Printcd namc: Wlliam Fallon
Titlc: S.bs / lrEtrl i.lgr
13, Syrlc. S.rvic. Cortrtctol
This rydlm Nr $ccihcd hcrlin hrr b€€n installcd and tcstcd according to all NFPA stndards citcd hcrcin.
slrrd (tl&flNt Pri cd namc: wlliam F.llon Dar€: 1GsG25
Organizalioni Capa Cod Al8,m Co. Titlc: s.Ls / ln3tall Mgr Phonc: 508-398-5316
lnc
I33 C.ltrrl Sbtloo
This systcm !s *ccifi.d hcrrin will bc Itlooitorrd accordiot io all NFPA $adtrds citcd hcrcin.
Signcd: Local !F!!,m, nonflonitorod Printcd namc: Datc:
Orgslizstion: Titlc: Phonc:
13.,1 Propcdy nc0rcrcrlttivc
I scccAt this systnn .s hsving bccn instdlcd lrd tcstcd !o its spccificrtioos fld sll NFPA strrdads citld hrrrin.
Signcd: Printcd namc: Sua Collins Datc:
Orgaaizarioo: Rob.d P.ul Titlc: R..lor Pbooc: 1-50€.52;-,7237
Prop3,tfri
l3J Autlority Ervi!8 Juridktioo
I havc witrcsrcd 8 saridactory ecptsncr tclt of this sysrm 8tld frod it io bc instdlcd ad opcratiog propcdy io sccordaocr
with its appovcd pla[s and qpccificltiotrs, its lppmvcd scqucn& ofopcrrtions, ard with &ll NFPA st ndsrds citcd hcrcin.
siSncd: P tl&d namc: Datc:
Orga[izsrion: Titlc: Phonc:
sie^"d,1)illi;+a.Uor,Datc: I G3$25
Phonc: 508-398-6316
coprietr o 2009 ilttl Fat ltDacltri a.djrin lh. iom n , !. cor-d &. idvnrJ.r u.. oura.!!'l b lt..b l n.y rEr !.6r.d h. ccnh-ox ..r. s drttro.r
TOWN OFYARMOUTH
Burolar & Flre Alarm
User-lnformatlon Card
/C
a
z R t)
ly
Addr€ss ot Alarm:
{lnctde cofidcta dlrsctlotts
ib tu poncri/tiru can tote
& resp&d P(omPtlY')
Phons Numbor:
5
Buslnsss NuDe:
(it tpplicabl€)
Nams of owner or Psrson in
ctarge ol Premises:G s
AddrBss ol Polsol in durg6
ol prBmls€s:
Toiephone Numb8r:
s/+D??4 Ar)
I
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I
I
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AlarmTYPe: -/Buglat r'-.
Flre " v
INam€. addr6ss and ldJ ot
s€cona poEon suthorlz€d
lo r€spood to €msrgEncy at
locahn ot Elarm:
Name
orv oK lN 0e n)eN
Alarm Co.:
Ptlong #
Sp€'dal Comm€it3:
- c<{- [.q3 -
/)
A ttt tl t/1< A)
Signalure Dat€
(for s€drily purpos€s, htu card $ould bs aturnrd lo hs ap0rwht6 agoncl lilled bdo{' €itlff ir p€Isor in 8 sealad ernElope )
For FIRE alams:YAFMOIJIH FIRE DEPANruENI
96 O.' MIN STBEET
SOUIH YANMOUT}], MA M6AI
YAFMOUIII POI..}CE DEPIFIMENI
ONE SFAD ERICrcO WAY
mSI Y/rRMoUnt M 02873
9lnflr 5aet till(t4q,Ac tf 9
\.(!a tlv - tgvs'q/o- t uSg"Zrsfo*uR gvffuRT n t '9so -AB'q taV
Arf fl 0 tft oNr'tt' P€o Pta t'/l'< ficctss
l-7 " - " To rtte gecoittTY S\tt\r'/t r f/f'tt(
€on€s
0 /f'w ty'Yn'Y 63 a'l
6oP 6ilnf'tcts tte'3
ltuzff,PcA O tnmc*&/?n OSs4
Addr6.s
'lol.l
tor gUFGLAF alarns: