HomeMy WebLinkAboutFire System Record of Completion 2025SYSTE RECORD OF COMPLETION
This lom is to be completed by the system installation contractor at the time ofsyslern acceptonce and apploval.
It shall be permitted to ,nodify thisJonn as needed lo provide a more complele and/or clear record.
lnsert N/A in all unused lines.
Attach additioral sheets, dala, or calculalions os necessary lo pro de a complete rccotd.
Form Completion Dste: 10-29-2025
.I. PROPERTY INFORMATION
Supplemental Pages Attached:
Name ofproperty Yarmouth Housing (Long Pond)
Address: 534 Wlnslow Gray Rd, Yamouth MA
Description ofpropeny housing
Narne of property representative
Address
Fa,\:E-mail
2. INSTALLATION, SERVICE, TESTING, AND MONITORING INFORIVIATION
ldstallationcon!"actor: Brite-LileElectrical
Address: 658 Sha Hingham, MA 02043
Phone: 781-340-9,102 Fa,x:E-mail
Service orgaaization
Address
Phonel Fa,\:E-mail
Testing orgadzrtion
Address:
E-mail
Effective date for test and inspection conttact
Wayne Alarm
Phone Fax:
AccouDtnumber: 51-5013
MeaNoftransmission: Dacucell
Entity to wfiich alarms arc retlansmitted:
3. DOCUMENTATION
On-site location ofth€ requfed record documents and site-specific softwate:
4. DESCRIPTION OF SYSTEM OR SERVICE
This is at I New systcm E Modificalion to exirting system P€rmit nurnber:
Phone line 2
Phone: 1800-933-6543
NFPA 72 edition:
4,1 CotrtrolUnit
Marrufsctuler:Modelnumber: N16/NFS-320
d.2 Softwarc ud Firm*rre
Firmwap revision oumber: 5.0/29.0
4.3 Alrrm VerilicrtioD
Number of devices subject to slarm verification
El This sysl,cm does not incorporate alalm verification.
Alam verification set for seconals
(p 1 of 3)
Phone:
Phone:Fa\:
Monitoring organization:
Address:
E-maili
Phone line ll
Noti,ler
SYSTEM RECORD OF COMPLETION (continued)
5. SYSTEM POWER
5.1 Corlrol Unit
5.1,1 Prift.ry Powcr
Inpul voltage of mntrol paDel:
Overcurrcnt protection: T1'Pe:
Branch circuit discannecting means location Basemenl
5 amps
Amps: _:9_3M_
Numher
120 VAC
breaker
Location, iir€mote from the plsnt:
Calculated capacity of secondary power to drive the system:
24
5.2 Cortrol Unit
I This system does not have power extender panels
E Power extend€r pan€ls arc lisled on supplementary sheet A
6. CIRCUITS AND PATHWAYS
Path
ln alarm mode (mitrutcs)
Location
Survivabil
Sgnsing
C.O Dets
5
S Linc
Device Power
ln Device
Notification
Other (sp€ciry):
7. REMOTE ANNUNCIATORS
na
8. INITIATING DEVICES
Manual Pull Stations
Smoke Detectors
Duct Smoke Det€ctors
Heat Detectors
Gas Det€cton
waterflow Switches
T Switches
na
(p. 2 of 3)
SeparatE Pathway ClassDual Media Pathway
Alarm or Sup€rvisoryQuantity
Addressable or
Conventional
alarmaddressable2B
alarm/supervisoryaddressable104
nanana
alamaddressable4
C.O. alarmaddressable
nanana
nanana
Contsol panel amps:
5.1.2 SecoDdrry Power
Type of s€condary power:&26ah sealed lead acid
In standby mode (houts):
Level
Quantlty
96
na
9. NOTIFICATION APPLIANCES
on
sounder base
visible Exterior Strobe
Combination Audible and visible
10. SYSTEM CONTROL FUNCTIONS
Door Rel Devices
FryAC Shutdown
Fire/Smoke
Door U
Elevator Recall
Elevator Shult
1.I. INTERCONI{ECTED SYSTEMS
I This system does not have intercoDtrected sysl€ms.
E lnterc.nnected systems ar. listed on supplementary sheet
I2. CERTIFICATION AND APPROVALS
l2,l System Instrll.tioD Conlrrctor
This system 6s specified h€rein has been installed according to all NFPA stsndards cited hercin.
Signed 2orl/ Dazr/azz-ar-printed name: Derek Desharnais
organization: Brite-LiteEleclrical 11t". President
12.2 Systcrn OperrtioDrl Telt
This system as specified herein has tested according to all NFPA staldards cited herein
Signed:2ozoZ Doz{arrar)prinred name: Derek Desharnais
Organization : Brite-LiteElectrical Titte. President
12.3 Acccparnce Tcst
Date and time ofacceptalce test:
lnstalling c-ontractor repres€ntative:
Testing contractor representative:
Property representative:
AHJ repre sentative
na
na
na
na
na
Qua
10t30t2025
na
na
Date:
Phone:
Date:
Phone
781-UO-9102
10t30t2025
781-340-9102
cogydltr o 2012 N.tdc Fi! Prota.don Aaloda{on. Thl. iom ,my ta copicd lor hdh,idJd ua€ olhc. thdr fd reda, lt rn.y nol Da codsd t!. aolnmddal aalo o. (lltitsdo.r
(p. 3 of 3)
SYSTEM RECORD OF COMPLETION (continued)
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1 2 Heat (Fixed)HEAT BOILER ROOM 10n9t202s
1 3 Smoke (Photo)PHOTO WEST SIOE STAIRWELL 10t2st2025
1 1 Fir€r'CO (Photo Sup)FlRgco APT. 9 KITCHEN/DINING RM 1U29n025
1 5 Sup T (Photo)PHOTO APT. 9 BEDROOM 10n9t2025
1 6 Fire/CO (Phoro Sug)FIRE/CO APT, 7 KITCHEN/OINING RM 10r2912025
1 7 Sup T (Photo)PHOTO APT. 7 BEDROOM 10t2st2025
1 I Sup T (Pholo)PHOTO APT. 5 BEDROOM 10t29t2025
1 I Fire/CO (Photo Sup)FIRE,/CO APT. 5 KITCHEN/DINING RM 10n9t202s
1 't0 Fire/CO (Photo Sup)FIRE/CO APT. 3 KITCHEN/DINING RM 10r2912025
1 11 Sup T (Photo)PHOTO APT, 3 BEDROOM 1012912025
1 12 Sup T (Photo)PHOTO APT. 1 BEDROOM 10t29t2025
1 13 Fire/CO (Photo Sup)FIRE/CO APT. ,I KITCHEN/DINING RM 10t29t2025
1 14 Smoke (Photo)PHOTO EAST SIDE STAIRWELL 10t29t2025
1 18 Smoke (Phoro)PHOTO EAST SIDE STAIRWELL 10t29t2025
1 19 Fire/CO (Photo Sup)FIRE/CO APT. 2 KITCHEN/DINING RM 10t29t2025
1 20 Sup T (Photo)PHOTO APT. 2 BEOROOM 10n9t202s
1 21 Sup T (Photo)PHOTO APT. 4 BEDROOM 10t29t2025
1 Flre/CO (Photo Sup)FIRFfCO APT. 4 KITCHEN/DINING RM 10n9t2025
1 23 FiretCO (Photo Sup)FtRgco APT, 6 KITCHEN/DINING RM 10t29t2025
1 24 Sup T (Photo)PBOTO APT. 6 AEOROOM 10t29t2025
1 25 Sup T (Photo)PHOTO APT. 8 BEOROOM 10D912025
,|26 Fir€r'CO (Photo Sup)FlRgco APT, 8 KITCHEN/LIVING RM 10D9t2025
1 27 Sup T (Photo)PHOTO APT. 1O BEDROOM 10t29t2025
1 28 Fke/CO (Photo Sup)FIRE/CO APT, 1O LIVING/OINING RM 10t29t2025
1 29 Smoke {Photo}PHOTO WEST SIDE STAIRWELL 10t29t2025
1 34 Smoke (Photo)PHOTO BASEMENT BOTTOM OF STAIRS 1U29n025
1 1 CO Monitor MINI/DUAL
MONITOR
C.O. DETECTOR BOILER ROOM 10t29t2025
1 PullStation MANUAL
STATION
EAST SIDE FRONT ENTRANCE 10t29t2025
1 '16 Pull Station MANUAI
STATION
EAST SIOE REAR STAIR ENTRANCE 10t29t2025
1 't7 Pull Station MANUAL
STATION
EAST SIDE STAIRWELL 1012st2025
,|30 Pull Station MANUAL
STATION
WEST SIDE STAIRWELL 10t29r2025
1 31 Pull Station MANUAL
STATION
WEST SIOE REAR STAIRWELL 10t2912025
1 32 Pull Slation MANUAL
STATION
WEST SIOE FRONT ENTRANCE 10129t2025
1 PullStation MONITOR OUTSIDE PULL STATION 10129t2025
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1 2 BOILER ROOM AASEMENT 10129t2425
3 SOIJTH SIDE STAIRWELI 1SI FLOOR 14129t2425
1 flRE/CO APT 19 KITCHEN/LIVNG 1ST FLOOR 1A129na25
1 5 PHOTO ISI FLOOR 14129t20?5
1 6
(Phoro sup)
FtRgco Agr 17 KITCHEI\U!|VNG ]ST FLOOR 10129t2425
1 Sup T PHOiO APT 17 BEDROOM JST FLOOR 10D9t2425
l 8 sup T PHOTO API 15 BEOROOM 10t29t2425
1 9 APT 15 XITCHFN/LIVNG IST FLOOR 10129D025
1 10 APT 13 KITCHEIULIVNG lST a!OOF 1W2912025
1 11 SupT PHOTO 1012912025
I 12 surT PHOTO API 11 BEOROOM 14t29n025
13 FIFE/CO API II KITCT]EN/OININ 1ST FLOOR 10n912025
1 PHOTO NORTH SIOE STAIFWELL lST FIOOR 10t2912025
t8 PHOTO NORTH SIOE STAIBWELL 2NO FLOOR 10D912025
1 19
(Phoro sup)
FIRECO APT 12 X]TCI]ENAIVNG 2NO FLOOR 10129t2025
1 20 Sup T APT 12 BEOROOM 2NO FLOOR 10129t2025
1 21 SupT PHOTO APT, 14 BEOROOM 2NO FLOOR 1U291?025
1 22
(Phoro Sup)
FIFECO APT 14 KIICHEN/LIVNG 2NO FLOOR 14D912025
I FrRaco APT 16 KITCHEN/LIVNG 2ND FLOOR 14t294025
1 24 API. I6 AEDROOM 2ND FLOOR 10/2912425
1 25 Sup T
(Pholo)
PHOIO 2ND FIOOB 10129t2025
1 26 FIRECO APT 18 KITCHEN/LIVNG 2ND FLOOR 1009t2025
1 21 Slp T PHOIO APT,20 EEOFOOM 2ND FLOOR 10129j2025
1 28 FrFgco AP'T 20 KIICHN/LIVNG 2ND FLOOR 148912425
1 29 PHOTO SOUTH SIOE STAIRWELL 2NO FLOOR 1012312025
34 BOIIOM OF STAIRS BASEMENT 10t29t2025
I 1 MINI/DUAI.
MONITOR
C.O OE-T AASEMENT 14n9t2025
1 t5
STATION
NONTH FRONT ENTFY IST FLOOB 108912025
1 16
STATION
NORTH SIDE REAF 1ST FLOOR 1U29t2025
1 11
STATION
NORTH STAIRWAY FEAR 2ND FLOOR 14129t2425
1 30
STAIION
SOUTIi STAIFWAY REAR 2NO FLOOR 10n91202t
31
STATION
SOUTH SIOE REAR 10.,'912025
1 32
SIATION
SOUII| SIDE FRONT 15T FLOOR 1
1 33 OU'TOOOR PULL STATION 1ST FLOOR 10n4|2025
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1 2 AASEMENT 10t29t2025
1 3 PHOIO NORTH SIOE SIAIRWELL 10129tu)25
1 APT21 KIICHENtrIVNG 10t29t2025
1 Sup T PHOTO APT 21 BEOROOM 10t29t2025
1 6 Sup r API.23 BEOROOM 1SI FLOOR 1U29t2025
APT 23 RITCHEN/LIVNG 10129t2025
8 FIRE/CO APT 25 KIICHEN/LIVNG rsT Ftoo8 'tot29t2a25
1 9 Sup T API25 AEDROOM 1ST FTOOR 108912025
10 PHOTO APT 27 AEDROOM 14D9n025
l 1l FIRE/CO APT 27 KITCHEN/TIVNG 10t2912025
1 12 SupT 1U29nO25
l t3 APT 29 KITCHEN/DININ 't0t29D025
l PHOTO SOUTH SIOE STAIRWEL!1ST FLOOR 10u9n025
18 SOUIH SIOE SIAIRWEII 10r2Jn025
1 l9 API30 KITCHEN,/LIVNG 2NO FLOOR 'tot29Do25
I 2a 10r?!12025
I 21 APT 28 (ITCHEN/LIVNG 2NO FLOOR 10t29DO25
1 22 APT 28 SEOROOM 2NO FLOOR 1U2912025
I 23 SupT API 26 BEOROOM 2NO FLOOR 10D9t2025
21 APT 26 KITCHENAIVNG 2ND FLOOR 'tot29Do25
1 25 FTRSCO APT 24 KITCHENtrIVNO 2ND fLOOR 1Azv&zs
26 SUpT 2ND FLOOR 10129t2025
2l SupT 10t2912025
2A APT, 22 KITCHNtrIVNG 10rzSA0?5
I 29 PHO TO NORTH SIDE STAIRWELL 2ND FLOOR 1012912025
BASEMENT 10D9Q075
1 1
MONITOE
C.O. OEI BASEMENI 10t?92025
t5
STATION
SOUTH FRONT ENTRY lSI FLOOR 't0t2912025
1 16
SIATION
SOUTH SIDE REAR 1ST FTOOR 10129t2025
11
STATION
2ND FLOOR 10t29DO25
I 30
S'TATION
NORT}l SIDE STAIRWAY 2NO FLOOR 1A129t2425
1 31
STATION
NORTH SIOE REAR 10r2im25
1
STAIION
NORTH SIOE FRONT 1ST FLOOR 10t291m25
I 33 OUTOOOF PUTI STATION lSIFLOOR 10129t2025
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WEST SIDE STAIRWELL 1ST FLOOR 10t29D0253
1ST FLOOR 10t29/?J251APT31 KIICHEN/LIVNG
10t29r2t255PHOTOAPT 3I BEOFOOM 1ST FLOOR1
1 6 Sup T APT 33 BEDFOOM lSTFLOOR 144912025
IST FLOOR 14t2912425lAPT 33 (ITCHENtrIWG
l 8 APT 35 KITCHEN/LIVNG ts-rfLooF 1ra9t2025
1 9 PHOTO APT 35AEDROOM IST FLOOR 't0t2912025
10D912025110SU, T APT 3TAEDROOM
lST FLOOR 10t2912025!11 APT 37 KITCHEN/LIVNG
1At2912425l12Slp T PHOIO ISTfLOOR
lST FLOOR 14129t2425113APT 39 XITCHENAIVNG
EAST SIDE STAIRWELL ISIFLOOR 1Ar29A0251PHOTO
1AA9EA25118EAST SIDE STAIRWELT
APT
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KITCHEN/LIVNG 2NO FLOOR 10t29t2425119
2NO FLOOR 14129t2025120Sup T API 40 BEOFOOM
I 21 APT 38 KITCHENAIVNG 10D912025
't0t291202522SupT
SupT PHOTO APT 36 AEDiOOM 2ND FLOOR 'tot2912025l2X
FIRE/CO APT 36 KITCHEN,TIVNG 10t2912025124
APT 3TI XITCHEN/LIVNG 2ND FLOOF 1029r&2s125FIRE/CO
10t29t2025l26Sup r PHOTO APT 34 BEOROOM 2ND FLOOR
27 2NO FLOOR 10t2912025
1Wmt202512AFIRE/CO APT, 32 XITCHNN.IVNG 2ND FLOOR
2ND FLOOR 1012912025129WEST SIOE S'TAIRWELL
BASEMENT 1012912025134
C,O. DET BASEMENT 141?9t202511
MONITOR
10n9r.\25
STATION
WEST FRONT ENTRY 1ST FIOOR115
1ST FLOOR 10t29D025WESISIDE REAR116
STATION
10t29n425WESI STAIFWAY FEAR17
STAIION
1U294025EAST SIOE REAR130
STATION
10/29t2025
STATION
EASI SIDE REAF31
lSTFLOOR 14,2912421
STATION
EAS-T SID€IRON-I132
1ST FLOOROUTDOOR PULL STATION133
III
10129t2025