special inspections P.O. BOX 508 BURNT HILLS, N.Y. 12027 (518)885-1115 FAX(518)885-0526
Z
March 27, 20
Mr. Michael J Palmer Firemarshal@queensbury.net
Fire Marshal
Town of Queensbury
742 Bay Rd.
Queensbury,NY 12804
Re: Installation and modification of the existing Wet Pipe Sprinkler System for the newly remodeled
Eddie Bauer store at the Adirondack Outlets, 1454 State Route 9, Lake George NY 12845
Mike:
The New Eddie Bauer Store at the above-mentioned facility has been installed in accordance to NFPA-
13-16 as referenced by the current New York State Building Code. The vacant store to the east of this
store has also been roughed-in under the same ceiling format and is in operation.
If you have any questions,please do not hesitate to contact me.
James M. Fantauzzi
President
Cc/Laura Kohls Lakohls@aol.com
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PROTECTION SYSTEM-INSPECTION REPORT JOB NAME/NO.
Name Adirondack Outlet Mall JOB LOCATION Utility Room
INSTALLATION DATE tASTINSPECION 4/14/20
Address 1454 State Rt 9
INVOICE DATE JOB PHONE
City Lake George State Ny Zip 12845
INSPECTION SYSTEM INFORMATION
INFORMATION C Za LL SYSTEM EQUIPMENT MANUFACTURE
Firelite M8-10UD
R.O.R.Heat 6 ✓ SYSTEM INSTALLER
New York Fire&Security
Fixed Heat ✓ SYSTEM APPLICATION Mall
Smoke Detector 36 TYPE OF SYSTEM Fire Alarm&Sprinkler Monitoring
Duct Detector ✓ MAINTENANCE PROGRAM BY NYF&S
Flame Detector ✓ CALL LIST UP TO DATE
w Pull Station
u 6 ✓ REMARKS Account#:NA2296
•5 Low TempILI
✓
0 Door Contacts ✓
o
AMotion Detectors ✓
c Photobeams CONTROL PANEL AGENT TANK COMMUNICATION DEVICES
Sprinkler Water Flow 2 ✓ A.C.Voltage 120.6 Weight A.C.Voltage
Sprinkler Low Air ✓ D.C.without Load 27.27 Last Hydro D.C.without Load
SprinklerTamper 2 ✓ 12.39 Gauge D.C.with Load Batt A: Pressure D.C.with Load Batt A:
Water Bug ✓
Gaster DetectorD.C.with Load Batt B. 12.39 Serial# D.C.with Load Batt B:
Air Hand.shutdown, ✓ POWER SUPPLY AGENTTANK POWER SUPPLY
u Bed Shaker ✓ A.C.Voltage Weight A.C.Voltage
Door Release
«tea ✓ D.C.without Load Last Hydro D.C.without Load
Duct Damper ✓
Equipment Shutdown ✓ D.C.with Load Batt A: Gauge Pressure D.C.with Load Batt A:
A.C.Voltage ✓ D.C.with Load Batt B: Serial# D.C.with Load Batt B:
C D.C.Voltage ✓
a
o Battery
r Detection Circuit ✓
U
Audible Circuit ✓
Remote Annunciator ✓
Audible Devices ✓ -
rn
E Visual Devices
m
Q Pre.Discharge
Signs as Needed ✓
Selector Valves ✓
Piping The testing performed and noted on this inspection report is based on NFPA 72 guidelines
NozzlesCu
✓
Tanks ✓ INSPECTOR
Gauges "�/ TD/CB
Solenoid ✓ I hereby acknowledge the satisfactory completion of the above described work
Manual Release ✓ SYSTEM FUNCTIONAL
Time Delay ✓
_ SYSTEM NON-FUNCTIONAL
Remote Station Trans. ✓
E IP/Cell Communicator ✓ DISCREPANCIES NOTED ABOVE
UVoice Dialer ✓
Phone Line/Digital ✓
Dialer signature(Title) Date 47121