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28 Amato Drive - Life Safety System Test
t t 6'� SECURIrr *Q,uac ty A ARK MEMO Alarm Systems TM Since 1985 P.O. Box 1170 "Notionally Known, Lac*Owned" Tolland, CT 06084-1170 LIC#181641 Tel. (860) 872-4050 Fax (860) 875-0493 Westage @ South Windsor Assoc., Inc. DynamarkCT@comcast.net 348 Hartford Turnpike Vernon, CT 06066 Date: 9/8/2016 For: 28 Amato Drive, S`dV, Building 24 RE: FIRE ALARM TESTING Attached are copies of the"FIRE ALARM SYSTEM RECORD OF COMPLETION"and the "INSPECTION AND TESTING FORM". These forms were completed upon installation and annual testing of the fire system in your building. 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# 1770 Ofessed 6e the Lord my rock my refuge and my fortress, my strongho(d, my defiverer, my shied in whom I trust. PSALM 144 FIRE ALARM SYSTEM RECORD OF COMPLETION Name of protected property: Westage @ South Windsor Assoc., Inc. DATEI 1�0 Address: 28 Amato Drive, South Windsor, CT 06074 BUILDING 24 Representative of protected property(name/phone): Authority having jurisdiction: South Windsor Fire Marshal Address/telephone number: 1540 Sullivan Avenue, South Windsor, CT 06074/860-644-2511 ext. 217 Installer: Dynamark Security Centers LLC P.O. Box 1170 Tolland, CT 06084-1170 Location of operation and maintenance manuals: Dynamark Security Centers LLC and Property Owner Location of test reports: Dynamark Security Centers LLC, Property Owner and Fire Marshal System Software: 1. Type(s)of System or Service NFPA 72, Chapter 8—Central Station Prime contractor: Remote Station: CMS P.O. Box 521769 Longwood, FL 32750 Means of transmission of signals from the protected premises to the central station: X Digital alarm communicator 2. Rec rd System Installation Th' ste been i stalled i cco ce with the NFPA standards as shown below)was inspected by on / / 16 ir,. es the devices shown 5 and6, and has been in service since / 016. x NFPA 72, Chapters 4 5 6 7 810 x_NFPA 70, National Electric Code, Article 760 X Manufacturer`s str- ti _Other(speci . Signed: Date: Organiza : y am r ecurity Centers LLC 3.Record of System Operation +� All operational features and functions of this system were tested b on /2016 and found to be operating properly in accordance with the requirements of: X NFPA 72, Chapters 4 5 6 7 810 X NFPA-70, National Electric Code, and icle 760 X Manufacturers * st ct' _Other(speci Signed: Date: —� Organiz n: ynama e u 'Centers LLC 4.Signaling Line Circuits: N/A 5.Alarm-Initiating Devices and Circuits Quantity a d lass of initiating device circuits(see NFPA 72, Table 6.5): Quantity Style:_B MANUAL (a) Manual stations No coded Transmitters Coded Addressable AUTOMATIC Coverage: Complete Partial Non required Selective (a) Smoke detectors: Photo (b) Duct detectors: hoto_ (c) Heat detectors: FT RR FT/RR RC (d)Water Flow: (e) The alarm verification feature is disabled 6. Supervisory Signal-Initialing Devices and Circuits (use blanks to indicate quantity of devices. SPRINKLER SYSTEM (a) Valve supervisory switches (b) (c) (d) 7.Annunciator(s) Number: Location: 8. Alarm Notification Appliances and Circuits Quantity and the class of notification appliance circuits connected to system (see NFPA 72, Table 6.7): Quantity:_1_7 Style: B Types and quantities of notification appliances installed: (a) Strobes (b) Horn/Strobes (c) Other 9. System Power Supplies (a) Fire Alarm Control Panel: Nominal voltage: 20 Current rating: Overcurrent protection: Type: Current rating: Location: u,we (b)Secondary (standby): Storage battery: r Amp-hour rating: 7.5AH Calculated capacity to drive system, in hours: 10. Comments: rd) or install W contractor and alarm service company Title Date c letion of the sys (s) satisfactory test(s)witnessed (if required by the authority having 'uris iction): i te 2 (signed representative of the authority having jurisdiction Title Date INSPECTION AND TESTING FORM WO#: 1770 DATE:9-�'��y SERVICE ORGANIZATION PROPERTY NAME(USER) NAME: Dynamark Security Centers,LLC NAME: Westage @ South Windsor Assoc.,Inc.BLDG 24 ADDRESS: P.O.Box 1170 Tolland,CT 06084-1170 ADDRESS: 28 Amato Drive REPRESENTATIVE: Michael G.Casieri South