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HomeMy WebLinkAbout2016-01042 - fire systems CITY OF ORONO � 1 s - 0 1 0 4 z * � . 2750 KELLEY PARKWAY DATE ISSUED: 09/O1/2016 . , ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 2445 SHADYWOOD RD PIN : 20-117-23-11-0015 LEGAL DESC : TOWNSITE OF LANGDON PARK : LOT 000 BLOCK 004 PERMIT TYPE : FIRE SYSTEMS PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : ALARM SYSTEM ENTER CONTRACT PRICE 9020 ENTER THE VALUTATION 9020 APPLICANT FIRE ALARM 201.32 STATE SURCHARGE VAL OTHER 4.51 CITY VIEW ELECTRIC MAIL-IN FEE 2.00 1145 SNELLING AVE N ST. PAUL, MN 55108- TOTAL 207.83 (651)659-9496 Payment(s) Minnesota State License#: ELEC-EA000384 CREDIT CARD 1508 207.83 OWIYER Bridgewater Bank 3800 AMERICAN BLVD W SUITE 100 BLOOMINGTON, MN 55431- AGREEME1vT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended Yor a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. ,�G� i , (�/�/ �Y_t'L---. i�!I�E ) � L�cs'� G-('/�.� (`� �j„ l� l �� Applicant Permitee Signature ' ' Date IssuedBy;Signature � Date L-�v��.,�� �j- / - /�-, �r1�O City of Orono FOR CITY USE ONLY �� �"1 P.O.Box 66 Date Received: ���1�� Permit# � � �L (_/Z , • � 2750 Kelley Parkway � - , � - . �s-7 �, Crystal Bay,MN 55323 Amount: � — ,��� /.�-? a �, � (952)249-4600 y� ; Approved By: ❑Charge Plan Review L �'�kFs�p��' Recommends: A roval Denial ❑ CITY OF ORONO—FIRE ALARM OR KITCHEN EXTINGUISHER/GENERAL PERMIT (All permits must be approved by the Firc�'[nrshall and/or Building Official) 1. All fire alarm systems, voluntary or required by Minnesota State Building Code (MUBC)or Minnesota State Fire Code (MUFC) shall be installed and maintained as per National Fire Protection Association(NFPA) 72 and 72E, 1996 edition,National Electrical Code and manufacturers requirements. 2. Permits are required for all fire alarm system installations. Permits can be obtained from the City of Orono- Building Official at, 2750 Kelly Parkway Orono, MN or via phone (952) 249-4600. Permits are also available online at: www.ci.orono.mn.us 3. Two sets of plans and specification sheets shall be submitted to the Orono Fire Marshal for approval at feast 7 �����rkin� days before start of installation and shall include: a. Specification data sheets on all components of system. b. Floor plans indicating locations of devices, fire alarm control panel, sub-panels, transponders, enunciator, interconnecting wiring and zoning. c. Power connections including source and branch circuit data. d. Type of back up power system. e. Fire alarm control panel shall be compatible with all devices. f. All components of the system shall be UL or FM listed for their applications. Smoke detectors shall be listed for commercial/industrial use. 4. All systems shall be addressable. Smoke detectors shall be photo-electric. No combination burglar/fire alarm systems are allowed unless approved by the Orono Fire Marshal. 5. Power supply for the system shall include battery back-up with a UL listed fire alarm panel. Alarm verification is required for all systems using smoke detectors. 6. The alarm system shall be audible above the ambient noise level in all areas of the building. Audio/visual signaling devices are required. 7. When central station notification is required or provided it must be through a UL or FM listed communicator or control panel. 8. If a smoke detecting system installed in the tenant space of a building is directly connected to the building fire alarm panel, then a. A zone on the alarm panel must identify the tenant space or zone of the building that the system is located(i.e., second floor, west wing). b. A visual annunciation light shall be installed on the corridor side of the main door of the tenants space and activate when the detection system in the tenants space activates. 9. The system shall be tested in the presence of the Orono Fire Marshal for final approval. Appointments can be made by calling the Fire Marshall at(952) 473-9701, 24-hours notice is requested. The test will include: a. Random testing of system devices. b. Random testing for system trouble and ground fault trouble. c. Correct operation of back-up power system. �.o� � - � � �� i� ��.����� � ' FIRE ALARM OR KITCHEN EXTINQUISHER PF,RMITS Please Check One: � New ❑ Addition ❑ Remodel ❑ Replace Job Site /Owner Information: 2445 SHADYWOOD ROAD Site Address: BRIDGEWATER BA�K Owner: Mailing Address: C��: ORONO Zi 5 5 3 31 p� Home Phone: Alternate Phone: Contractor I Applicant Information: CITY VIEW ELECTRIC CHRIS MCKAY Contractor/App.: Contact Person: Address: 114 5 SNELL ING AVE. N. State License#: EAO 0 0 3 8 4 ST. PAUL 55108 02/2018 City: Zip: Expiration Date: 651-659-9496 612-240-6454 Phone: Alternate Phone: TYPES OF FIRE PERMITS � Commercial -Fire Alarm ❑ Commercial-Fire Extin ug isher Pirc Systcros Pennit Pire Systems Pcrmit *(Per UBC) 9 0 2 0 . 0 0 * (Per USC) *Contract Price: $ * Contract Price: $ ❑ Residential-Fire Alarm �� L 1'/ `�� �� i I�ire Systems Permit � � ��� � *(Per UBC) � C // ��� �� ' ��� Contract Price: $ �l � *Note: Permits are calculated with UBC Fee Schedule;submit application and we will call you with a total fee for the pennit. [herby apply for a Fire Alarm/Extinguisher Permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the Ordinances and Codes required by Minnesota State Building Code(MUBC)or Minnesota State Fire Code(MUFC)shall be installed and maintained as per National Fire Protection Association (NFPA) 72 and 72E, 1996 edition, National Electrical Code and manufacturers requirements; that I understand this is not a permit and work is not to start without a permit; and that the work will be in accordance witl pproved plan. Chris McKay y G 8/25/16 Applicant /� Date � �1Tli' ViEW ��C � (� _ C � C: '�I.� ELECTRtC, IN�. , Fire Alarm System Submittal for: Bridgewater Bank ,�' 2445 Shadywood Road�/`� . � - - � . __ _� s�IN 55331 � �s� Prepared by: Ch�istophe� McKay 1145 Snelling Ave. N., St. Paul, MN 55108 (651) 659-9496 Fax (651) 659-09U5 � c�-rv v�Ew � ELECTRIC, INC. System Description for: Bridgewater Bank Excelsior, MN City View Electric, Inc. to install a new addressable fire alarm system for the construction remodel of an "B" non-sprinklered bank building. Installation to include notification, manual means,select smoke detection and HVAC duct smoke monitoring. 1145 Snelling Ave. N.,St. Paul, MN 55108 (651� 659-9496 Fax (651) 659-0905 ' ' C1�"Y V i E'�IU' �^�'-�, ' � EL�CTRIC, INC. Equipment List for: Bridgewater Bank Excelsior, M N 1—Silent Knight 5700 Addressable Fire Alarm Control Panel 15—Silent Knight SK-Photo Addressable Smoke Detectors 2—Silent Knight SK-Pull Addressable Manual Pull Stations 2—Silent Knight SK-Monitor Addressable Monitor Modules&Connections to HVAC Duct Smokes 5—System Sensor SR Wall Mount Strobe Only Notification Appliances—Red 3—System Sensor P2R Wall Mount Horn Strobe Notification Appliances- Red 2—Elk 1280 Back up Battery 12 volt 8 amp hour 1145 Snelling Ave. N., St. Pau1, MN 55108 (651) 659-9496 Fax (651) 659-0905 • .• SILENT IntelliKnight° Model 5700 KNIGHT Single Loop Addressable o Fire Alarm Control System by Honeywell The affordable addressable fire alarm control panel solution. IntelliKnight Model 5700 is a class leading single loop addressable fire alarm control/communicator system. 5700 provides you with the revolutionary value and performance of addressable sensing technology combined with exclusive, built-in digital communication, distributed intelligent power, that includes an easy to use interface. Powerful features such as drift compensation and maintenance alert are delivered in this powerful FACP from Silent Knight. For more information about the IntelliKnight system, or to locate your nearest source, please call 1-800-328-0103. Description The basic IntelliKnight 5700 system can be enhanced by � G adding modules such as 5860 remote annunciator, 5824 u o ' serial/parallel printer interface module (for printing ; ', system reports), and 5496 intelligent power module. 5700 supports Hochiki or SK devices. 5700 also � ' features a powerful built-in dual line fire communicator i, that allows for reporting of all system activity to a remote i; monitoring location. � J � Features '� • Built-in support for up to 50 SK detectors and 50 SK � Q ; , modules creating a total point capacity of 100 points. � ,� • Built in support for up to 50 Hochiki devices i �� ' I • Up to 125 zones and 125 output groups +� • Uses standard wire—no shielded or twisted pair -- - -- - - -- - required Mode! 5700 • Built-in digital communicator. • Central station reporting by point or by zone • Improvements in SKSS deliver five times faster • Supports Class B (Style 4) and Class A(Style 6 or 7) upload/downloads configuration for SLC • Built-in RS-232 interFace for programming via PC • Drift compensation • Built-in Form C trouble relay rated at 2.5A at 27.4 • 13 pre-programmed output cadences (including ANSI- VDC 3.41) and 4 programmable outputs • Programmable date setting for Daylight Saving Time • Notification circuits configurable as 1 Class A(Style Z) or 2 Class B (Style Y), or auxiliary power for resettable, Installation constant, or door holder power The 5700 is a surface mount FACP. • Built-in synchronization for AMSECO, Gentex�, Faraday, System Sensor�and Wheelock�appliances Compatibility • Built-in annunciator with 80-character LCD display The 5700 SLC supports multiple device types of the • RS-485 bus provides communication to system same protocol: accessories • SK (System Sensor) • Upload or download programming, event history, or • Hochiki detector status onsite or from a remote location using You cannot mix Hochiki and SK devices on a FACP. a PC and 5660 Silent Knight Software Suite (SKSS) • Two built-in Form C programmable relays rated at 2.5A at 27.4 VDC a • -• Model 5700 Fire Alarm Control Panel �ss�a,ee� -}� � -" .__.___..—____..—_______ ._.•F.__' �J� `�T'�q� T�'� i ■ N ■ �t�` T�Sa Yr�l�-15i� >� �n. � _ ....:..,. «..,.e, �,.... ,�, o� � y , I � �.a, fi,y,r _ '.�`a` >_"a:` `o K' i � _ � � T— - � � � , �� ' � _� ,.,, �e �'"__ � �,:: '�`;��_ '! -- � :,, � aYI L � .. .._ . .� � �. _ c.nc..-< <,.-a�� u�a,. ,u .,. I � �. aa...i.�-...d. .��...,+. ,ws�.�r.. n., r»:..�. �,•e u.�.r�.u�a . . .� ; �,,... .�..>A.: "'"�.:�„ A � 5496 M�.. i _ _ . , � �^� L- 5700 - Specifications S-BUS Accessories Miscellaneous Accessories Electrical 5860/R Remote Fire Annunciator 5660 Silent Knight Software Suite Primary AC: 120 VAC,60 Hz, 1.5A Features the same 80 character backlit LCD User-friendly Windows software for remote Total Accessory Load:2.5A @ 27.4 VDC display keypad and firefighter's key switch programming of 5700s using a PC.Upload Notification Power:2.5A @ 27.4 VDC, as the 5700.The system can be fully and view panel account information,event power-limited programmed and operated from any 5860. history,and detector status. Standby Current:200 mA 5860 is gray and 5860R is red. Alarm Current:325 mA 5670 Silent Knight Software Suite Notification/Aux Power Circuits: 5496 Intelligent Power Module End-user facility management software 2.5A @ 27.4 VDC per circuit, A 6 amp notification power expander that allows viewing of detector status and event power-limited provides four additional power-limited history via modem or direct connection. Battery Charging Capacity:7.0-35.0 AH notification appliance circuit outputs. Battery Size:7 AH max.allowed in FACP RBB cabinet.Larger capacity batteries can be 5880 LED/10 Module Remote Battery Box Accessory Cabinet. Use housed in an RBB accessory cabinet. Features 40 LED outputs,8 normally open if backup batteries are too large to fit into PhySlCal dry contact inputs and one piezo output. FACP cabinet. Dimensions: Dimensions: 5865-3 and 5865-4 16"W x 10"H x 6"D 12.75"W x 15.2"H x 3.4"D Remote LED Annunciator (406 mm W x 254 mm H x 152 mm D) (32.39 W x 38.42 H x 8.57 D cm) Features 30 Programmable LED(15 red and SD505-DTS-K Weight: 11.5 Ibs. (5.2 kg) 15 yellow)outputs and a piezo sounder.The Remote test switch that provides remote key 5865-4 adds a silence and reset switch to o erated test function and annunciation of Color: Red the package. P Telephone Requirements: detector alarm with SD505-DUCTR. 5883 Relay Board FCC Part 15 and Part 68 approved Features 10 general purpose Form C relays. Hochiki and SK Devices Type of Jack:RJ31X(two required) Used with 5880 module. See the specification sheets listed below for a complete listing of the Hochiki and SK Approvals 5824 Serial/Parallel Printer devices. NFPA 13, NFPA 15, NFPA 16, NFPA 70,& Interface Module Provides one arallel and one RS-232 serial 53624 Hochiki Devices Specification NFPA 72:Central Station;Remote P Signalling; Local Protective Signalling port for connecting a printer to 5808.Use to Sheet Systems;Auxiliary Protected Premises Unit; print a real-time log of system events, 53623 SK Protocol Devices Specification &Water Deluge Releasing Service.Suitable detector status reports,and event history. Sheet for automatic,manual,waterflow,sprinkler Interfaces with building control system. supervisory(DACT non-coded)signalling services. Other Approvals:UL Listed; CSFM 7170-0559: 144;MEA 429-92-E Vol.XVI. SILENT This document is not intended to be used for installation purposes.We try to keep our MADE IN AMERICA product information up-to-date and accurate.We cannot cover all specifc applications or KNIGHT anticipate all requirements.All specifications are subject to change without notice.For more P/N 350392 Rev G1 information,contact Silent Knight 12 Clintonville Road,Northford,CT 06472-1610 �O 2010 Honeywell Intemational Inc. Phone:(800)328-0103 or(203)484-7161,Fax:(203)484-7118.www.silentknight.com by Honeywell IntelliKnight&JumpStart are Registered Trademarks of Silent Knight Flexput is a Trademark of Silent Knight - ��� SK-Photo rk�x„` � r �� and ��° SK-Photo-T , L. �. �:� �= - Intelligent Photoelectric Smoke Sensors �.