HomeMy WebLinkAboutfire alarm system record of completion May 2026FIRE ALARI SYSTET RECORD OF COIPLETIOT
To be compleled b! lhe syslem installation controctor at thc tifie of tystem acceprance and qproval.
'1. ProLcbd Piopart, lnfoamaton
Name ofprcpcrly: Oonna lrrnill
Address: l2l Camp S:trcct. Unil I '15, Wcat Yarmouth
Dcsc.iption ofpropcny: SingL lamily r8idcnc!
Occupancy typrc: R3
Namc of prop.tty reprrscnbtivc: Stwo Mcl€
Addrcss: l2l Camp Strlrt, Unit ,15. V,/.31 Ya.tiouth.
Phonc: l-50&367-5000 Fax: E-mail: StlvqtlaLocqtEaal.nct
Authotity hrvingjurisdictioo over this propcny: Y.rinouth Fire & Bldg o.pt
Phone: (508) 398-2212 Fax: E-mail:
2. Flre Al.rm Syrt m lmtrlLuon, S.7vlc., trd T..0ng lniotm.dofl
lnstallatioa contractor fo. lhis cquipmcnt: Crpr Cod Aann Co lnc
AddGss: 204 Old To,vnhou!. Ro.d, \ /b3t Y.rmouth, M.3s. 02673
Phonc: 5Oa39E{316 Fax: 50&39S56€6 E-mail: Billoc$.cod.la.m.qom
Scrvicc orgmialion for this cquipmcnt; clpa Cod Al.m co. lnc.
Addrcss: 201Old Townhoulc Road, W.3t Ya,mouth, Ma93. 02673
Phonc: 5O&398{1t16 Frx: 50&39E.5666 E-mail: Bi|Oc$ccodrlarm com
Locatioo of as-built drawioSs: Loc.tion of Historic.l Tcst Rcpons:
Location of rystcm ope,ation and maintcn8[cc manuals:
A contract for tcst and inspccrior! i.r accord.ncc with NFPA standads is in cflcct as of
Contsactcd lcsting company: Capc cod Alam Co' lnc
Addrcss: 20il Old Tolvnhou!€ Road. Wlsl Yltrtlot h, Mass 02673
Phoncr 508-39M316 Fax: 50&39&56€6 E-mail: Biloctp.cod.lam'com
Conract cxpircs: Contr.ct numbcr: F cqucncy ofroutinc insprctions
3. Typ. of Flr. Al.m Sy3bm or Solvlco
lFP,l 7?r. Chapter Rcfcrcncc of System Type:
Namc of org.nization rccciving alslm signals wirln pho.tc o$fib..s (tf opPlicable),
Alarm: c.po Cod Ahrm Co. l.tc Phonc: 50430&6316
Supcrvisory: c.p. cod Al.rm co. lnc Phonc: g)&39s6315
Troubl.: Crpc Cod Alarm Co lnc Phonc: 50S39&6316
Entity to which alanns atc rctr&smiltcd: caPa Cod Alarm Co' lnc Phonc: 5o&39&8116
Mclhod of r.tlrnsnisiion of al&ms to that orgari?rtion or localio.l:
c@r'do2qBi|ftdFr.fudgr^!tGdro6th.bhnltyt'(4.db.idirtJ.lgC*i.ti'!b[..l.Im,iolb.coi!.dlq@i6r.id!.b "k*)
Ifchapt.r E. notc thc mc.ns oftrsnsrnission fiom th. protcckd prcmiscs to the cc[tral station:
E Digital alarm communic.tor E Mcculloh O Multiplcx [ 2-*ay radio E l-wry radio E N/A
If Chaptcr 9. note thc ty[,c of conncction | [ Localcncrgi E Shunt EN/A
3.1 Syracn Soft$lrr
Op€rating systcm (cxccutive) software rcvision lcvcl: oSC 1616
stc-spccific softwarc rcvisioi date: Rcvision complct d by:
a. Sign llng LIn Clicult!
Choracterittict oftignolug lin crcuiscontuct.dlorhistysled(t.eNFPA72',Toble6.6.l)-
Quantity: 0 Stylc: Class:
5. Ahrm{nlt.dng O.vlce. .nd Clrcultt
Characterislicr ofinitiotiig derice circuits conn cled to this tytre^ ($ee l,iFPA 721, fabb 6.5)
Quartiry: (6) wllb gno*.3 Stylc: B Class: H.dwilld low vot8gc
5.1 Mtru.l lnili.tirt Dcvic6
5.1.1 Mrrr.l Pull Strtbl! Numbcr of marual pullstalioos: N/A
Typc ofdcvic.s: E Addrcsssblc E Convotional D Codcd E transmincr EN/A
5.2 Autoo.tic ltitirti.S Dwk.t
5.2.1 Ar.. SDot. Dct.rtorr Numbcr of srnok. dctcctors: (06) 4WTA€ Smokca, Satrratlv y of all 07 rYithin hmrts
<< PASSED >>
!ttJffi;JS"*2 c86o' Monorilo oeldoo'
Type ofcovc.ag.: E Complctc at.a E Panial arca E Norcquircd panial.rca EN/A
Typc ofdeviccs: E Addrcsablc E Convcntional E codcd E Trsnsmincr EN/A
Typc ofsmok. dctcctor scnsing tcchnologr: E lonizarion El Phorocl.ctric
5.2.2 Duct SEol. Ir.tlctorr Numbcr ofduct smokc dctcctors: nla
Typc ofcovcEgc:
Typc of dcvicrs: I eddrcssabtc E Conv.ntional E coaca E rransmincr fltxle
Type of smoke detector s€nring r€chrolos/: E tonization E Photoclcctric
5.23 Hcrt hcctor! Numbcr of hcat dctcctoE: 0
Typc of covcrage: I Complctc arca E Panialarca Q Nonrcquircd panialarca E N/A
Type ofdcviccs: D Addrcss.bl. E convcfltional E Coact E Trmsmincr EN/A
5.2.4 Spri.tLr w.t rllo,I).t..ton Number ofwalcr{low dctcctors: 0
Typc ofdcviccs: E Addrcslablc ! Convcntional E codcd E Transmittcr EN/A
5.2.5 Altr'r V.rilic.tion Numbcr ofdcvices subjcct to alann vcrificationi
Alarm v€rilication on this systcm is: D Enabl.d I Disablcd E Sctfor scconds
(loes)
Copy.ghr C 2009 N.h.l Fr. Pror.ds Allooxon Tnl. b.n m.y b. @p.d b rnNdr.l ue otrf rh6lq r..& ll m.y nol b. cAld rd co.nm...d t.h 6 drlnh,fn
6. SupoNl.ory Slgnll.lnltrtng D.yic.s rnd Clrcuitl
6.1 Sp.irllcr SFt r Numb€. ofvalvc supcrvisory switchcs: 0
Typc ofdcviccs: E Addressablc I Convcnlional E Cod.d E Transrniner EN/A
6.2 Firc Punp
Typc offirc pump: ! Electric I Dicscl
Typc oflirc pump srp.rvisory dcviccs: E Addrcsesble E CoDvcrtifirl Q Coded Q Transmind E N/A
Firc Pump Functions Supcrviscd
! Firc pump powcr E Fi.c pump running I Firc pump phasc rcvcrsal O Sclcctor $vitch not in aulo
E Engin. or control pancl troublc D Low fuel
Othcr: N/A
53 Er8itrc.Driv.! Gcrcnlor
Typc ofgcacrator supcrviso.y dcvic.s: E Addrassablc E Convcntiooal E Codcd E Transmittcr EN/A
! Engine or control panel trouble O Gcocraroi running 0 sclcctor switch not in auto ! Low fucl
Othcr:
7. AnnunclrtoE
7.1 Arouochtor I E Local E Rcmotc
Typc: o Addreisablc E Dircctory E Graphic EN/A Location:
7.2 Artru[chto.2 E Local E R€mote
Typc: o Addrcssablc E Di,cctory E Graphic E N/A Locaiioo:
7J Ar[urci.ao] 3 E Local E Rcmote
Typc: o Addrcssablc E Dircctory O Graphic E NiA Locrrion:
8. Al..m Nodficrtion O.vic.. .nd Clrcult
E.l En.rg.ncy Voica AlrrD Sarvic.
Numbcr ofsinglc voic. alam channels: 0 Numbcr ofmultiple voic€ darm charncls:
Numbcr of spcakcrs: Numbcr of spcakq zoncs:
t.2 Tclcplorc J.clt
Nutrbcr of t€lcphonc jrks installcd: 0 Numbcr of tclcphoo. handsets storcd on sitci
Typc of tclcphonr rystcm installcd: E Elcctrically pow.Gd E sound pow.rcd E N/A
tJ No.voicr Ardibl. Syrtcf,l
Charoct.ristics ofnotificalion deeice circuirt connected to this tystem (tee NFPA 72', Toble 6.5):
Quantit,: 0 Stylc: Class:
(s*s)
Coprilni O 2OO9i|.r..d Fr. Prot.ct6 Ars,r6 ThB ldh nry b. cerd lq r6Mds.l16. otr. t''l td l..& t mry nd D. c.F.l lb. @rEod.& o dth!is
8.4 Typ6 rrd QurrtitlB of Noovoic. NoliricrtioD Appli.rc.t In .lLd
Bclls: With visual device: Homs: with visualdevice:
Chimrs: With visual dcviccr Bclls: With visualdcvicel
Visual deviccs without audiblc d.viccs: Othcr (dcscrib<): N/A
9. EmargEncy Control FuncUom Actiyebd
E Hold.open door rclc8sang dcrices ! Smokc managcrncnt o. smoke con[ol
E Door unlockiog ! Elcvator rccall E Otlr.t
IO.Syrt m Pou.r 9updy
l0.l PriE.ry Powc.
Nominal vollatc: 16 sVAC Alnps: ,aoVA
Ovcrcu,rcnt protcction: Typc: Amps:
Localion (of primar)' supply panclboard):
Disconnecting m6ns location:
l0l Sacond.ry Por.r
Localion: M.n P.n.l Type' Nominal voltagc: Cuncnt tatingl
Number ofg.ndby banerics: 1 Amp hour .atilg: 7AH
Location of amcrgcncy gcncrator:
Location of fucl storagc:
Calculatcd cagacity of secondary power to drivr the systcm
ln standby modc: ln alarm mode:
11. Rocord of Sy.bm lmtllLuon
Fill out after all instollalion ts complele and wiring has been checked lor operc. shorts, ground faults, and inproper
branching, but belore conducting operol,onol acceptance tetb.
Thc systcm h&s becn installed in acco.da[cc with thc following NFPA slandards: (Notc any or all thaf spply.)
E NFPA 7z^ A NFP.4 701. AAictc 7@
I Manufacturcr's publishcd instructions E Othcr (plcas. spcci$):
System dcvi8tions from rcfercnced NFPA standards:
ste]nd,lfilhJl&*, hintcd namc: tMttiam Fatton Dare: ot2e26
Organi2alion: Cap! Cod Al8nn, Co. Titlc: Salcs / lnslallMgl Phonc: 50&3964316
lnc
C@r.{ht O 2009 Ndm.r Fr. Pror.do.r Arloo.ie Th. lm m.y b. coC.d lo. fttr(tu.r ur. otlr
'1m
Lr r.t l. lt n.y nol b! cop.d rd @hhtc[r t r. c Olrtl/lo
12. Rccord ol Sy.bm Op.ndon
All op€ralional features and funaions of fris slstcm l,crc lcsted by or in lhc prcscncc ofhc signcr shown bclow. on thc datc
shown bclow, snd wsr€ found to be opcr.ting pmpcrly in .cco.dancc with the ,cquircments of:
8 NFPA 72. O NFPA ?0r. Anicta 160
! Manufactura's publish€d instructions E Other (pleas€ speciry):
! Documentation in accordancc with lnspcction and TcslinS Form (Figure 10.6.2.3 of FPi{ 72r) is snachcd
Signcd: Printcd name: Jim @8ay Date: 0$27'26
OrSanizarion: cape cod Al.m, Co Title: T.chnidan Phorrc: 1-50&3986316
lnc.
13. Ccrtlicltlonr .nd App?ov.l.
It.l Syrtcn lnd.ll.ai,on Cortrrctor
This systcm as spccified hcrcin has bc installcd and tcstcd according to all NFPA standardg cited hcrcin.
Signcdr Printcd namc: Date:
Organization: Title: Phone:
13.2 Syltcn Scrvica Conarrclo.
This systcm as srccilicd hcrcin has becn installcd ard tcstcd according to all NFPA standards citcd hcrcin.
sreaa: l)i,br{afh,. Printcd name: lMlli.m Fallon Dare: 0t2926
Organizltion: Cap€ Cod Alerm Co. Title: Sal.s / ln3t ll Mgt Phooc: 50&390-6316
lnc
lf,J C.ntr.lStrtion
This qs€m ss spccifild har.in llill bc monilored sccording to.llNFPA slrndards cited hc,cin.
s;en"a, h)trd&;- Prinred name: wlla.m Fallon Date:
Organization: Cape Cod Ala.m Co. Title: saLs / lnstall Mgr Phone:
0$29-26
50&396.€316
lnc
I J.a Propcrty Rcpr6cotrtivr
I acccpt this systcm as having bccn installcd and tcst€d io its spccifications and all NFPA standards citcd hcrcin.
Signcd: Printcd na,llc: Stcv. irtrb Datci 0$2$26
Organization: Titlc: Prclpiy nprEantdiv! Ptrone: t-508.367-5000
13.5 Arthority H.vir8 Jrrild iclion
I havc wihcsscd a satisfactory acccptancc tc$ ofthis syst.m .nd find il to be installcd ard opcrating propcrly in accordancc
with its apptovcd platls and spccifications, its appmvcd scqucnce ofopcrations, md with all NFPA standads citcd hcrcin.
SiSncd: Printcd name: Datc:
Orgsnization: Tiilcr Phonc:
Coprr{n O 249 Xd l F,. Prol.do ArE.!6r Thr td6 nry 6. cop.d l, rrln.(t'.r u- oor ns l.. r...a n 6ay not b. @.d ld dnGror t b d d.ra!r6