HomeMy WebLinkAboutFP-006 - Permits - 8/8/2019 F
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SYSTEM RECORD OF COMPLETION
Thisjbi-in is to be completed by the,systen)installation contractor at the lime of system acceptance and approval.
D shall be permitted to modrfy ihis or-in as needed to pr•ovitle a more comiVete and oi-clear-twor d.
In serf X/A in all atnused lures.
Attach additional sheets,data,oi•calculations as necessar)f to Provide a conrplete r•ecor d-
Fonn Completion Date: B-16-19 Supplemental Doges Attached: �
1. PROPERTY INFORMATION
Name of property: Merrimack College Deegan Eastl
Address: North Andover,MA
Description of property: Academic Building
Name of property representative, Merrimack College Facilities
Address:
Phone: Fax: E-mail:
2. INSTALLATION,SERVICE,TESTING,AND MONITORING INFORMATION
Installation contractor: Interstate Electric
Address_ 15 Cote Lane Bedford,NH
P11017e: 855-500-4372 Fax: E-mail:
service orgar3izatioit: Johnson Controls
Address: 35 Progress Ave Nashua,ua,NH
Pljolle: 603-88 -1100 Fax: E-mail:
Testing organization: Johnson Controls
Address, 35 Progress Aire Nashua,NH
Phone: 60 -8 6�1100 Fax: E-mail:
Effective date for test and inspection contract:
Monitoring organization: n1a
Address:
Phone; Fax: E-mail-
Account number- Phone,line t: Plione,hoe 2:
Means of transmission: Radio Box
Entity to which alarms care retransmitted: forth Andover Fire Department Phone: 7 - 8 - 168
. DOCUMENTATION
N
on-site location of the required record documents and site-specific software- FACIA
4, DESCRIPTION N OF SYSTEM OR SERVICE
This is a: Ej New system ❑Modification to existing system Ferns t number:
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F A 72 edition: 2012
i 4.1 Control Unit
Manufacturer- Simplex Model number: 41OOE _.....
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4.2 Software and Firmware
4
1 Fin-nware revision number: 4.0 .06
4.3 Alarm Verification This system cues not incorporate alarm verification.
Number of devices subject to alarin verification: Alann verification set for seconds
Copyright 0 2012 National Fire Protection Association.This farm may be copied for Individual use other than for resale.It may not be copied for commer6aI sale or distribution.
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SYSTEM RECORD OF COMPLETION (continued)
5. SYSTEM POWER
S.t Control Unit
.1.1 Primary Poiver
Input voltage of conitol panel: 120 VAC Control panel amps. 20
OverWrrent protection. Type, circuit breaker Amps: 20
Branch eircui#disconnecting means location: 1"l~lr Electric Room umber: 1
5.1.2 Secondary Power
Type of secmndary power: Sealed lead Acid Batteries
Location,if remote from the plant:
Calculated capacity of secondary power to drive the ystet:n:
In standby mode(hours): 24 In alarm mode ininute :
.2 Control Unit
This system does not have power extender pastels
Power extender panels are lasted on supplementary sheet
6. CIRCUITS AND PATHWAY
Pathway-Type Dual Media Pathway Separate Pathway Class Survivability Level
Signaling Line B
Device tower
Initiating Device
Notification Appliance B
{ether specify):
7. REMOTE ANNUNCIATORS
Type Location
n{a
. INITIATING DEVICES
Addressable or
Type Quantity Conventional Alarm or Supervisory Sensing Technology
Manual pill Stations 10 addressable alarm
Smoke Detectors 50 addressable alarm photoelectric
Duct Smoke Detectors 2 addressable alarm photo electric
Heal Detectors I addressable alarm temperature
Gas Detectors 20 addressable supervisory PPM
'4aterflow Switches 5 addressable alarm
Tamper Switches 14 addressable alarm
Copyright Q 2012-National Fire Protection Association.This form may be copied for€ndMdoal use ogler than for resale.3t may not be copied for commerclal sale or distribution.
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SYSTEM RECORD OF COMPLETION (continued)
9, NOTIFICATION APPLIANCES
Type Quantity Description
Audible n/a
Visible n/a
Combination Audible and'risible n/a
10. SYSTEM CONTROL FUNCTIONS
Type Quantity
Hold-Open Door Releasing Devices n/a
FIVAC Shutdown
Fire/Smoke Dampers n/a
Door Unlocking n/a
Elevator Recall
Elevator Shunt Trip n1a
11. INTERCONNECTED SYSTEMS
( This system does not have interconnected systems.
( Interconnected systems are listed on supplementary sheet
' , CERTIFICATION AND APPROVALS
12.1 ystem Installation Cmitractor
This system as specified herein has been installed according to all I FPA standards cited herein.
Signed: Printed name: Date:
Organization- Title: Phone-
12.2 System Operatiomal Test
This system as specified herein has tested according to all NFPA standards cited hereixt,
Signed: Printed name., Greg Wood Date: 8-16-1
Or anizatioll: Jo son eontrols Title: Technical Representative Phone: 6 -88 -11 9
12.3 Acceptance'Test
Dale and time of acceptance test: 8-15-19 2pm
Installing contractor representative;
Testing contractor representative:
Property representative:
AHJ representative--
capy4ght O 2012 National Fire Protection Association.This form may be copied for individual use attar than for resale,It may not he copied for commercial sale or distribution.
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