Windsor,CT 06074 LICENSE NO.: 181641 TELEPHONE: 860 TELEPHONE: (860)872-4050 CONTACT: IVI CHECK HERE IF MAILING ADDRESS IS DIFFERENT MONITORING ENTITY APPROVING AGENCY CONTACT: CMS CONTACT: South Windsor Fire Marshal TELEPHONE: 1-866-229-7287 ADDRESS: 1540 Sullivan Avenue South Windsor,CT 06074 MONITORING ACCOUNT#: AN825469 TELEPHONE: 860-644-2511 ext.217 TYPE TRANSMISSION SERVICE ®-Digital ®-Annually PANEL MANUFACTURER:FireLite MODEL NO.:MS920ODLS DATE INSTALLED: 7/29/2016 CIRCUIT STYLES: NO.OF CIRCUITS: SOFTWARE REV.: LAST DATE SYSTEM HAD ANY SERVICE PERFORMED: ALARM INITIATING DEVICES AND CIRCUIT INFORMATION TY CKT. STYLE 3 MANUAL STATIONS ION DETECTORS 16 B PHOTO DETECTORS DUCT DETECTORS 14 B HEAT DETECTORS WATERFLOW SWITCHES SUPERVISORY SWITCHES OTHER:(SPECIFY) t ALARM INDICATING APPLIANCES AND CIRCUIT INFORMATION QTY CKT.STYLE I TYPE LOCATION VISU FUNCTIONAL 1 B Strobe/Hom Basement ©� 1 B Strobe/Hom Left Side 1"Floor 1 B Strobe/Horn c 1 B Strobe/Horn Center 1`Floor 1 B 1 B Strobe/Hom Right Side I"Floor 1 B 1 B Horn Unit A 1 B Horn Unit B 1 B Horn Unit C 1 B Hom Unit D 1 B Horn Unit E 1 B Horn Unit F 1 B Horn Unit G 1 B Horn Unit H 1 B Horn Unit I 1 B Horn Unit J 1 B Hom Unit K 1 B Horn Unit L Rr El Li ❑ ❑ NO.OF ALARM INDICATING CIRCUITS: ARE CIRCUITS SUPERVISED? KYES ONO SUPERVISORY SIGNAL INITIATING DEVICES AND CIRCUIT INFORMATION TY CK E STYLE BUILDING TEMP. SITE WATER TEMP. SITE WATER LEVEL FIRE PUMP POWER FIRE PUMP RUNNING FIRE PUMP AUTO POSITION FIRE PUMP OR PUMP CONTROLLER TROUBLE GENERATOR IN AUTO POSITION GENERATOR OR CONTROLLER TROUBLE SWITCH TRANSFER GENERATOR ENGINE RUNNING OTHER: POWER SUPPLIES: Prim (Main):Nominal Voltage ,Amps: Overcurrent Protection Type ,Am s Location(Panel Number): Disconnecting Means Location: r-r b. Second Standby): Storage Battery#1: Am -Hr.Ratin : VDC: AH: s Installed: f Storage Battery#2: Amp-Hr.Rating: VDC: AH: Installed: Calculated capacity to operate system,in hours: 24 60 TYPE BATTERY Sealed Lead-Acid PRIOR TO ANY TESTING NOTIFICATIONS ARE MADE: YES O WHO TEME MONITORING ENTITY BUILDING OCCUPANTS ❑ BUILDING MANAGEMENT ❑ ❑ OTHER SPECIFY ❑ I ❑ AHJ OTIFIED OF ANY IMPAIRMENTS ❑ 1 ❑ SYSTEM TESTS AND INSPECTIONS TYPE VISUAL FUNCTI NAL COMMENTS CONTROLPANEL INTERFACE E . EF LAMPS/LEDS FUSES ❑ PRIMARY POWER SUPPLY 0-- TROUBLE SIGNALS ❑ ❑ DISCONNECT SWITCHES ❑ ❑ GROUND FAULT MONITORING ❑ ❑ SECONDARY POWER TYPE VISUAL FUNCTIONAL COMMENTS BATTERY CONDITION I LOAD VOLTAGE DISCHARGE TEST CHARGER TEST ❑ NATIONAL FIRE ALARM CODE 72-114 TYPE VISUAL FUNCTIONAL COMMENTS REMOTE ANNUNCIATORS NOTIFICATION APPLIANCES AUDIBLE VISUAL INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS LOCATION DEVICE VISUAL FUNCTION FACTORY MEAS. PASS FAIL TYPE CISU TEST SETTING SETTING Bottom of Basement Stairs A-D Smoke Detector Over Oil Tanks Smoke Detector []' Laundry Heat Detector Boiler Room Heat Detector ET Basement A-D Smoke Detector Basement A-D Smoke Detector Basement A-D Smoke Detector Bottom of Basement Stairs Room E-H Smoke Detector Basement E-H Smoke Detector Basement E-H Smoke Detector Bottom of Basement Stairs Room I-L Smoke Detector Basement I-L Smoke Detector A-D Pull Station E-H Pull Station 7—og El zr I-L Pull Station LeT- Unit C Heat Detector Unit A Heat Detector El Unit D Heat Detector Unit B Heat Detector 2"d Floor A-D Smoke Detector 1st Floor A-D Smoke Detector Er I El Unit E Heat Detector Unit F Heat,Detector El I st Floor E-H Smoke Detector Er Unit I Heat Detector Unit K Heat Detector V Floor I-L Smoke Detector Unit L Heat Detector 2"d Floor I-L Smoke Detector ff Unit J Heat Detector Unit G Heat Detector tad Floor E-H I Smoke Detector 2o" I El Unit H Heat Detector 7i�f�-00 COMMENTS: VISUAL DEVICE SIMULATED OPERATION OPERATION INTERFACE EQUIPMENT El SP SPECIAL HAZARD SYSTEMS SPEC 72-Its INSPECTION.TESTING.AND MAINTENANCE SPECIAL PROCEDURES/COMMENTS• ON/OFF PREMISES MONITORING YES NO TIME COMMENTS ALARM SIGNAL I� ❑ ALARM RESTORAL L�- ❑ TROUBLE SIGNAL ❑ SUPERVISORY SIGNAL ❑ ❑ 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: DATE[ TIME THIS TESTING WAff RDANCE WITH APPLICABLE NFPA STANDARDS NAME OF S;TOR:DATE: / SIGNATURE: NAME OF 04NER OR REPRESENTATIVE: DATE: SIGNATURE: