HomeMy WebLinkAboutFire Alarm System Inspection - Inspection - 384 OSGOOD STREET 12/16/2019 IMPACT FIRE SERVICES, LLC
=' 0 HAIPSHIE DRIVE
5
HUDS N NH 03051
0
•603.293.7631
IMPA T F : 603.589.2051
FIRE V"M.GETFIREPROTECTION.COM
FIDE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN#:
Inspected to the state adopted version of NFPA 72 NSA-2 23A; NH- 13117 M
WORK ORDER M 17 1 23 DATE:121 /2019 1 :00am EST CUSTOMER ID:
BILL TO: SHIP TO:
TOWN OF NORTH AND V F -DIVISION OF PUBLIC WORKS NORTH TH AND OVER DEPARTMENT OF PUBLIC WORKS
ATTN:STEVE FOSTER FACILITIES DIRECTOR,34 OSGOOD STREET 384 OSGOOD STREET
NORTH AND OVER MA 01845 NORTH TH AND OVER 1A 01845
Phone: 97" 688-9516 Contact:STEPHEN FOSTER
Email: SF ster@nertharndoverm . Phone: 07 )305-5850
ANNUAL � SEMIANNUAL QUARTERLY TERLY SENSITIVITY
ARRIVAL IVAL TIME:9:50am DEPARTURE TIME:1: p :.
PASS FAIL
A. PANEL CON F I G U RATI N:Firelite 11 S 2 OUDLS
DETECTION .ASS: CLASS A: 0 CLASS B: ❑
SIGNAL CIRCUIT CLASS: CLASS A: CLASS B: A. �
PANEL LOCATION:Electric/Sprinkler Room
m
BATTERIES: VOLTAGE NO LOAD:
12V 1 201
B. QUANTITY: VOLTAGE LOAD: 1 00% B. El
C. ANNUNCIATOR TYPE:Firellte Aran- 0 C. Li
REMOTE PANEL TYPE:Booster Panel Garage Stair by Office 2 12 7Ah Batteries 201 10 % z EJ
TYPE: D. ElD# El
........ ....
TYPE: .
TYPE:
E. PANEL GROUND: TERM: TO: DEAD: E. � [�
F.
TYPE OF REMOTE MASTER BOX# RADIO MASTER BOX#222
C F. ❑
COMMUNICATION El DIGITAL UNICAT � THEF :
G, OFF LINE TIME:9: am/ 1.20 1 REPORTS TO:North Andover F G. ET
ON LINE TIME: DEPORTS TO:
DUCT SINGLE C.O.
PULLS ROFR FIXED SMOKES ES DETECTORS STATION DETECTORS
SMOKE
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
TY 9 0 24 0 28 0 10 0
MINI Outside
STROBE MINI HORN Horan/Strobe Speaker/strobe Visual Only Audible Only Beacon
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
TY 'I 0 0 6 1 0 1 0
Page 1 of 5
IMPACT FIRE SERVICES, LL
26 HAI PSH I RE DRIVE
}{ _ I M PA C T 0 :HUD SON ICI 03051
3.293. 31
F : 603.589.2051
IRV"".GETFIREPROTECTION.COM
FIRE ALARM SYSTEM INSPECTION 1 MASTER ELECTRICIAN#fit
Inspected to the state adopted version of NFPA 72 MA-29423A; NH- 13117 M
WORK ORDER #s 17615235 DATE: 12/16/2019 10-.00am EST CUSTOMER ID:
H. Explanation Failed Devices:
None
1. The inspector suggests that following necessary improvements, However, these suggestions
are not the result of an engineering survey. These are recommendations based on current code.
None
J. Adjustments or corrections made;
None
K. Inspection and suggested improvements were discussed with the undersigned Owner or
Owner's Representative,, FO-1 Yes No
01
12116/19 THIS IS NOT AN INVOICE
0WOATER'S SIGNATUREDATE QTY PART# DESCRIPTION PRICE AMOUNT
JS"I' ERI PRE
2/ 6119
VoPf CIANWNA DATE
Io1 Rich, Res Gadsby
TECHNICIAN PRINTED NAM TICEENS # ..............
BILLING ADDRESS CONFIRMED
Page 2 of
IMPACT SIRE SERVICES, LLC
26 HAMPSHIRE DRIVE
MUDSON NH 03051
IMPACT O:603.293.7531
F:603.589.2051
FIR ADDITIONAL SERVICE �WGE7FIREpROT CTION.COM
FJ INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A;NH-13117 M
Page 3 of 5
WORK ORDER#: 17615235 SAT ' '{2/96/2Q19 10:00am EST
CUSTOMER ID:
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
Smoke 2ND FLOOR STAIR 2 LANDING 117001 Q El
Pull 2ND FLOOR STAIR 2 1 M002 Q
Smoke 2ND FLOOR}TALL BY STAIR I DQ12 �✓
Smoke 2ND FLOOR HALL BY BATHROOM 7D013 �✓
Smoke 2ND FLOOR HALL BY BATH 1 D006 �✓
Pull 2ND FLOOR STAIR 1 1 M003 Q
Smoke 2ND FLOOR STAIR 1 LANDING 1 D014 ----------------------------
�✓ Li
Pul[ 2ND FLOOR FtEAER EXIT BY CATWALK 1M012 RI El
Pull VESTIBULE 1M410 Q
Smoke HALL BY WOMENS ROOM 1 D091 Q
Smoke HALL BY MANAGERS OFFICE 1 D002
Pull STAIR 2 EXIT 1M401 QLi
Smoke NEAR FACP 1 DO'f 9 RI El
Smoke 2ND FLOOR OLD GARAGE TOP OF STAIRS 1 M030 Q
Heat ROR 2ND FLOOR OLD GARAGE OFFICE 1 M030 Q✓ 11
Neat ROR 2ND FLOOR OLD GARAGE OFFICE 1 M030 �✓
Heat ROR 2ND FLOOR OLD GARAGE OFFICE STORAGE 1 M030 �✓
Heat ROR 2ND FLOOR OLD GARAGE WOMENS ROOM 1M030 �✓
Smoke 2N1]FLOOR OLD GARAGE O/S WATER OFFICE 1 M030 �✓
Heat ROR '.ND FLOOR OLD GARAGE BY ENGINEERS OFFICE 9M030 z El
Heat ROR FLOOR OLD GARAGE INSIDE FILE STORAGE CLC 'iM03fl Q✓
Heat ROR 2ND FLOOR OLD GARAGE WTAER DEPT 1M030 z El
Heat ROR 2ND FLOOR OLD GARAGE BLUEPRINT RM '(M030 �✓
Heat ROR 2ND FLOOR OLD GARAGE RECORDS RM 1M030 Q
Heat ROR VEHICLE PARTS STORAGE 1M032 Q
Heat ROR VEHICLE FARTS STORAGE 1 M032 Q
F-1 BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES, LLC
26 HAMPSHIRE DRIVE
HUDSON N�1 03051
IMPACT 0: 603.293.7531
F: 603.589.2051
ADDITIONAL SERVICE "f% WGETFIREPROTECTION.COM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A; NH- 13117 M
Page 4 of 5
WORK ORDER#: 17615235 DATE' CUSTOMER[D:
12/16/2d19 10:OOam EST
DEVICE MODEI. LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
Meat ROR VEHICLE PARTS STORAGE 1 M032
Pull EXIT BY RADIO MASTER BOX 1 M032
Heat ROR 1ST FLOOR OFFICE OLD GARAGE 1MQ31 Q ❑
Neat ROR 1ST FLOOR OFFICE OLD GARAGE 1M031 �✓ El
Heat Fixed VEHICLE PARTS STORAGE 1 M032 Visual �✓
Heat Fixed SHOWER ROOM 1 M031 Visual �✓ El
Heat ROR 1ST FLOOR OLD GARAGE MENS ROOM 1 M031 ❑d
Heat ROR OLD GARAGE STORAGE BY MENS ROOM 1M031 Q
Heat ROR OLIO GARAGE STORAGE BY SHOWER ROOM 'IM031 Q
Pull OLD GARAGE HALLWAY TO NEW BUILDING 1M031 v
Heat Fixed Ol.p GARAGE HALLWAY TO NEW BUEI.DING 1M031 Visual Q✓
Heat ROR OLD GARAGE 1S7 FLOOR BREAK ROOM 1M031 Z El
Heat ROR 1ST FLOOR TREE DEPTSTORAGE 1 M032 �✓
Heat Fixed BAY 1 1 M032 Visual ❑✓
Heat Fixed BAY 1 1M(}32 Visual �✓
Full BAY 2 1M032 ❑✓
Heat Fixed BAY 2 1M032 Visual Q
Heat RJR BAY 2 STORAGE 1 M032 Q El
Heat Fixed BAY 3 1 M032 Visual Q
Heat Fixed BAY 3 1 M032 Visual Q
Heat ROR BAY 3 STORAGE 1M032 �✓
Heat Fixed BAY 1M032 Visual ❑✓
Heat Fixed BAY 4 1 M032 Visual Q✓
Heat ROR VEHICLE REPAIR BAY 1M032 Q ❑
Heat ROR VEHICLE REPAIR BAY 1M032 5?1 El
Heat Fixed VEHICLE REPAIR STORAGE 1M032 Visual �✓ Li
BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
T CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES, LLC
26 HAMPSHIRE DRIVE
r, HUbSON NH 03051
IMPACT O: 603.253.7531
F: 603.589.2051
ADDITIONAL SERVICE VAWGETFIREPROTECTION.COM
FIRE INFO/INSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A; NH- 13197 M
Page 5 of 5
WORK ORDER#: 178'{5235 DATE' 12/16/2019'f O:OOam EST CUSTOMER ID:
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS SAIL
TYPE
Heat Fixed VEHICLE REPAIR STORAGE 1M032 Visual Z El
Heat ROR VEHICLE REPAIR STORAGE RESTROOM 1 M032 Z El
Heat Fixed BAY 7 1 M033 Visual Li
Heat Fixed BAY 7 1M033 Visual ❑✓
Heat Fixed BAY 7 1M033 Visual �✓
El -
Heat fixed BAY 8 `1 M033 Visual Z
El -
Heat Fixed BAY 8 1 M033 Visual Q
Heat fixed BAY 8 1 M033 Visual Z EJ
Heat Fixed BAY 9 1 M033 Visual Z El
Heat Fixed BAY 9 1M033 Visual Q
Heat Fixed BAY 9 1M033 Visual Q
Heat Fixed BAY 90 1M033 Visual �✓
Heat Fixed BAY 10 1 M033 Visual Q
Heat Fixed BAY 10 1 M033 Visual RI El
Heat Fixed BAY 11 1 M033 Visual Q El -.
Heat Fixed BAY 11 1M033 Visual �✓
Heat Fixed BAY 11 1M033 Visual
❑ El
Pull EXIT BY SAY 7 1M033 z El
Heat Fixed Bay 1M032 Visual Z El
El El
El LJ
El El
El L]
El El
El Ei
El El
E] BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
IMPACT FIRE SERVICES,LE.0
26 HAMPSMIRE DRIVE
� HUDSON NH 03051
IMPACT O:6(33.293.7531
F:603.589.2051
ADDITIONAL SERVICE VAVWGETFIftEPROTECTI4N.COM
FIRE INFOlINSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423A; NH- 13117 M
Page of
WORK ORDER#: 17615235 DATE` CUSTOMER ID:
12/16/2{119 10:OOarn EST
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS.- PASS FAIL
TYPE
El El
El El
El El
El El
El El
El El
El El
El LJ -
El LJ
El El -
El El -
Ei El -
El El
El El
El El
0 El
El El
El El
El El
El El
El El
................
El El
El El
El El
El El
El El
E] BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME