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HomeMy WebLinkAbout750 Deming Street - Life Safety System T 6'0 M�� ECEIVE 8 2012 DYNAWARKSECURIrY *Quafity M C 7 CEWERS Alarm Systems BY' Since 1985 P.O. Box 1170 "Notionally Known, Locally Owned& Tolland, CT 06084-1170 LIC #181641 Tel. (860) 872-4050 Fax (860) 875-0493 Church of the Living God* DynamarkCT@comcast.net 199 Deming Street Manchester, CT 06042-1731 Date: 2/16/2012 RE: ANNUAL FIRE ALARM TEST Attached is a copy of the "INSPECTION AND TESTING FORM". This form was completed upon testing the fire system in your building, as required annually. A copy must be kept in a file on the property for a minimum of three [3] years and available if asked for by a building official or fire marshal. "Please see notes on page 72-115.** Michael G Casieri CC: Fire Marshal WO# 1102 Ofessed 6e the Lord my roc( my refuge and my fortress, my strongho(d, my defiverer, my shied in whom I trust. PSALM 144 72-111 INSPECTION TESTING AND MAINTENANCE INSPECTION AND TESTING FORM A. WO#: 1102 DATE: SERVICE ORGANIZATION PROPERTY NAME(USER) NAME: Dynamark Security NAME: Church ofthe Living God* ADDRESS: P.O. Box 1170 Tolland,CT 06084-1170 ADDRESS: 199 Deming Street REPRESENTATIVE: Michael G. Casieri Manchester,CT 06042-1731 LICENSE NO.: 181641 TELEPHONE: (860)648-0520 TELEPHONE: (860)872-4050 CONTACT: Jody Tiffany CHECK HERE IF MAILING ADDRESS IS DIFFERENT❑ MONITORING ENTITY APPROVING AGENCY CONTACT: CMS CONTACT: South Windsor Fire Marshal TELEPHONE: 1-800-432-1429 ADDRESS: 1540 Sullivan Avenue South Windsor,CT 06074 MONITORING ACCOUNT#: FL5001196 TELEPHONE: (860)644-2511 ext.217 TYPE TRANSMISSION SERVICE ❑-McCulloh ❑-Weekly ❑-Multiplex ❑-Monthly ®-Digital ❑-Quarterly ❑-Reverse Priority ❑-Semi-Annually ❑-R F ®-Annually ❑-Other(Specify) ❑-Other(Specify) PANEL MANUFACTURER: Silent Knight MODEL NO.: SK 5208 DATE INSTALLED: 8/14/08 CIRCUIT STYLES: B NO.OF CIRCUITS:20 SOFTWARE REV.:N/A LAST DATE SYSTEM HAD ANY SERVICE PERFORMED: Fire Test 3/11/2011 ALARM INITIATING DEVICES AND CIRCUIT INFORMATION QTY CKT. STYLE 7 B MANUAL STATIONS ION DETECTORS 1 B PHOTO DETECTORS DUCT DETECTORS 1 B HEAT DETECTORS 2 B WATERFLOW SWITCHES 6 B SUPERVISORY SWITCHES OTHER:(SPECIFY) 72-113 INSPECTION TESTING AND MAINTENANCE Prim (Main):Nominal Voltage 120v AC ,Amps: 15 Overcurrent Protection Type Breaker ,Amps:20 Location(Panel Number): Basement LP-2 Disconnecting Means Location: Circuit#39 b. Second (Standb ): Storage Battery#1: Amp-Hr.Rating: VDC: .(v AH: Installed: 02�l "12 Storage Battery#2: Amp-Hr.Rating: VDC: AH: ' Installed: — l " Calculated capacity to operate system,in hours: 24 60 Engine-driven generator-dedicated to fire alarm system: TYPE BATTERY ❑Dry Cell ❑Nickel Cadmium ,®Sealed Lead-Acid ❑Lead-Acid []Other(Specify) c. Emergency or standby system used as a backup to primary power supply,instead of using a secondary power supply: ❑Emergency system described in NFPA 70,Article 700 []Legally required standby described in NFPA 70,Article 701 ❑Optional standby system described in NFPA 70,Article 702,which also meets the performance requirements of Article 700 or 701. PRIOR TO ANY TESTING NOTIFICATIONS ARE MADE: YES LNo I WHO TIME MONITORING ENTITY I I CL Z.-4_SC BUILDING OCCUPANTS ❑ BUILDING MANAGEMENT ❑ ❑ OTHER(SPECIFY) ❑ ❑ AHJ(NOTIFIED)OF ANY IMPAIRMENTS ❑ SYSTEM TESTS AND INSPECTIONS TYPE VISUAL FUNCTIONAL COMMENTS CONTROLPANEL INTERFACE EQ. ❑ LAMPS/LEDS ❑ FUSES ❑ PRIMARY POWER SUPPLY TROUBLE SIGNALS DISCONNECT SWITCHES ❑ ❑ GROUND FAULT MONITORING ❑ ❑ SECONDARY POWER TYPE VISUAL FUNCTIONAL COMMENTS ` BATTERY CONDITION LOAD VOLTAGE DISCHARGE TEST CHARGER TEST ❑ SPECIFIC GRAVITY ❑ 72-114 NATIONAL FIRE ALARM CODE TYPE VISUAL FUNCTIONAL COMMENTS TRANSIENT SUPPRESSIONS ❑ REMOTE ANNUNCIATORS ❑ ❑ NOTIFICATION APPLIANCES AUDIBLE ❑ VISUAL ❑ SPEAKERS ❑ ❑ VOICE CLARITY ❑ INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS LOCATION DEVICE VISUAL FUNCTION FACTORY MEAS. PASS FAIL TYPE CHECK TEST SETTING SETTING ❑ Basement Electrical Room Smoke Detector ❑ Basement Left Exit Door Pull Station Er Basement Exit Door Pull Station [�]' ❑ Basement Door to Stairway Pull Station [+� ©� ❑ Main Level Kitchen Heat Detector ❑ ❑ Main Level Front Door Pull Station ❑ Main Level Door to Stairway Pull Station ❑ Office Level Rear Exit Pull Station ❑ Office Level Door to Stairway Pull Station ❑ ❑ Lj El SPRINKLER SYSTEM: Li ❑ ❑ ❑ ❑ Zone 1 Flow Valve-Wet Zone 1 ❑ Zone 2 Pressure Switch-D Zone 2 El Tamper-Shut Off-Wet Zone 3 Er ❑ Tamper-Shut Off-Dry Zone 4 ❑ Trouble-D Low Pressure Zone 5 ❑ Tamper-Elevator Shaft-Attic Zone 6 ❑ ❑ Tamper-Valve-Elec.Room Rear Zone 7 ❑ ❑ ❑ Tamper-Valve-Elec. Room Over E?" SEENOTEON ❑ ❑ Panel Zone 8 PAGE 72-115 D El ❑ ❑ ❑ ❑ El El El ❑ ❑ ❑ ❑ COMMENTS: VISUAL DEVICE SIMULATED OPERATION OPERATION INTERFACE EQUIPMENT (SPECIFY) ❑ ❑ El (SPECIFY) ❑ ❑ ❑ (SPECIFY) ❑ ❑ ❑ SPECIAL HAZARD SYSTEMS (SPECIFY) ❑ ❑ ❑ (SPECIFY) ❑ ❑ ❑ (SPECIFY) ❑ ❑ ❑ 6 } 72-115 INSPECTION.TESTING.AND MAINTENANCE SPECIAL PROCEDURES/COMMENTS: Note:8/14/08-Two main water shut-off valves are not supervised. There may be 2 more shut-off valves(1 on the main floor & 1 on the 2nd floor). Note:3/11/2011:It is impossible to access zone 8 valve in electrical room. It is above the duct work. ct"S 4-c� ��u ll'� . 12 �lcc✓ S` l e'f 3 ��(c S SiCr`'�l s. ON/OFF PREMISES MONITORING YES NO TIME COMMENTS ALARM SIGNAL ❑ ALARM RESTORAL ❑ TROUBLE SIGNAL ❑ SUPERVISORY SIGNAL ❑ SUPERVISORY RESTORAL ❑ NOTIFICATION THAT THIS YES NO WHO TIME TESTING IS COMPLETE: BUILDING MANAGEMENT ❑ ❑ MONITORING AGENCY ❑ ('wt BUILDING OCCUPANTS ❑ OTHER(SPECIFY) ❑ ❑ THE FOLLOWING DID NOT OPERATE CORRECTLY: SYSTEM RESTORED TO NORMAL OPERATION: DATE TIME G THIS TESTING WAS PERFORMEp IN A COI4ANCE WITH APPLICABLE NFPA STANDARDS. NAME OF INSPECTOR DATE:—/G SIGNATURE: NAME OF OWNER OR REPRESENTATIVE: DATE: � //Z SIGNATURE: