HomeMy WebLinkAbout283 Sullivan Avenue - Life Safety System (2) DMANA;RK
ry SECURITY
*Quality MEMO
CENTERS Alarm Systems
T Since 1985 P.O. Box 1170
"Notionally Known, Locally Owned" Tolland, CT 06084-1170
LIC #181641 Tel. (860) 872-4050
Fax (860) 875-0493
AMK Welding* DynamarkCT@comcast.net
283 Sullivan Avenue
South Windsor, CT 06074 Date: 5/7/2013
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# 0142
Blessed 6e the Lord my rock my refuge and my fortress,
my stronghold, my defiverer, my shiefd in whom I trust.
PSALM 144
72-111
INSPECTION.TESTING AND MAINTENANCE
INSPECTION AND TESTING FORM
WO#: 0142 DATE:,�7
SERVICE ORGANIZATION PROPERTY NAME(USER)
NAME: Dynamark Security NAME: AMK Welding*
ADDRESS: P.O. Box 1170 Tolland,CT 06084-1170 ADDRESS: 283 Sullivan Avenue
REPRESENTATIVE: Michael G. Casieri South Windsor,CT 06074
LICENSE NO.: 181641 TELEPHONE: (860)289-5634
TELEPHONE: (860)872-4050 CONTACT: Gary Beaumont/Mary Campbell
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#: FLRPS1436 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.: 5207 DATE INSTALLED: 12/06
CIRCUIT STYLES: B
NO.OF CIRCUITS:
SOFTWARE REV.:
LAST DATE SYSTEM HAD ANY SERVICE PERFORMED: Fire Test 5/20/2011
ALARM INITIATING DEVICES AND CIRCUIT INFORMATION
QTY CKT. STYLE
11 B MANUAL STATIONS
ION DETECTORS
11 B PHOTO DETECTORS
2 B DUCT DETECTORS
HEAT DETECTORS
WATERFLOW SWITCHES
SUPERVISORY SWITCHES
OTHER: (SPECIFY)
72-113
INSPECTION.TESTING-AND MAINTENANCE
Primary(Main):Nominal Voltage 120v AC
Overcurrent Protection Type Breaker
Location(Panel Number):
Disconnecting Means Location: Circuit#12
b. Secondary(Standby):
Storage Battery#l: Amp-Hr.Rating: VDC• _ffyj AH: Installed:
Storage Battery#2: Amp-Hr.Rating: VDC: AH: Installed:
Calculated capacity to operate system,in hours: 24 60
Engine-driven generator-dedicated to fire alarm system:
Location of fuel storage:
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 O WHO TIME
MONITORING ENTITY Er ❑ 2 �!�
BUILDING OCCUPANTS ❑ I ❑
BUILDING MANAGEMENT ❑ ❑
OTHER(SPECIFY) ❑ I ❑
AHJ(NOTIFIED)OF ANY IMPAIRMENTS ❑ I ❑
SYSTEM TESTS AND INSPECTIONS
TYPE VISUAL FUNCTIONAL COMMENTS
CONTROLPANEL
INTERFACE EQ. E1,—
LAMPS/LEDs
El 071—
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 ❑
72-115
INSPECTION.TESTING.AND MAINTENANCE
SPECIAL PROCEDURES/COMMENTS:
ON/OFF PREMISES MONITORING YES NO TIME COMMENTS
ALARM SIGNAL a ❑
ALARM RESTORAL ❑ ❑
TROUBLE SIGNAL ❑
SUPERVISORY SIGNAL ❑
SUPERVISORY RESTORAL ❑ ❑
NOTIFICATION THAT THIS YES NO WHO TIME
TESTING IS COMPLETE:
BUILDING MANAGEMENT ❑ ❑
MONITORING AGENCY ❑ r G'
BUILDING OCCUPANTS I ❑
OTHER(SPECIFY) ❑ I ❑
THE FOLLOWING DID NOT OPERATE CORRECTLY:
SYSTEM RESTORED TO NORMAL OPERATION: DATE S r�-) TIME
THIS TESTING WAS PERFO DIN RDANCE WITH APPLICABLE NFPA STANDARDS.
NAME OF INSPECTOR: ' r,,�,��ti
DATE:
SIGNATURE: r
NAME OF O ER OR REPRESENTATIVE:
DATE:
SIGNATURE: '