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Certificate of Completion-NFPA-72-2013 North Commons 12-10-2021SYSTEM 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: 12/10/2021 Supplemental Pages Attached: 1. PROPERTY INFORMATION Name of property: North Commons Address: 140 Olander Dr, Northampton, Ma Description of property: Housing Name of property representative: Address: Phone: Fax: E-mail: 2. INSTALLATION, SERVICE, TESTING, AND MONITORING INFORMATION Installation contractor: Gable Electric Address: 5 Westview Rd, Pittsfield, Ma 01201 Phone: 413-443-4082 Fax: E-mail: Service organization: Address: Phone: Fax: E-mail: Testing organization: Wel-Design Alarms Address: 2 Weston Street, Wilbraham, Ma Phone: 413-543-9090 Fax: E-mail: Effective date for test and inspection contract: Monitoring organization: Address: Phone: Fax: E-mail: Account number: Phone line 1: Phone line 2: Means of transmission: Entity to which alarms are retransmitted: Phone: 3. DOCUMENTATION On-site location of the required record documents and site-specific software: 4. DESCRIPTION OF SYSTEM OR SERVICE This is a: New system Modification to existing system Permit number: NFPA 72 edition: 2013 4.1 Control Unit Manufacturer: Notifier Model number: NFS2-640 4.2 Software and Firmware Firmware revision number: 27 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: 120 Control panel amps: 2.6 Overcurrent protection: Type: Breaker Amps: 20 Branch circuit disconnecting means location: Main Electric Room Number: PP21L-42 5.1.2 Secondary Power Type of secondary power: Battery Location, if remote from the plant: Calculated capacity of secondary power to drive the system: In standby mode (hours): In alarm mode (minutes): 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 B Device Power Initiating Device B Notification Appliance 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 Manual Smoke Detectors 182 Addressable Alarm/Supervisory Photo Duct Smoke Detectors 6 Addressable Alarm In Duct Photo Heat Detectors Gas Detectors 55 Addressable Supervisory C.O Waterflow Switches 5 Addressable Alarm Mechanical Tamper Switches 9 Addressable Supervisory Manual 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 131 Sounder Bases Visible 13 Strobe Only Combination Audible and Visible 27 H/S 10. SYSTEM CONTROL FUNCTIONS Type Quantity Hold-Open Door Releasing Devices HVAC Shutdown 3 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: 12/10/2021 Organization: Gable Electric Title: Electrician Phone: 413-443-4082 12.2 System Operational Test This system as specified herein has tested according to all NFPA standards cited herein. Signed: Printed name: Richard Godbout Date: 12/10//2021 Organization: Wel-Design Alarms Title: Tech/Electrician Phone: 413-543-9090 12.3 Acceptance Test Date and time of acceptance test: Installing contractor representative: Testing contractor representative: Property representative: AHJ representative: