HomeMy WebLinkAboutFire Alarm System Inspection - Inspection - 9 SALEM STREET 12/17/2019 IMPACT FIRE SERVICES, LL
20 HAMP HIRE DRIVE
HUDS N NH 03051
IMPACT : 603.293.7 31
F-.603. 39.20 1
FIR " ".GETFIREPROTECTIOKCOM
FIRE ALARM SYSTEM INSPECTION MASTER ELECTRICIANS#:
Inspected to the state adopted version of NFPA 72 MA-20 23A; NH- 13117 M
OR ORDER##:`I761 26 DATE:1 /17/ 019 03:00 EST C S " l lE ID,-.
BILL T : SHIP T :
TOWN OF NORTH AND OVER-DIVISION OF PUBLIC WORKS S NORTH AND OVER FIRE STATION 2
ATTN:STE E FOSTER FACILITIES DIRECTOR,384 OSGOOD STREET 9 SALEM STREET
NORTH AND OVER MA 01845 NORTHANDOVER MA 01845
Phone:970- - 9 0 X44010 Contact:STEPHEN FOSTER
Email: SFoster@northandoverma.gov Phone: 9 3 3 - 3 0
E ANNUAL ❑ SEMIANNUAL ❑ QUARTERLY ❑ SENSiTiVITY
ARRIVAL TIME: :4p DEPTIE T'IE:3:4p
PASS FAIL
A. PANEL CONFIGURATION:Edwards DS 1303
DETECTION CLASS: CLASS A: ❑ CLASS :
SIGNAL CIRCUIT CLASS: CLASS : ❑ CLASS E: A. L�
PANEL LOCATION:BASEMENT GARAGE
BATTERIES: VOLTAGE NO LOAD:
N/A
D. B. ❑ El
QUANTITY: VOLTAGE LOAD:
D. ANNUNCIATOR TYPE:NIA C. El
REMOTE PANEL TYPE:N/A ❑
TYPE: El El
D. D.
TYPE: .......... ........ El
LTYPE: ❑ ❑
E. PANEL GROUND: TERM: TO: READ: E. ❑
TYPE OF REMOTE ❑ MASTER BOX# X RADIO MASTER SOX##2 -
F. COMMUNICATION DIGITAL COMMUNICATOR: ETHER: F.
G. OFF LINE TIME; 13; REPORTS TO:North Andover FD G.
❑
p i
N LINE TIME: REPORTS T :
SINGLE
O.
PULLS R OF R FIXED SMOKES DST STATION C.
DETECTORS SOLE DETECTORS
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
CITY 2 0 11 0 9 0 - - - - - -
MINI Outside
STROBE MINI HORN Horn/Strobe Speaker/strobe Visual Only Audible Only Beacon
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
CITY - - - - . - -- - - 7 0.........
Page I of 3
IMPACT FIRE SERVICES,ES, LL C
26 HAMPSHII E DRIVE
IMPACT HUDSON NH 03051
. 601293.7531
F .603.589.2051
IRWWW.GETFIREPROTECTION.COM
FIRE ALARM SYSTEM INSPECTION MASTER ELECTRICIAN
Inspected to the state ado ted version of NFPA 72 MA- 942 A; NH- 13117 M
WORK ORDER : 17615269 DATE: 12/1 /2019 : 9 m EST CUSTOMER D:
H. Explanation of Failed Devices:
None
1. The inspector suggests that following necessary improvements. However, these suggestions
are not the result of an engineering survey.ey. 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. 1 Yes ❑ No
12/17/19 THIS IS NOT AN INVOICE
CWTOMER"S SIGNATURE DATE QTY PART#. DESCRIPTION PRICE AMOUNT
CUS R1 PrUN D IAA
12/17119
TfCBMCISIGNATUI& DATE
Michael Rich, Ross Gadsb
TECHNICIAN PRINTED NAME LICENSE
FIBILLING ADDRESS CONFIRMED
Page 2 of
IMPACT FIRE SERVICES, LLC
26 MAMPSHIRE DRIVE
HUDSON NH 03051
IMPACT O:603.253.7537
F : 603.589.2051
ADDITIONAL SERVICE VAWGETFIREPRO7EC710N.COM
FIRE INFOIINSPECTION COMMENTS MASTER ELECTRICIAN#:
DEVICE INSPECTION REPORT MA-20423a; NH- 13117 M
Page 3 of 3
WORK ORDER#: .f76'i5269 DATE: CUSTOMER ID:
12/17/2019 03:OOpm EST
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL
TYPE
Heat ROR BASEMENT GARAGE Alarm ❑✓ ❑
Heat ROR BASEMENT FRONT Alarm Q✓ ❑
Heat ROR BASEMENT REAR Alarm Q
Meat fixed BASEMENT BOILER ROOM Visual �✓ ❑
Heat ROR INSIDE OFFICE Alarm Q✓
Heat ROR INSIDE OFFICE Alarm Q
Heat ROR CAPT ROOM Alarm �✓
Heat Fixed INSIDE BATHROOM Visual Q El
Heat ROR REAR BEDROOM Alarm RI
Heat Fixed INSIDE KITCHEN Visual �✓
Heat ROR MAW LIVING ROOM 70P OF STAIRS Alarm Q
Heat Fixed INSIDE BAY GARAGE Visual ✓�
Heat Fixed INSIDE BAY GARAGE Visual Q
Heat fixed INSIDE BAY GARAGE Visual ❑✓
Heat Fixed INSIDE BAY GARAGE Visual 5?1 El
Heat Fixed INSIDE BAY GARAGE Visual ✓�
Pull BASEMENT BOTTOM OF STAIRS Alarm Q
Pull BAY GARAGE Alarm z El
Heat ROR BASEMENT GYM Alarm ❑✓ ❑
Heat ROR LOCKER ROOM Alarm QLj
Heat ROR MAIN LIVING ROOM Alarm RI El
Heat Fixed INSIDE BAY GARAGE Visual 9 El
El El
El El
El 0
El El
❑ BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME