HomeMy WebLinkAbout27 Spielman Road - Life Safety System Te (2) SECURIff *Quality
DMANARK
MEMO
IF CENMRS Alarm Systems
Since 1985 P.O. Box 1170
'Owned
610007--Noo�
0 1
0 A ARK
JVS
"Notionally Known, Locall " Tolland, CT 06084-1170
LIC #181641 Tel. (860) 872-4050
Fax (860) 875-0493
Rising Stars Child Care DynamarkCT@comcast.net
27 Spielman Road
South Windsor, CT 06074 Date: 10/31/2012
I-
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.
Michael G Casieri
CC: Fire Marshal
WO# 0296
Ofessed 6e the Lord my rock my refuge and my fortress,
my stronghofd, my deliverer, my shieffin whom I trust.
PSALM 144
INSPECTION AND TESTING
WO#: 0296 DATE t®Grl
SERVICE ORGANIZATION PROPERTY NAME(USER)
NAME: Dynamark Security NAME: Rising Stars Child Care
ADDRESS: P.O. Box 1170 Tolland,CT 06084-1170 ADDRESS: 27 Spielman Road
REPRESENTATIVE: Michael G. Casieri South Windsor,CT 06074
LICENSE NO.: 181641 TELEPHONE: (860)528-7529
TELEPHONE: (860)872-4050 CONTACT: Jeff or Rene Welsh
CHECK HERE IF MAILING ADDRESS IS DIFFERENT
MONITORING ENTITY APPROVING AGENCY
CONTACT: CONTACT: South Windsor Fire Marshal
TELEPHONE: ADDRESS: 1540 Sullivan Avenue
South Windsor,CT 06074
MONITORING ACCOUNT#: NOT MONITORED TELEPHONE: (860)644-2511 ext.217
TYPE TRANSMISSION SERVICE
®-Digital ®-Annually
PANEL MANUFACTURER: Firelite MODEL NO.: MS 5024 UD DATE INSTALLED: 6/20/08
CIRCUIT STYLES: B
NO.OF CIRCUITS: 5
SOFTWARE REV.:N/A
LAST DATE SYSTEM HAD ANY SERVICE PERFORMED: Added additional equipment&Fire Test 7/18/2011
ALARM INITIATING DEVICES AND CIRCUIT INFORMATION
QTY CKT. STYLE
5 MANUAL STATIONS
ION DETECTORS
20 PHOTO DETECTORS
DUCT DETECTORS
2 HEAT DETECTORS
WATERFLOW SWITCHES
SUPERVISORY SWITCHES
OTHER:(SPECIFY)
POWER SUPPLIES:
Primary(Main):Nominal Voltage 110V ,Amps: 15
Overcurrent Protection Type Breaker Amps: 15
Location(Panel Number): Basement
Disconnecting Means Location: #5
b. Secondary(Standby):
Storage Battery#1: Amp-Hr.Rating: VDC AH: Installed:6/08
Storage Battery#2: Amp-Hr.Rating: 7 VDC• AH: ® Installed:4098
Calculated capacity to operate system,in hours: 24 1 60
TYPE BATTERY
®Sealed Lead-Acid
PRIOR TO ANY TESTING
NOTIFICATIONS ARE MADE: YES NO WHO TIME
MONITORING ENTITY ❑ I ❑
BUILDING OCCUPANTS ❑ '�"�
BUILDING MANAGEMENT ❑ ❑
OTHER(SPECIFY) ❑ ❑
AHJ(NOTIFIED)OF ANY IMPAIRMENTS ❑ ❑
SYSTEM TESTS AND INSPECTIONS
TYPE VISUAL FUNCTIONAL COMMENTS
CONTROLPANEL C -
INTERFACE EQ. ❑ ❑
LAMPS/LEDS ❑� Di
FUSES ❑'
PRIMARY POWER SUPPLY
TROUBLE SIGNALS
DISCONNECT SWITCHES ❑ ❑
GROUND FAULT MONITORING ❑ ❑
SECONDARY POWER
TYPE VISU FUNCTIONAL CO MEN
BATTERY CONDITION tl
LOAD VOLTAGE -�
DISCHARGE TEST
CHARGER TEST ❑
72-115
INSPECTION.TESTING.AND MAINTENANCE
SPECIAL PROCEDURES I COMMENTS:
ON/ PREMISES MONITORING YES NO TIME COMMENTS
ALARM SIGNAL ❑
ALARM RESTORAL ❑ ❑
TROUBLE SIGNAL ❑ ❑
SUPERVISORY SIGNAL Nr ❑
SUPERVISORY RESTORAL ❑ ❑
NOTIFICATION THAT THIS YES NO WHO TIME
TESTING IS COMPLETE:
BUILDING MANAGEMENT ❑
MONITORING AGENCY ❑ ❑ �.
BUILDING OCCUPANTS ❑
OTHER(SPECIFY) ❑ ❑
SYSTEM RESTORED TO NORMAL OPERATION: DATED-&-l TIME �a
THIS TESTING WAS PERFORMED IN ACCORDANCE WITH APPLICABLE NFPA STANDARDS.
NAME OF INSPECTOR: ,
DATE-.,(O J
SIGNATURE: !
s
NAME OF O ER OR REPRESENTATIVE: �v
DATE:
SIGNATURE: ? �'