�. � ��' � � ,T.�� �� �'� � The SK-Photo is a photoelectric smoke detector and the SK-Photo-T is a .photoelectric smoke detector with thermal. These plug in smoke detectors, with integral communication, provide features that surpass conventional detectors and are for use with Silent Knight IntelliKnight Fire Alarm Control Panels (FACPs). For more information about the IntelliKnight system, or to locate your nearest source, please cail 800-328-0103 or in Connecticut, call (203)484-7161. Description • Plug-in mounting provides ease of SK-Photo and SK-Photo-T are lu in installation P 9-. type smoke sensors that combine a • Tamper-proof feature available on photoelectric sensing chamber with mounting bases . addressable analog communications. • Listed for use in duct applications r� Point ID capability allows each � detector's address to be set with rotary ' Rotary address switches for fast � address switches, providing exact installation � �� � detector locations for selective • UL Listed maintenance when chamber • contamination reaches unacceptable ' FM Approved levels. Specifications SK-Photo and SK-Photo-T have a �� ��� �" >� ,�,,�,,� � Physical unique optical sensing chamber that is Height:2.0"(5.0 cm) engineered to sense smoke produced by a wide range of combustion Diameter: 4.1"(10.4 cm) sources. In the SK-Photo-T,dual Shipping Weight: 5.2 oz. (147 g) SK-Photo (Base included) electronic thermistors add 135°F(57°C) Electrical Compatibility thermal technology to maximize Operating Voltage: 15-32 VDC detection. Standby Current: The SK-Photo and SK-Photo-T are compatible with the following Features 300 �A @ 24 VDC Maximum IntelliKnight FACPs: • Sleek, low-profile design Alarm Current: 6.5 mA @ 24 VDC max 5700 • Base included (with LED on) 5808 • Reliable analog communications for Environmental 5820XL trouble-free operation Operating Temperature SK-Photo and SK-Photo-T are SK-Photo:32°— 120°F(0°C—49°C) compatible with the following detector • Age resistant polymer housing bases: SK-Photo-T:32°— 100°F(0°C—38°C) • Dual electronic thermistor design on Humidity: 10%—93% non-condensing B210LP (included)6"base the SK-Photo-T B501 2 wire base Other Ratings B501 BHT-2 Temporal base • Superior EMI resistance for reliability SK-Photo-T Thermal: Fixed B224RB Relay base • Simple field cleaning for code temperature set point 135°F(57°C) g224B1 Isolator base compliance Velocity:0—4000 fpm(0—20 m/sec) 6501 BH-2 Sounder base • Variety of mounting options to meet SK-Photo Insect Screen Hole Size: any application 0.016"(0.41 mm) nominal • Dual LED indicators for 360°visibility �TLEI'�'� • Detector transmits signal to indicate ����j`I' maintenance is required • Optional remote LED annunciator �,'���g'}`w� (System Sensor0 PN RA100Z) _.,__ . � �m � , ..... _ . _ _.:�, r _ _ __ .. _ . ,... , i , �. � Model SK-Photo and SK-Photo-T Intelligent Photoelectric Smoke Sensors � Engineering Specifications The contractor shall furnish and install where indicated on the plans, Intelligent photoelectric smoke sensors Silent Knight SK-Photo or SK-Photo-T with thermal. The combination detector head, and twist-lock base, shall be UL listed and compatible with Silent Knight's IntelliKnight fire control panels. The base shall permit direct interchange with SK-Photo or SK-Photo-T. Base shall be the appropriate twist-lock base part number B210LP (included). The smoke detector shall have a flashing status LED for visual supervision. When the detector is actuated, the flashing LED will latch on steady. The detector may be reset by actuating the control panel reset switch. The calibration of the detector shall be capable of being selected and measured by the control panel without the need for external test apparatus. The vandal-resistant, security locking feature shall be used in those areas as indicated on the drawing. The locking feature shall be field selectable as required. The SK-Photo shall automatically perform a functional test of the detector. The test method shall simulate effects of products of combustion in the chamber to ensure testing of detector circuits. s�r ik �L�T -- � - :;rf-��ib1t�"ls�� ,{, ;. � ; � :; :—�� — � � R:41�2 Y,�ptlar�l ' + . � � ; _ _ __ s �� � _ , � . , ' � ,�_ "-� ,�' =� s �_ �. �e, �� s �� ��_ . -�`'� 3 ; � ��: � { � i i :j �'� f � t � ��_, -- � i : � .. .. y I : . - � 7 1 g . .�,� �. ' � � �� � � � � - � _ �; � � _� � - . . � _ �' �- �-�_,.� � ; �:��� =� �ti_ _ � _ � _ _ ; � � __�_. � __ _�_Y-.- . ; , • . . :_.._._._.__._.__.--.-. ---.---•---_._--- _.._ ..-- --.--._ _.__ ---._._.__. __ . � � ��.�� ���.��„�.� � � , . .. . � : � . : � . . , : . . �� ,��', � - . � , .,. -, , , , f .,.:��, �� .,,,���a._,��, .� �.<�i �inng�K-*wra�etc t�rr#c+r�r,�liag t�sc� �T'���('�' This document is not intended to be used for installation purposes.We try to MADE IN AMERICA ����H•.r keep our product information up-to-date and accurate.We cannot cover all specific applications or anticipate all requirements.All specifications are subject FORM#350118 Rev A, 1 to change without notice.For more information,contact Silent Knight 12 OO 2009 Honeywell International Inc. brj �-lan�j,�cy� Clintonville Road, Northford,CT 06472-1610 Phone:(800)328-0103, Fax:(203)484-7118. www.silentknight.com •- SILENT SK-PuII-SA and SK-PuII-DA KNIGHT y Inteiligent Pull Stations by Honeywell The SK-PuII-SA and SK-PuII-DA are a single action or dual action addressable fire alarm pull station for use with Silent Knight's IntelliKnight fire control panel. Extremely easy to operate, the SK-PuII-DA and SK-PuII-SA provide a fast and practical means of manually initiating a fire alarm signal. The IntelliKnight panel recognizes each manual pull station by its specific address saving precious seconds in determining the location of an alarm. For more informafion about the IntelliKnight system, or to locate you nearest source, please call 1-800-328-0103. Description -- The SK-PuII-SA is a single action pull station requiring only � one motion to activate the station. The SK-PuII-DA is a dual �i - action pull station requiring two motions to active the station. ;:- Both pull stations are designed to work with Silent Knight ' .. Intelliknight series fire alarm control panels (FACPs). Features • Installer can open station without causing an alarm --- condition �,' � � �j • Dual-color LED is visible through handle of station blinks green to indicate normal operation and remains steady red in an alarm condition SK-PuII-SA • Key operated test and reset lock using lock plate actuator � • Key matches compatible FACP locks � • Meets the Americans with Disabilities Act Accessibility Guidelines (ADAAG) controls and operating mechanisms guidelines (Section 4.1.3[13]) " • Meets ADA requirement for 5 Ibs maximum pull force to active • Shell, door, and handle molded from durable LEXAN� � ;' °;;� ,; • Reliable analog communications for trouble-free operation • Braille text on station handle SK-PuII-DA • Handle latches in down position and the word Activated Compatibility appears, clearly indicating the station has been pulled The SK-PuII-SA and SK-PuII-DA are compatible • Rotary address switches for fast installation with the following IntelliKnight FACP's: 5600 • UL Listed, including UL 38, Standard of Manually Actuated 5700 Signaling System 5808 5820XL � .- Model SK-PuII-DA and SK-PuII-SA Engineering Specifications The contractor shall furnish and install where indicated on the plans,Addressable Pull Stations, Silent Knight model SK-PuII-SA single action pull station or SK-PuII-DA, dual action pull station. SK-PuII-DA or SK-PuII-SA meet the ADAAG controls and operating mechanisms guidelines, and the ADA requirements for a 5 Ib. maximum pull force to activate the pull station. Class A _, t.............................................................................................................................................................................: IN �:-....-.... .................................................................................................................................................................., i i SLC � , + C OUT k; —`n I Class B \ —� Compatible FACP �(� o 0 0 �p 'p o ; e,� o p � > , �� � � _ ,,_�� � . . � . . � �, � � '„ � (f1) � � cfass A wirin ...... �� o " o � � l-� � g......... Class B Wlring: � w � Wiring SK-PuII-SA&SK-PuII-DA PuII Stations Specifications Electrical Physical Operating Voltage: 15-32 VDC Height: 5.5"(14 cm) Average Operating Current(LED flashing): 300 NA Width: 4" (10.2 cm) Wire Gauge: Up to 12 AWG(3.1 mm2) Depth: 5.4 oz. (3.7 cm) Environmental Housing Material: LEXAN polycarbonate resin Operating Temperature 32°—120°F (0°C—49°C) Bi-Colored LED: Humidity: 10%—93% non-condensing Blinking Green: Normal Steady Red:Alarm Accessories Switch: Single pole, single throw(SPST) normally open (N/O) BG-TR Optional trim ring. switch which closes upon activation of the pull station SB-I/O Surface backbox This document is not intended to be used for installation purposes.We try to MADE IN AMERICA SILENT keep our product information up-to-date and accurate.We cannot cover all KNIGHT specific applications or anticipate all requirements.All specifications are subject to change without notice. For more information,contact Silent Knight FORM#350135 Rev A 12 Clintonville Road, Northford,CT 06472-1610 Phone:(800)328-0103, OO 2009 Honeywell International Inc. by Honeywell Fax:(203)484-7118. www.silentknight.com , ._ . . _ _ � .� SILENT SK-Monitor KNIGHT Q by Honeywell Intelligent Monitor Module The SK-Monitor module provides an interface to contact devices, such as security contacts, waterflow switches, or pull stations. For more information about the IntelliKnight system, or to locate you nearest source, please call 1-800-328-0103. Description The SK-Monitor is an addressable monitor module for use with Silent Knight IntelliKnight ,z � �. series fire alarm control panels (FACPs). The SK "�' � �� � ��-` � ��A � U�� sa��� ;tr=z: Monitor is intended for use in intelligent, two-wire ��.. � 0;�, � _ systems, where individual address of each � module is selected using the built-in rotary ^ ;�,. O'.` „� switches. ` . ==R�.�. �°y.. � cy-, �.o,,�,. - .„,t The SK-Monitor supports Class A supervised or • :: ��b'' �,, , �' Class B supervised wiring to the load device. '�"'+ �—� 4M �x� ,� � � -.� �4 Conventional 4-wire smoke detectors can be ` `� �� '� monitored for alarm and trouble conditions. � . � . _ . �'*�: Features � � r� . , • Single contact monitor " • Support for Class A and Class B wiring `�` • Fully supervised • Panel controlled status LED that flashes green SK-Monitor in normal state and is solid red in alarm • Attractive ivory cover plate • Rotary address switches for fast installation Compatibility The SK-Monitor is compatible with the • SEMS screws for easy wiring following IntelliKnight FACP's: • UL Listed 5700 5808 Installation 5820XL The SK-Monitor mounts directly into a 4" square electrical box. The box must have a minimum depth of 2-1/8". A surface mount electrical box (System Sensor� PN SMB500) is available from Silent Knight. . �. Model SK-Monitor Intelligent Monitor Module To����� � d o o b ci�s o �" � ._� , ,�; : s a — From CompatlWe 8Gent Knight e�{�� + FACP or Pravloua Device Inkialirtp Dwip Chsuil NPPABtyle B � O O ^ Power LimNed 230{rA Wx�72 YDC Ymc (� Chss A tAfirig:•••^•...•..•• lb Naxt DYvlca + Chu 6 Wiring: My Number of UL LbteU CanfaM Clasun Devices May Be Wed Do Not M6c Flre Alacm /� O O � I�itlatinp Deviees,Supervisory,ar Sacurily Devloaa (f on tlw 8arta Modula. Ciass A _._._._._.__._._.___.._.__._.. , �'� a a.._.___.__.......__._................. °S� � � i ..._....�r_...1 �,� s ` (Tj i.............._...,..r e ,•��• t — From Compatibls S�le�rt Knight E ITI ..................... e :� s i' FACP or PfeVlous DeviCe L�J r .. EOL RKistor k I�mal ('� O O /'� at T�rminels E S 9 V C/ Wirinp SK-Monllor Modulee Specifications 5.5 mA(with LED latched on) Physical LED Current: 5.5 mA(with LED latched on)End-of-Line Height:4.5"(11.4 cm) Resistance:47K S2 Width:4"(10.2 cm) Initiating Device Circuit Wiring Resistance: 1,500 52 max Depth: 1.25"(3 cm) SLC Loop Resistance:40 S2 max. Shipping Weight: 6.3 oz(196 g) Environmental Electrical Operating Temperature:32°F—120°F(0°C—49°C) Operating Voltage: 15—32 VDC Humidity: 10%—93%non-condensing Current Draw(LED on):5.0 mA max Operating Current(LED flashing):375 NA Ordering Information SK-Monitor Monitoring Module Standby Current: 400 NA max @ 24 VDC(one communication every 5 sec with Accessories 47K EOL) SM6500 4"Square Surface Mount Electrical 550 NA max @ 24 VDC(one communication every 5 sec with Box EOL<1 K) This document is not intended to be used for installation purposes.We try MADE IN AMERICA SILENT to keep our product information up-to-date and accurate.We cannot cover KNIGH'I' all specific applications or anticipate all requirements.All specifications are subject to change without notice.For more information,contact Silent FORM#350131 Rev 62 � Knight 12 Clintonville Road,Northford,CT 06472-1610 O 2010 Honeywell International Inc. by HO�eywell Phone:(800)328-0103,Fax:(203�84-7118. www.silentknight.com �� S�STEM ��� SENSORu �� _ ,�.� f � " � _ -. .�. , . � � � ���,��' � �� � _.._. _-.. �- W....�,¢� Indoor Selectable-Output : � �' =� Horns, Strobes, and �s� � � �-� - Horn Strobes for Wall � `� ,� �� �,� � _ , ; ���,, � . . ,�,�. , �)�'" A I�cat�ons � ��---�� �� �� �� � ����`�-�'�� ��� pp - �. �., � ��, �,y�,., � SpectrAlert°Advance audible visible notification '�'°' �` =__.u_�,�,� products are rich with features guaranteed to cut SPECTt'!�''C�C� A � V A N C E installation times and maximize profits. Features The SpectrAlert Advance series or"r`ers the most versatile and •Flug-in design with minimal intrusion into the back box easy-to-us2 line of horns,strobes,and horn strobes in the industry. •Tamper-resistant construction With white and red plastic housings,wali and ceiling mounting options,and plain and FIRE-printed devices,SpectrAlert Advance can •Automatic selection of 12-or 24-volt operation at 15 and 15/75 meet virtually any application requirement. candela •Fieid-selectable candela settings on wall units:15,15/75,30,75,95, Like the entire SpectrAlert Advance product line,wall-mount homs, 110,1 15,135,150,177,and 185 strobes,and horn strobes indude a variety of features that increase •Horn rated at 88+dBA at 16 volts their application versatility while simplifying installation.All devices •Rotary switch for hom tone and three volume selections feature plug-in designs with minimal intrusion into the back box, making installations fast and foolproof while virtually eliminating •Universal mounting plate for wall units costly and time-consuming around faults. •Mounting plate shorting spring checks wiring continuity before device installation To further simplify installation and protect devices from construction •Electrically Compatibie with legacy SpectrAlert devices damage,SpectrAlert Advance utilizes a universal mounting plate with an onboard shorting spring,so installers can test wiring •Compatible with MDL sync module continuity before the device is installed. Installers can also easily adapt devices to a suit a wide range of application requirements using field-selectable candela settings, automatic selection of 12-or 24-volt operation,and a rotary switch for horn tones with three volume selections. Agency Listings SIGNALING U 'F�. �� F M MEA a roved �,z�-�sss�seo�aoo��«obes� LISTEO RPPROVED PP 712j-16S3:18S(homstrobes, =a0lt�chimes,rorns.robes.homs) 30235]2 N�EaJ52-oS�E chimestrobes) �5512(s_robes) 7135-7653:1 fl9(homs,chimes) SpectrAlert Advance Specifications Generel SpectrAlert Advance homs,strobes,and hom strobes shall mount to a standard 4 x 4 x P/�-inch back box,4-inch octagon back box,or double-gany back box.Two-wire products shall also mount to a single-gang 2 x 4 x P/8-inch back box.A universal mountino plate shall be used for mounting ceiling and wall products.The notification appliance circuit wiring shall rerminate at the universal mounting plate.Also,SpectrAlert Advance products,when used with the SynaGrcuit"Module accessory,shall be powered from a non-coded notification appliance circuit output and shall operate on a nominal 12 or 24 volts. When used with the Syno-Circuit Module,12-volt-rated notification appliance circuit outputs shall operate between 9 and 17.5 volts;24-volt-rated notification appliance circuit outputs shall operate between 17 and 33 volts.Indoor SpectrAlert Advance produc[s shall operate between 32 and 120 degrees Fahrenheit from a regulated DC or full-wave rectified unfiltered power supply.Strobes and hom strobes shall have field-selectable candela settings induding 75,1 S/75,30, 75,95,1 10,1 15,135,150,177,and 185. Strobe The strobe shall be a System Sensor SpectrAlert Advance Model listed to UL 1971 and shall be approved for fire protective service.The strobe sh�ll be wired as a primary signaling notification appliance and comply with the Americans with Disabllities Act requiremenu for visible signaling appliances,flashing at 1 Hz over the strobe's entire operatinq voltage range.The strobe light shall consist of a xenon flash tube and associated lens/reflector system. Horn Strobe Combination The hom strobe shall be a System Sensor SpectrAlert Advance Model listed to UL 1971 and UL 464 and shall be approved for fire prorective service.The horn strobe shall be wired as a primary-signaling notification appliance and comply with the Americans with Disabilities Act requirements for visible signaling appliances,flashing at 1 Hz over the strobe's entire operating voltage range.The strobe light shall consist of a xenon flash tube and associated lens/reflector system.The hom shall have three audibility options and an option to switch between a temporal three pattern and a non-temporal(continuous)pattem.These options are set by a multiple position switch.On four-wire producis,the strobe shall be powered independently of the sounder.The hom on hom strobe models shall operate on a coded or non-coded power supply. Synchronization Module The module shall be a System Sensor Syno-Circuit model MDL listed to UL 464 and shall be approved for fire protective service.The module shail synchronize SpectrAlert strobes at 1 Hz and homs at temporal three.Also,while operating the strobes,the module shall silence the horns on horn strobe models over a single pair ofwires.The module shall mount to a 4�Y,6 x 4"/,e x 2'/8 inch back box.The module shall also control two Style Y(dass B)circuits or one Style Z (dass A)circuit.The module shall rynchronize multiple zones.Daisy chaining two or more synchronization modules together will synchronize all the zones they control.The module shali not operate on a coded power supply. Standard Opereting Tempereture 32°F to 120°F(0°C to 49°O Humidity Range 10 to 93%non-condensing Strobe Flash Rate 1 flash per second Nominal Voltage Regulated 12 DUFWR or regulated 24 DUF WR' Operating Voltage RangeZ 8 to 17.5 V(12 V nominal)or 16 to 33 V(24 V nominal) InputTerminal Wire Gauge 12 to 18 AWG Wall-Mount Dimensions(including lens) 5.6""L x 4.7"W x 2.5"D(142 mm L x 1 19 mm W x 64 mm D) Hom Dimensions 5.6"L x 4J"W x 13"D(142 mm L x 119 mm W x 33 mm D) Wall-Mount Back Box Skirt Dimensions(BBS-2,BBSW-2) 5.9"L x 5.0"W x 2.2"D(151 mm L x 128 mm W x 56 mm D) Wall-MountTrim Ring Dimensions(sold as a 5 pack)(TR-HS,TRW-HS) 5.7""L x 4.8""W x 0.35"D(745 mm L x 122 mm W x 9 mm D) Notes: L Full Wave Rectified(FWR)voltage is a non-regulated,time-varying power source that is used on some power supply and panel outputs. 2.P,5,PC,and SC products will operate at 12 V nominal only for 15 and 15/75 cd. AVCS006C0 UL Current Draw Data � . 8-17.5 Volts 76-33 Volts 8-17.5 Volts 16-33 Volts Candela DC FWR DC FWR Sound Pattern dB DC FWR DC FWR Standard 15 123 128 66 71 Temporal High 57 55 69 75 Candela Range 15/75 142 148 77 81 Temporal Medium 44 49 58 69 30 NA NA 94 96 Temporal Low 38 44 44 48 75 NA NA 158 153 Non-temporal High 57 56 69 75 95 NA NA 181 176 Non-temporal Medium 42 50 60 69 110 NA NA 202 195 Non-temporal Low 41 44 50 50 115 NA NA 210 205 Coded Hiah 57 55 69 75 High 135 NA NA 228 207 Coded Medium 44 51 56 69 Candela Range �50 NA NA 246 220 Coded Low 40 46 52 50 177 NA NA 281 251 185 NA NA 286 258 r 8-17.5 Volts 16-33 Volts DClnput 75 75/75 15 15/75 30 75 95 110 115 Temporal High 137 147 79 90 107 176 194 212 218 Temporal Medium 132 144 69 80 97 157 182 201 210 Temporal Low 132 143 66 77 93 154 179 198 207 Non-Temporal High 141 152 91 100 116 176 201 221 229 Non-Temporal Medium 133 145 75 85 102 163 187 207 216 Non-Temporal Low 131 144 68 79 96 156 182 201 210 FWR Input Temporal High 136 155 88 97 112 168 190 �10 218 Temporal Medium 129 152 78 88 103 160 184 �02 206 Temporal Low 129 151 76 86 101 160 184 194 201 Non-Temporal Hlgh 142 161 103 112 126 181 203 221 229 Non-Temporal ibledium 134 155 85 95 110 166 189 208 216 Non-Temporal Low 132 154 80 90 105 161 184 202 211 � 16-33 Volts 16-33 Volts DC Input 135 150 177 185 FWR Input 135 150 177 185 Temporal High 245 259 290 297 Temporal High 215 237 258 265 Temporal iUedium �35 253 288 297 Temporal Medium 209 Z24 250 258 Temporal Low 232 2;1 282 292 Temporal Low 207 221 248 �56 Non-Temporal High 255 270 303 309 Non-Temporal High 233 248 275 281 Non Temporal Medium 242 259 Z93 299 Non Temporal Medium Z19 232 262 267 Non Temporal Low 238 254 291 295 Non Temporal Low 214 229 256 262 Horn Tones and Sound Output Data . 8-77.5 16-33 Z4-VoltNominal Switch Volts Volts Reverberant Anechoic Position Sound Pattern d6 DC FWR DC FWR D� FWR DC FWR 1 Temporal High 78 78 84 84 88 88 99 98 2 Temporal Medium 74 74 80 80 86 86 96 96 3 Temporal Low 71 73 76 76 83 80 94 89 4 Non-Temporal High 82 82 88 88 93 92 100 100 5 Non Temporal Medium 78 78 85 85 90 90 98 98 6 Non Temporal Low 75 75 81 81 88 84 96 92 7t Coded Hlgh 82 82 88 88 93 92 101 101 8t Coded Medium 78 78 85 85 90 90 97 98 9' Coded Low 75 75 81 81 88 85 96 92 TSettings 7,8,and 9 are not available on 2-wire hom strobes. AVDSL0600 SpectrAlert Advance Dimensions 4.7" 2.5" 5.05'� �2.23� ��...�, � � �� oQQ � � � 5.6„ 5.98„ 0 0 � � � a � a � �� Wall-mount horn strobes Wall back box skirt SpectrAlert Advance Ordering Information .. .- Wall Horn Strobes Horns P2R*t �-Wire Hom Strobe,Standard cd;,Red HR Horn,Red P2RH" 2-Wire Hom Strobe,High cd,Red HW Horn,White P2W" 2-Wire Hom Strobe,Standard cd,White Accessories P2WH* 2-Wre Hom Strobe,High cd,White BBS-2 Back Box Skirt,Wall,Red P4R* 4-Wre Hom Strobe,Standard cd,Red BBSW-2 Back Box Skirt,Wall,White P4RH 4Wre Hom Strobe,High cd,Red TR-HS Trim Ring,Wafl,Red P4W 4Wire Horn Strobe,Standard cd,White TRW-HS Trim Ring,Wall White Wall Strobes SR*' Strobe,Standard cd,Red SRH*t Strobe,Hlgh cd,Red SW* Svobe,Standard cd,White SWH* Strobe,High cd,White Notes: "Add"-P'to model number for plain housing(no"FIRE"marking on cover),e.g.,P2R-P. t Add"-SP"to model numberfor"FUEGO"marking on cover,e.g.,P2R-SP #"Standard cd"refers to 4robes that indude 15,15/75,30,75,95,110,and 115 candela settings."Hiqh cd"refers to strobes that indude 135,150,177,and 185 candela settings. �� S�STEM mzo,�sY=�emSe�=o, 3825 Ohio Avenue•St Charles,IL 60174 F�oa�asPeae�ano�s,�b�eaco�na�9e�mo�,�on��v�sasyseemse�so«omro, �� SENSOR Phone:800-SENSOR2•Fax:630-377-6495 ��ffe�ca�od�a��ro��a�o�,��d�a��9meia�es��e�s�o�orm�sea�asnee� AVD500G00�6/I1�Y280? . ELK Sealed Lead Acid Battery Two-Year Warranty ELK Sealed Lead Acid Batteries are excellent forthe following applications with regard to size,amp hour rating,and proper terminal connections: battery backup (for access control systems,fire alarm systems, and security alarm systems),electrically motorized vehicles,emergency lights,lighted exit signs,and uninterruptible power supplies. ELK-1280 12V, 8 Ah � � � - - � • �� UL Recognized Nomina)Voltage 12 Volts �, comPo�e�c , ,s Rated Capacity 8 Ah(20 hour rate) �°�� Length 5.94"(151 mm) � ��.� ,h Width 2.56"(65 mm) a %�� � �: � �� � �� Height 3.98"(101 mm) e �, ���- , � ',�,R�,, �{ rY•�'�'�..,� ; � ���� . Weight(Approximate) 5.61bs(2.5 kg) � �� I � � '��� 97°k Recydable Terminals F1 Faston Tab(.187") . . , � Dimensions(mm) Capacity 20 hour rate(0375A) 8Ah 77°F(25°C) 10 hour rate(0.71 A) 7.1 Ah F�` _ , _-- a�) ..�. 5 hour rate(1.27A) 637Ah � } �3-� ` 1 hour rate(4.5A) 4.5Ah � `— � °" e � Capacity affected 104�F(40°C) 102% byTemperature 77'F(25��) 100% - �5� : I <�5 { (20 hour rate) 32°F(0°C) 85% � ��� ` � ._ _ -- -- 5°F(-15°C) 65% _--- , � � ' ' � ! 1 �s - Charge Constant Cycle: Initial Charging Current less than 2.25A � Voltage Voltage 14.4V-15.OV at 77°F(25°C) ; f � i Standby: Voltage 13.5V- 13.8V at 77°F(25°C) � I i , Discharge Characterisfics (24°C,68°[�') Dischargc Characteristics (0°C/32"F,40"C/104"F) -- - - --� - - - —�-, ------ - ia - - - - . _ �_ � � ; > -- -- - - _ _-- --- _ l2 � __ _ _ _ _ T 3 .__ _. _ � � @I � __ "_ .__. . . _.. __' _ '_ _ . _.. .._.._. '_-._.__ s �� � � - - - - - - € � OU F" 50 -- R ___ "_ +.. � "1,27AOJIA0375A a, � � � ; �� - -- !- --- ---��--�-3--�-- 2A — ---- L ,p -- ---- -- - -- -- � , ca : i ' u . i �-. C 9 i 3.$i1 _"__ �10 "_'..._ ..+ . .____ -______ � � _ __ � '_ ' '_ _'___ _'_ A {m � 4ffC�107'F) " — _—_ _r y� , � RY'(i.'F u ' ' E,,,, • I �. _ _. ._ __ _ --- - _ -___ -- - s -- - • ' { � - "'__. ___ " ' ., 3 __ _.. __ -. . 3i.;p 3pA 2Z.iA ISA 7.�:\ � ____ _1_ l_�-I- L -�-- - � --- - -- __ _ ! ? i G 10 :0 10 6U '_ s 5'-...�0._�_�2U 3U llq 5(Ml 10 IS 70 �—(minl � fh)—; '--(mA)__'__�_-'(AI_-� Discharge T'ime Discharge Current Al CE ��� For more information,including details on recycling ELKbatteries and MSDS for this product,please visit www.elkproducts.com or call us at(828)397-4200. PRODUCTS �:... 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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. Inspection/Test Start Date/Time: 12-30-16 Inspection/Test Completion Date/Time: 12:OOpm Supplemental Fortn(s)Attached: Yes (yes/no) 1. PROPERTY INFORMATION Name of property: Bridgewater Bank Address: 2445 Shadywood Road,Orono,MN 55331 Description of property: Bank Name of property representative: Caitin Kelly Address: Phone: 952-201-6153 Fax: E-mail: 2. TESTING AND MONITORING INFORMATION Testing organization: City View Electric Inc. Address: 14309 Lake Drive NE Columbus,MN 55025 Phone: 651-659-9496 Fax: E-mail: davids@cityviewelectric.com Monitoring organization: Wright Hennipen International Response Center Address: 6800 Electric Drive,Rockford,MN 55373 Phone: 1-800-858-7811 Fax: E-mail: admin@whirc.com Account number: ST0788 Phone line 1: 952-471-2611 Phone line 2: 952-471-2616 Means of transmission: P.O.T.S.Lines(Public Phone Network) Entity to which alarms are retransmitted: WHIRC Phone: 1-800-858-7811 3. DOCUMENTATION On-site location of the required record documents and site-specific software: At FACP and on flash drive inside FACP 4. DESCRIPTION OF SYSTEM OR SERVICE 4.1 Control Unit Manufacturer: Silent Knight Modei number: 5700 4.2 Software and Firmware Firmware revision number: 15 4.3 System Power 4.3.1 Primary(Main)Power Nominal voltage: 120VAC Amps: 3 Location: FACP Overcurrent protection type: Breaker Amps: 20 Disconnecting means location: PNL 1 CKT 8 Copyright�2012 National Fire Prolection 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 1? ( r SYSTEM RECORD OF INSPECTION AND TESTING (continued) 4. DESCRIPTION OF SYSTEM OR SERVICE (continued) 4.3.2 Secondary Power Type: Battery Location: FACP Battery type(if applicable): SLA Calculated capacity of batteries to drive the system: In standby mode(hours): 24 In alarm mode(minutes): 10 5. NOTIFICATIONS MADE PRIOR TO TESTING Monitoring organization Contact: WHIRC Time: 12:OOPM Building management Contact: Time: 12:OOPM Building occupants Contact: Time: 12:OOPM Authority having jurisdiction Contact: Time: Other,if Contact: Time: required 6. TESTING RESULTS 6.1 Control Unit and Related Equipment Visual Functional Descri tion Ins ection Test Comments Control unit � � Lam s LEDs LCDs � � Fuses ❑ ❑ N/A Trouble si nats � � Disconnect switches � � Ground-fault monitorin � � Su ervision � � Localannunciator � � Remote annunciators � � Front Door Remote ower anels ❑ ❑ N/A ❑ ❑ 6.2 Secondary Power Visual Functional Descri tion Ins ection Test Comments Batte condition � � Dated 11-26-16 Load volta e � � Dischar etest � � Char er test � � Remote anel batteries ❑ ❑ N/A Copyright m 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. t,p.2 c�f=�� ( . SYSTEM RECORD OF INSPECTION AND TESTING (continued) 6. TESTING RESULTS(continued) 6.3 Alarm and Supervisory Alarm Initiating Device Attach supplementary device test sheets for all initiaring devices. 6.4 Notification Appliances Attach supplementary appliance test sheets for all notification appliances. 6.5 Interface Equipment Attach supplementary interface component test sheets for all interface components. Circuit/nterface/Signaling Line Circuit/nterface/Fire Alarm Control/nterface 6.6 Supervising Station Monitoring Descri tion Yes No Time Comments Alarm si nal � ❑ See Attached Alarm restoration � ❑ Trouble si nal � ❑ Trouble restoration � ❑ Su erviso si nal � ❑ Su erviso restoration � ❑ 6.7 Public Emergency Alarm Reporting System Descri tion Yes No Time Comments Alarm si al ❑ ❑ Alarm restoration ❑ ❑ Trouble si nal ❑ ❑ Trouble restoration ❑ ❑ Su erviso si nal ❑ ❑ Su erviso restoration ❑ ❑ Copyright�2012 NaGonal Fire Protection Association.This form may be copied for individual use other than for resale.It may not be copied for commercial saie or distribution. i�J. ,�Of�) SYSTEM RECORD OF INSPECTION AND TESTING (continued) 7. NOTIFICATIONS THAT TESTING IS COMPLETE Monitoring organization Contact: WHIRC Time: 1:OOPM Building management Contact: Time: 1:OOPM Building occupants Contact: Time: 1:OOPM Authority having jurisdiction Contact: Time: Other,if Contact: Time: required 8. SYSTEM RESTORED TO NORMAL OPERATION Date: 12-30-16 Time: 1:OOPM 9. CERTIFICATION This system as specified herein has been inspected and tested according to NFPA 72,2013 edition,Chapter 14. Signed: Printed name: David Saucier Date: 12-30-16 Organization: City View Electirc Inc. Title: Service Manager Phone: 651-659-9496 Qualifications(refer to 10.5.3): PLT 10. DEFECTS OR MALFUNCTIONS NOT CORRECTED AT CONCLUSION OF SYSTEM INSPECTION, TESTING,OR MAINTENANCE 10.1 Acceptance by Owner or Owner's Representative: The undersigned accepted the test report for the system as specified herein: Signed: Printed name: Date: Organization: Title: Phone: Copyright 6 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 w distribution. t p. 4 of 4} . `- SYSTEM RECORD OF COMPLETION This form is to be completed by the system installation contractor at the time of system acceptance and approval. !t shall be permitted to modify this form as needed to provide a more complete andlor clear record. Insert N/A in all unused lines. Attach additional sheets, data, or calculations as necessary to provide a complete record. Form Completion Date: 12-30-16 Supplementat Pages Attached: 10 1. PROPERTY INFORMATION Name of property: Bridgewater Bank Address: 2445 Shadywood Road,Orono,MN 5533 Description of property: Bank Name of property representative: Caitin Kelly Address: Phone: 952-201-6153 Fax: E-mail: 2. INSTALLATION, SERVICE,TESTING, AND MONITORING INFORMATION Installation contractor: City View Electric Inc. Address: 14309 Lake Drive NE,Columbus,MN 55025 Phone: 651-659-9496 Fax: 651-641-0503 E-mail: Service organization: City View Electric Inc. Address: 14309 Lake Drive NE,Columbus,MN 55025 Phone: 651-659-9496 Fax: 651-641-0503 E-mail: Testing organization: City View Electric Inc. Address: 14309 Lake Drive NE,Columbus,MN 55025 Phone: 651-659-9496 Fax: 651-641-0503 E-mail: Effective date for test and inspection contract: Monitoring organization: Wright Hennepin International Response Center Address: 6800 Electric Drive, Rockford,MN 55373 Phone: 1-800-858-7811 Fax: E-mail: admin@whirc.com Account number: ST0788 Phone line 1: 952-471-2611 Phone line 2: 952-471-2616 Means of transmission: P.O.T.S.Lines(Public Phone Network) Entity to which alarms are retransmitted: WHIRC Phone: 1-800-858-7811 3. DOCUMENTATION On-site location of the required record documents and site-specific software: At FACP and on flash drive inside FACP 4. DESCRIPTION OF SYSTEM OR SERVICE This is a: �New system ❑Modification to existing system Permit number: NFPA 72 edition: 2010 4.1 Control Unit Manufacturer: Silent Knight Model number: 5700 4.2 Software and Firmware Firmware revision number: 15 4.3 Alarm Verification �This system dces not incorporate alarm verification. Number of devices subject to alarm verification: Alarm verification set for seconds Copyright m 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. ip. 1 of 3} SYSTEM RECORD OF COMPLETION (continued) 5. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power Input voltage of control panel: 120VAC Control panel amps: 3 Overcurrent protection: Type: Breaker Amps: 20 Branch circuit disconnecting means location: Elec. Rm Number: PNL 1 CKT 8 5.1.2 Secondary Power Type of secondary power: Battery SLA Location,if remote from the plant: Calculated capacity of secondary power to drive the system: In standby mode(hours): 24 In alarm mode(minutes): 10 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 Notification Appliance B Other(specify): 7. REMOTE ANNUNCIATORS Type Location Silent Knight 5860 Front Door 8. INITIATING DEVICES Addressable or Type Quantity Conventional Alarm or Supervisory Sensing Technology Manual Pull Stations 2 Addressable Alarm N/A Smoke Detectors 18 Addressable Alarm Yes Duct Smoke Detectors Heat Detectors Gas Detectors Waterflow Switches Tamper Switches 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. i;p.�?�f 3; SYSTEM RECORD OF COMPLETION (continued) 9. NOTIFICATION APPLIANCES Type Quantity Description Audible Visible 4 Wall Mount Strobe Only System Sensor Combination Audible and Visible 3 Wall Mount Horn Strobe System Sensor 10. SYSTEM CONTROL FUNCTIONS Type Quantity Hold-Open Door Releasing Devices HVAC Shutdown Fire/Smoke Dampers Door Unlocking E(evator Recall 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: David Saucier Date: 12-30-16 Organization: City View Electric Inc. Title: Service Manager Phone: 651-659-9496 12.2 System Operational Test This system as specified herein has tested according to all NFPA standards cited herein. Signed: Printed name: David Saucier Date: 12-30-16 Organization: City View Electric Inc. Title: Service Manager Phone: 651-659-9496 12.3 Acceptance Test Date and time of acceptance test: Installing contractor representative: Testing contractor representative: Property representative: AHJ representative: Copyright 0 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. ((J. �Of�} . � SYSTEM RECORD OF COMPLETION This form is to be completed by the system installation contractor at the time ofsystem 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. Form Completion Date: 12-30-16 Supplemental Pages Attached: 10 1. PROPERTY INFORMATION Name of property: Bridgewater Bank Address: 2445 Shadywood Road,Orono,MN 5533 Descriptionofproperty: Bank Name of property representative: Caitin Kelly Address: Phone: 952-201-6153 Fax: E-mail: 2. INSTALLATION,SERVICE,TESTING,AND MONITORING INFORMATION Installation contractor: City View EleCtric Inc. Address: 14309 Lake Drive NE,Columbus,MN 55025 Phone: 651-659-9496 Fax: 651-641-0503 E-mail: Service organization: City View Electric Inc. Address: 14309 Lake Drive NE,Columbus,MN 55025 Phone: 651-659-9496 Fax: 651-641-0503 E-mail: Testing organization: City View Electric Inc. Address: 14309 Lake Drive NE,Columbus,MN 55025 Phone: 651-659-9496 Fax: 651-641-0503 E-mail: Effective date for test and inspection contract: Monitoring organization: Wright Hennepin International Response Center Address: 6800 Electric Drive, Rockford,MN 55373 Phone: 1-800-858-7811 Fax: E-mail: admin@whirc.com Account number: ST0788 Phone line 1: 952-471-2611 Phone line 2: 952-471-2616 Means of transmission: P.O.T.S.Lines(Public Phone Network) Entity to which alarms are retransmitted: WHIRC Phone: 1-800-858-7811 3. DOCUMENTATION On-site location of the required rewrd documents and site-specific software: At FACP and on flash drive inside FACP 4. DESCRIPTION OF SYSTEM OR SERVICE This is a: �New system ❑Modification to existing system Permit number: NFPA 72 edition: 2010 4.1 Control Unit Manufacturer: Silent Knight Model number: 5700 4.2 Software and Firmware Firrnware revision number: 15 4.3 Alarm Verification �This system does not incorporate alarm verification. Number of devices subject to alarm verification: Alarm verification set for seconds Copyright�2012 National Fire Protection Association.This form may be copied for individual use other than fw resale.It may not be copied for commercial sale w distribution. ip. 1 Uf 3} SYSTEM RECORD OF COMPLETION (continued) 5. SYSTEM POWER 5.1 Control Unit 5.1.1 Primary Power Input voltage of control panel: 120VAC Control panel amps: 3 Overcurrent protection: Type: Breaker Amps: 20 Branch circuit disconnecting means location: Elec. Rm Number: PNL 1 CKT 8 5.1.2 Secondary Power Type of secondary power: Battery SLA Location,if remote from the plant: Calculated capacity of secondary power to drive the system: In standby mode(hours): 24 In alazm mode(minutes): 10 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 Notification Appliance B Other(specify): 7. REMOTE ANNUNCIATORS Type Location Silent Knight 5860 Front Door 8. INITIATING DEVICES Addressable or Type Quantity Conventionai Alarm or Supervisory Sensing Technology Manual Pull Stations 2 Addressable Alarm N/A Smoke Detectors 18 Addressable Alarm Yes Duct Smoke Detectors Heat Detectors Gas Detectors Waterflow Switches Tamper Switches 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. tp. 2 of 3} SYSTEM RECORD OF COMPLETION (continued) 9. NOTIFICATION APPLIANCES Type Quantity Description Audible Visible 4 Wall Mount Strobe Only System Sensor Combination Audible and Visible 3 Wall Mount Horn Strobe System Sensor 10. SYSTEM CONTROL FUNCTIONS Type Quantity Hold-Open Door Releasing Devices HVAC Shutdown Fire/Smoke Dampers Door Unlocking Elevator Recall 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: David Saucier Date: 12-30-16 Organization: City View Electric Inc. Title: Service Manager Phone: 651-659-9496 12.2 System Operational Test This system as specified herein has tested according to all NFPA standards cited herein. Signed: Printed name: David Saucier Date: 12-30-16 Organization: City View Electric Inc. Title: Service Manager Phone: 651-659-9496 12.3 Acceptance Test Date and time of acceptance test: Instal(ing contractor representative: Testing contractor representative: Property representative: AHJ representative: Copyright 0 2012 National Fire Protection Association.This form may be copied for irWividual use other than for resale.It may not be copied for commercial sale or distribution. ip. 3 Of�j DATE TIME �!/ CITY OF ORONO cnLLED IN iiSit'a. � INSPECTION.NOTICE SCHEDULED VL!!� /�� PERMIT NO.r�``� ���� COMPLETED � � � ADDRESS v�. OWNER �_�(da.�c.,- �4.,..f�- TELEPHONE NO. CONTRACTOR -: �U�� � DESCRIPTION !'?�w'�- S���+t^� W ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS � ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT v ,�FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP , ❑ FOUNDATION/REMOVAL _ v ❑ DEMO-SITE ❑ SEPTIC INSTALL 2 OWNENCONTRACTOR TO MEET Y�OU:�YES_NO � COMMENTS: � s�s�-�.._ �a� j o � � 0 W R Q � W � W � J d W� ❑WORKSATISFACTORY:PROCEED �PROJECT COMPLETE � ❑CORRECT W�RK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE CONERING PERMANENT ❑CORRECT UNSAFE CONDITION WRHIN HOURS. ❑pHOTO TAKEN INSPECTOR WFLL RETURN ❑CITATION ISSUED ❑STOP ORDER POSTED.CALLINSPECTOR O INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContraator on site: (�a,.� Inspector: �C��r..�� ��,•� �� �� White Copyllnapector'a Flle Canary CopylSite Notke