HomeMy WebLinkAboutFire Alarm System Inspection - Inspection - 12/12/2018 ilford,Lancaster,Nashua,Hudson& TRI STATE FIRE PROTECTION, LLC FIFE ALARM SYSTEM INSPECTION
Newington,NH Remit to: Comm.of Mass.Master Efe kidare##2042 A
Telephone: 3)293-7531 26 Hampshire Drive Page I of
Fax: 3)689-2051 Hudson,NH 03051 Inspected to the state adopted version of N PA 7
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WORK RDE . :1 2 DATE:1 /1 12 1 2; EST CUSTOMER ID:
BILL TO: SHIP T :
DIVISION OF PUBLIC R NORTH AND OVER SENIOR CENTER
ATTN:STEVE FOSTER FACILITIES DIRECTOR,384 OSGOOD STREET 120R MAIN STREET
NORTH TH AND OVER MA 01845 NORTH AND OVER MA 01845
Phone: Contact:STEPHEN FOSTER
Email: SFoster@northandoverma.gov Phone: 7 305-5850 ANNUAL El SEMIANNUAL El QUARTERLY [:1 SENSITIVITY
ARRIVAL TIME;10 0 M DEPARTURE E TIME:10OPm
PASS FAIL
F
PANEL CONFIGURATION4.NOTIFIER
DETECTION CLASS: CLASS A: ❑ CLASS : .,1,,,
SIGNAL. CIRCUIT CLASS: CLASS A: CLASS 13: A. ❑
PAN EL LOCATION:TOWN HALL ENTRANCE
BATTERIES' VOLTAGE N LEAD:
� SEE TOWN HA
B .
QUANTITY: VOLTAGE LOAD. B
2 SEE TOWN HALL
C. ANNUNCIATOR TAPE;N/A ...........
C. Li Li
REMOTE PANEL TYPE:SEE TOWN HALL. ❑ ❑
TYPE'N/A ❑
D. D.TYPE:N/A
TYPE:NIA ❑ ❑
E. PANEL.GROUND: TERM: TO:N/A DEAD'.N/A E. 1:1 El
TYPE F FINE El MASTER SOX## RADIO MASTED SOX
. ElCOMMUNICATION DIGITALCOMMUNICATOR: � THE : � F. ❑ ❑
G. OFF LINE TIME: 1 3 AM/I OOPM REPORTS TS TO:NORTH AND OVER G.
N LINE TIME: REPORTS ITS TO:
❑ ❑
ow
DUCT SINGLE C.O.
PILLS ROFR FIXED SMOKES DETECTORS S SMOKE STATION DETECTORS
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL
CITY 6 .. 7 - R 13 2 5 5 - - - -
# tide
STROBE MINI HORN Horn/Strobe Speakedstrobe Visual Only Audible Only
Beacon
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL. TEST FAIL TEST FAIL.
TY .. _ ,. .. 8 8 _ _ 5 5
Gifford,Lancaster,Nashua,Hudson& TRI, STATE FIRE PROTECTION, LLC FIRE ALARM SYSTEM INSPECTION
Newington, NH Remit to: Commi.of Mass.Master Etectrician,�#,20423A,
Telephone,: (603)293-7531 26 Hampshire Drive Page 2 of 4
Fax - 51(61,031),58920
www.,getf'ireprotect,ion.com Hudson,NH 03051 Inspected to the state adolpted version of NFPA 72
WORK ORDER #:, 15488257' D AT Ems 12/1,2/2 0 18 02:30 P m EST CUSTOMER IM,
i
H., Explanatilon, of Faded, Devices:
SMOKE IN HALL TO FIRST FLOOR LOUNGE PAINTED AND DEEDS TO BE REPLACED. SMOKE, HALL BY PUBLIC HEALTH NURSE
HAS BROKEN BASE AND,NEEDS TO BE REPLACED,. PULL STATION TOP OF 2ND FLOOR STAIRS HAS, FAULTY MECHANISM AND
NEEDS TO BE REPLACED., DUCT SMOK'E OU TTSIDE SUPPOR SERVICE G.S NOT WORKIN DUCT'SMOKE IN DIRECTORS AREA,
NOT WORKING AND NEEDS,TO BE REEL CED. DUCT SMOKE IN WIOMEN'S ROOM NOTWORKINN AND NEEDS TO,BE
REPLACE.D. DUCT SMOKE HALL OUTSIDE SUPPORT SERVICES NOT WORKING. DUCT SMOKE INSIDE KITCHEN ELECTRIC
ROOM NOT WORKING AND NEEDS TO BE REPLACED. DUCT SM0KES IN SMALL,HALL,NOT WORKING. HORN/STROBES ARE
ERRATIC AND NEED TO HAVE TROUBLESHOOTING. HEAT DETECTOR LOCAYED BETWEEN TOWN, HALL,AND SENOIR CENTER 1%1
Nn'T TIFn iN Nppn.q,T'Rni JR1 FRHnnTINO
1. Theinspector suggests that following necessary improvements,. However,, these suggestions
are not, the result of an enigineering survey. These are recommendations based on current code.
RECOMMEND ADDITIONAL SMOKE DETECTORS THRU OUT BUILDING. RECOMMENDTHAT ALL OLD HOI i/STROBE DEVICES
BE REPLACED.
J. Adjustments or corrections made:
N/A
K. Inspection and suggested improvements wer is cussed with the undersigned Owner or
Owner's Representative, Yes, N o
r)X01 L 12-12-18 THIS IS NOT AN INVOICE
cus, � S SidNATURE DATE QTY PAW'r# DESCRIP'rION PRICE AMOUNT
CUSTONIERIS PRINTMNAINIE
-12-18 .............
12
A I
TECHNICI 'I R�E DATE
Tom Is 10383-D
TECHNICIAN PRINTED NAAIE, LICE NSE#
BILLING ADDRESS CONFIRMED
Gifford,Lancaster,Nashua, Hudson& TRI STATE FIRE PROTECTION, LLC ADDITIONAL AL SERVICE
Newington,NH Remit to: INFO/INSPECTION COMMENTS
Fax:(60 58 � '� Hmpir Dave Comm.of Mays.Master El ��iian#� 0�# A
tfrpr�tct�on. rr� Hudson, H� �
,
Page
DEVICE INSPECTION REPO
WORK ORDER : '15 8825 DATE: 12112/2018 2:80pm EST CUSTOMER ID:
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS SAIL WA*
TYPE
Pull station Door to town hall 2M001 � ❑ ❑
Smoke Foyer to town hall 2M001 Z ❑ El
Smoke Hall to I st fl lounge 2M001 Painted El RI 1:1
Smoke 1 st fl lounge 2M001 ❑ ❑
Heat For Electric room off lounge 2M001
Smoke I st fl lull outside outreach office 2M001
Heat for Inside support services 2M001 ❑
Duet 1st ll outside support services 2M001 El Z 1:1
Smoke Full outside meeting room 2M001 ...!
Smoke Hall by public health nurse 2M001 Broken base ❑ ❑
Smoke 1 st fl lobby 2M001
Smoke Front entrance 2ll01 ❑ ❑
Pull station Front entry 2Moo3
Pull station Large dining room 2Moo8 z ❑ 1:1
Smoke Small dining rm 2M01 R1 ❑ ❑
Smoke Small dining room 2M001 � ❑
Pull station Kitchen exit 2Moo8
Heat for Kitchen 2M001 I
Heat lr Store lam off small dining room 21v1801 I I
Heat Ror 1st f1 mens room 2M001 ❑ ❑
Heat l or Storage room next to mens room 21M '1 ❑ ❑
Pull station grid fl top of stairs 2M001 FAULTY MECHANISM Imo ❑ �I
Smoke Top of stairs 2M001
Smoke 2nd floor lull 2M001 R! ❑ 11
Smoke Directors office area 2M001 El
El El El
*These devices were not due for testing on this test cycle.All devices are tested annually,
❑ BILLING ADDRESS CONFIRMED
CUSTOMER'S'S SIGNATURE ATURE- DATE TECHNICIAN'S SIGNATURE E-DATE
CUSTOMER'S PRINTED NAME
Gifford,Lancaster,Nashua,Hudson& TRI STATE FIRE PROTECTION, L. C ADDITIONAL SERVICE
owin ten,NH Remit to: INFO/INSPECTION COMMENTS
IEI TS
Telephone: 603)293-7531 26 Hampshire Drive
Fax: � - � � Comm,of I .Master Electrician f} �1
www. etfirprotetlen. o l�ut� �n, � o 'l Pe of
DEVICE INSPECTION REPORT
WORK ORDER#: 15488257 DATE: 12/12/ 01 2: oprn EST CUSTOMER ID;
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL. N/A*
TYPE
Duct Directors office area 'I Not workingEl R1 El
Meat ROR Entrance from torn hall to directors office area Not tied in El I�'I 1-1
Pall station Large dining room by pool table 2M003 R1 ❑ ❑
Duct Women'Women's roorn ? Not working 1:1 R] 1:1
Duct Hall outside support services Not working 1:1 RI
0—
Duct Electric room nett to Kitchen Not working ❑ ❑
Duct Small hall Not working1:1 RI E
Duct Small hall Not working ❑ Z El
❑ ❑ ❑
❑ ❑ ❑
El 1 ❑ ❑
❑ ❑ ❑
❑ ❑ ❑
El ❑ ❑
❑ ❑ ❑
El El ❑
El ❑ ❑
El ❑ D
❑ D D
❑ ❑ ❑
❑ ❑ ❑
El ❑ ❑
❑ ❑ El
*These devices were not due for testing on this test cycle.All devices are tested annually.
_ ❑ BILLING ADDRESS CONFIRMED
CIJST I ER'S SIGNATURE-DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
ilferd,Lancaster, Nashua,Hodson& T I STATE FIRE PROTECTION, LLC FIRE ALARM SYSTEM INSPECTION
Newington,NH I er it to: Comm.of Mass.Faster Electrician#20423A
Telephone:ene; - 26 Hampshire Drive Page 1 of
Fax: 03)589-2051 Hudson,NH 03051 Inspected to the state adopted version of NFPA 72
www. etfireprete tion. om
WORK ORDER#:15488257 DATE: 12112/2 1 02: pr EST CUSTOMER ID:
BILL T : SHIP T :
DIVISION of PUBLIC WORKS NORTH ANDOVER SENIOR CENTER
ATTIC:STEVE FOSTER FACILITIES DIRECTOR,384 OSGOOD STREET 120R MAIN STREET
NORTH AI DOVER MA 01845NORTH AI ID VEF01845
Phone: Contact:STEPHE ! FOSTER
Email: SFoster@northandoverma.gov Phone: 7305-5850
ID AI ANNUAL SEMIANNUAL ❑ (QUARTERLY SENSITIVITY
ARRIVAL TIME:10 o M DEPARTURE TIME:1100pm
PASS FAIL
A. PANEL CONFIGURATION'NOTIFIER
DETECTION CLASS: CLASS A: CLASS :
SIGNAL CIRCUIT CLASS: CLASS A: E:1 CLASS E: A. D
PANEL LOCATION:TOWN HALL ENTRANCE
E
BATTERIES: VOLTAGE ! LEAD:
�21AH SEE TOWN HA
B. QUANTITY:lTITY: VOLTAGE LOAD: B. El 11
2 SEE TOWN HALL
C. ANNUNCIATOR TYPE:N/A_ C. El
REMOTE PANEL TYPE:SEE TOWN FALL El 11
TYPE:N/
D. TYPE: / D.
TYPE:# A
E. PANEL GROUND:D: TERM: T :N/A READ:N/A E. El El
TYPE OF REMOTE MASTER BOX# RADIO MASTER BOA �....�...
F. F.
COMMUNICATION ATIO DIGITAL COMMUNICATOR: OTHER:
G. OFF LINE TIME:10 30AM/1 OOPM REPORTS TO:NORTH A lD VER G.
El 11
ON LINE TIME: REPORTS To,
DUCT STATION
�a *
PULLS R F FIXED SMOKES DETECTORS STATI #SMOKE DETECTORS
TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST I FAIL
CITY 6 _ .. - 13 2 5 5
MINI MINI HORN Horn/Strobe ever/strobe Visual Only Audible Only Outside
STROBE Beacon
TEST-: FAIL TEST FAIL TEST FAIL TEST FAIL TEST FAIL TEST F I L TEST FAIL
(.311ford,Lancaster,Nashua,Hudson&
TR,I STATE FIRE PROTECTION, LLC FIRE ALARM SYSTEM INSPECTION
Newington, NH, Remit to: Comm.of Mass.Master Electrician 920423A
Telephone:(603)293-7531 26 Hampshire Drive Page, 2 of 4
Fax:(603)589-2051 Hudson,NI 1 Inspected to the state adopted version of NFPA 72
NAINM.getfireprotection.coni
WORK ORDE'R #: 15488257 DATE,: 12/12/2018 02,30pm, EST SUSTOMER ID,,,,.
H. Explanation of Failed Devices:
SMOKE INI HALL TO FIRST FLOOR LOUNGE PAINTED AND,NEEDS TO BE REPLACED.SMOKE HALL BY PUBLIC HEALTH NURSE
HAS BROKEN BASE AND NEEDS TO BE REPLACED. PULL STATION TOP OF 2N:D FLOOR STAIRS HAS FAULTY MECHANISM AND,
NEEDS TO BE REPLACED. DUCT SMOKE OUTSIDE SUPPORT SERVICES, NOT WORKING. DUCT SMOKE IN DIRECTORS AREA
NOT WORKING., DUCTSMOXE IN WOMEN'S ROOM NOT WORKING. . DUCT SMOKE HALL OUTSIDE SU�PPORT SERVICES NOT
WORKING. DUCT SMOKE INSIDE KITCHEN ELECTRIC ROOM NOT WORKING. DUCT SMOKES IN SMALL HALL NOT WORKING.
HORN/STROBES ARE ERRATIC AND NEED TO HAVETROUBLESHOOTING. HEAT DETECTOR LOCATED BETWEEN TOWN HALL
AND SENIOR CENTER IS NOT TIED IN., NEEDS,TROUBLESHOOTING,.,
I. The inspector suggests that following necessary improvements, However, these suggestiff"lons
are not the result of an engineering survey:, These are recommendations based on current code.
RECOMMENDADDTIONAL SMOKE DETECTORSTHRU OUT IILI ING. RECOMMEND THAT ALL OLD HORN/STRrOBE DEVICES
BE REPLACED.
J. Adjustments or corrections made:
N/A
K. Inspection and suggested improvements were discussed with the undersigned Owner or
Owner's Representative. I* Yes [J h!o
1 -1 21-18 THIS IS NOT AN INVOICE
SSI XREs"(0m , 7ATURE D VIT Ql"Y PAM"# DESCRIPTION PRICE AMOUNT
II
CUSTUNI.ERIS PRINTED NAME
12-12-18
TECIENNICIA. 'I �RE DATE
Tom Rys 10383-D
'TECHNICIAN PRINTED NAME LICENSE
BILLING ADDRESS CONFIRMED
Gifford,Lancaster, Naha., , Hudson& TI STATE FIFE PROTECTION, LLC ADDITIONAL SERVICE
Nowington,NH Remit to; INFO/INSPECTION COMMENTS
( o )2 3-7 3'1 2 Hampshire Drive
Fax: 03 -20 P Hudson, Comm.o mass.Master Electrician#20423A
www.getfireprotection.com NH o � Page 3 of
DEVICE INSPECTION REPORT
...............
WORK ORDER : 15488257 DATE: 12/12/2018 02:30prn EST CUSTOMER ID:
DEVICE MODEL LOCATION ZONE NOTES/COMMENTS: PASS FAIL WA*
TYPE
Pull station Door to town hall 2M001 I'I E ❑
Smoke Foyer to town hall 2M001
Smoke Hall to 1 st fl lounge 2M001 Painted ❑ ❑
Smoke 1 st fl lounge 2101 1 ❑ ❑
Heat Ror Electric room off lounge 2M001
❑ ❑
Smoke I st fl lull outside outreach office 2M001
01 ❑ ❑
Heat Ror Inside support services 2ll001 ❑ ❑
Duct 1 st fl outside support services 2M001 ❑ ❑
Smoke Hall outside meeting room 2M001 R El El
Smoke Hall by public health nurse 2M001 Broken base D z ❑
Smoke 1 st fl lobby 2M001 L—I ❑
Smoke Front entrance 2M001 ❑ ❑
Pull station Front entry 2M003
Pull station Large dining room 2M003 ❑ ❑
Smoke Small dining rm 2M001 L".t �1 ❑
Smoke Small dining room 2l00 I*'I ❑ ❑
Pull station Kitchen exit 2M003 L J ❑ ❑
Heat lr Kitchen 2M001 ❑ El
Heat Igor More lam off small dining roorn 2M001
o1
Heat for 1st fl mens room 2l001 E El D
Heat for Storage room next to mens room 2M00 I I ❑ ❑
Pull station 2nd fl top of stairs 2M001 FAULTY MECHANISM ❑ El .
Smoke a Top of stairs 2M001 I'`I El ❑
Smoke 2nd floor hall 2M001 ❑ ❑
Smoke Directors office area 2M0019 El El
El El El
.....................................
*These devices were not due for testing on this test cycle.All devices are tested annually.
BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE- DATE TECHNICIAN'S IDIAN'S SIGNATURE-DATE
CUSTOMER'S PRINTED NAME
Gifford,Lancaster*Nashua,Hudson& TRI STATE FIRE PROTECTION, LLC ADDITIONAL SERVICE
.Newington, NH Remit to: INFO/INSPECTION INFO/INSPECTION COMMENTS
,:Telephone: 3 - 1 26 Hampshire Drier
Fax:(603) '� � Comm.of a Master ElecI�idarx A
www. etrirepretetien. er�-� Hudson, H � �
Page 4 of
DEVICE INSPECTION REPORT
WORK ORDER : � � DATE* �� � '� :3pr �� ` STI�IEFt ID:
DEVICE E MODEL LOCATION ZONE NOTES/COMMENTS: PASS PAID A
TYPE
Duct Directors office area Not working ❑ � ❑
Heat ROR Entrance from town ball to directors office area Not tied in El z ❑
Pell station Large dining room her pool table 2I I003 RI El El
Dust 1 orner's reet n Not workin ❑ � ❑ :.
Duct Hall outside support services Not working ❑ � ❑
Duct Electric room next to kitchen Net working El RI t—I
Duet Small hall Not working ❑ I'� ❑
Duct Small ball Net working
❑
El El El
El El El
El El El
El El El
El El El
El El El
El El El
El El El
El El El
El El El
El El El
El El El :
El El El :
El EJ El
El El El
---------------------- El ❑ ❑ 1
*These devices were not due for testing on this test cycle.All devices are tested annually.
F-1 BILLING ADDRESS CONFIRMED
CUSTOMER'S SIGNATURE- DATE TECHNICIAN'S SIGNATURE-DATE
CUSTOMER'S EF ' PRINTED ITED NAME