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45 TRADERS WAY Building 30 FA ROC
SYSTEM RECORD OF COMPLETION This form is to be completed by the system installation contractor at the time of system acceptance and approval. It shall be permitted to modify this form as needed to provide a more complete and/or clear record. Insert N/A in all unused lines. Attach additional sheets, data, or calculations as necessary to provide a complete record. Copyright © 2012 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. (p. 1 of 3) Form Completion Date: 4/26/22 Supplemental Pages Attached: 1. PROPERTY INFORMATION Name of property: Traders Row Apartments Address: 45 Traders Way Building 30 Salem, MA 01970 Description of property: Residential Name of property representative: Dolben Address: 150 Presedential Way Suite 220 Woburn, MA 01801 Phone: 781-404-4200 Fax: 781-376-4252 E-mail: 2. INSTALLATION, SERVICE, TESTING, AND MONITORING INFORMATION Installation contractor: Dynasty Electric LLC Address: 14 Winthrop Street Rehoboth, MA 02769 Phone: 774-565-8142 Fax: E-mail: hr@dynastyelectricllc.com Service organization: Priority Fire and Security Inc. Address: 60 Water Street Clinton, MA 01510 Phone: 508-481-8909 Fax: E-mail: sales@priorityfiresecurity.com Testing organization: Priority Fire and Security Inc. Address: 60 Water Street Clinton, MA 01510 Phone: 508-481-8909 Fax: E-mail: sales@priorityfiresecurity.com Effective date for test and inspection contract: 10/2021 Monitoring organization: Centra-Larm Monitoring Address: 994 Candia Rd. Manchester NH 03109 Phone: 1-800-639-4068 Fax: E-mail: inputting@centragroup.net Account number: 695-8541 Phone line 1: Phone line 2: Means of transmission: Cellular Dialer Entity to which alarms are retransmitted: Salem Fire Department Phone: (978) 744-6990 3. DOCUMENTATION On-site location of the required record documents and site-specific software: At FACP 4. DESCRIPTION OF SYSTEM OR SERVICE This is a: New system Modification to existing system Permit number: NFPA 72 edition: 2016 4.1 Control Unit Manufacturer: Silent Knight Model number: IFP-300 4.2 Software and Firmware Firmware revision number: 6.04.03 4.3 Alarm Verification This system does not incorporate alarm verification. Number of devices subject to alarm verification: Alarm verification set for seconds SYSTEM RECORD OF COMPLETION (continued) Copyright © 2012 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. (p. 2 of 3) 5. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power Input voltage of control panel: 120VAC Control panel amps: 5A Overcurrent protection: Type: Breaker Amps: 20A Branch circuit disconnecting means location: Breaker Number: Main Electric Room 5.1.2 Secondary Power Type of secondary power: SLA Batteries Location, if remote from the plant: In FACP Calculated capacity of secondary power to drive the system: In standby mode (hours): 24 In alarm mode (minutes): 5 5.2 Control Unit This system does not have power extender panels Power extender panels are listed on supplementary sheet A 6. CIRCUITS AND PATHWAYS Pathway Type Dual Media Pathway Separate Pathway Class Survivability Level Signaling Line A 0 Device Power B 0 Initiating Device Notification Appliance A 0 Other (specify): 7. REMOTE ANNUNCIATORS Type Location 8. INITIATING DEVICES Type Quantity Addressable or Conventional Alarm or Supervisory Sensing Technology Manual Pull Stations 14 Addressable Alarm Switch Smoke Detectors 67 Addressable Alarm Photoelectric Duct Smoke Detectors 0 Heat Detectors 0 Gas Detectors 63 Addressable Supervisory CO Waterflow Switches 6 Addressable Alarm Switch Tamper Switches 11 Addressable Supervisory Switch SYSTEM RECORD OF COMPLETION (continued) Copyright © 2012 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. (p. 3 of 3) 9. NOTIFICATION APPLIANCES Type Quantity Description Audible 132 Low Frequency Horn Visible 10 Strobe Combination Audible and Visible 69 Horn/Strobes 10. SYSTEM CONTROL FUNCTIONS Type Quantity Hold-Open Door Releasing Devices 1 HVAC Shutdown Fire/Smoke Dampers 1 Door Unlocking Elevator Recall 3 Elevator Shunt Trip 11. INTERCONNECTED SYSTEMS This system does not have interconnected systems. Interconnected systems are listed on supplementary sheet . 12. CERTIFICATION AND APPROVALS 12.1 System Installation Contractor This system as specified herein has been installed according to all NFPA standards cited herein. Signed: Printed name: Date: 4/28/2022 Organization: Dynasty Electric Title: Foreman Phone: 12.2 System Operational Test This system as specified herein has tested according to all NFPA standards cited herein. Signed: Printed name: Mike Davis Date: 4/28/2022 Organization: Priority Fire and Security Title: Sales Engineer Phone: 508-481-8909 12.3 Acceptance Test Date and time of acceptance test: Installing contractor representative: Testing contractor representative: Property representative: AHJ representative: