Fillable Printable Affidavit of Compliance of Smoke Alarm Installation

Affidavit of Compliance of Smoke Alarm Installation

TOWN OF MARLBOROUGH

MILTON, ULSTER COUNTY, NEW YORK12547

DEPARTMENT OF BUILDINGS

E.N. COLLETTA C.C.A

BUILDING INSPECTOR TEL # 845-795-2406

STATE OF NEW YORK

AFFIDAVIT OF COMPLIANCE OF SMOKE ALARM INSTALLATION

IN ONE AND TWO FAMILY HOMES

STATE OF NEW YORK / COUNTY OF ULSTER

EFFECTIVE JULY 26 ,1995 SMOKE DETECTING ALARM DEVICES, INSTALL IN CONFORMITY WITH THE

NEW YORK STATE UNIFORM FIRE PREVENTION AND BUILDING CODE SECTION 1060, 1Q SHALL BE

PROVIDED “OUTSIDE EACH SLEEPING AREA, IN EACH SLEEPING SPACE AND ON EACH FLOOR LEVEL”

(I)(We) ARE THE TRANSFEROR <S> OF THE PROPERTY DESCRIBED HEREIN, AND ATTEST THAT

THE PROPERTY AT THE TIME OF TRANSFER HAS INSTALLED ON ITS PREMISES OPERABLE

SINGLE STATION SMOKE DETECTING ALARM DEVICES AS REQUIRED ABOVE,

2. THE PROPERTY IS A(ONE) OR (TWO) FAMILY DWELLING LOCATED AT:

ADDRESS: ___________________________________________________________________________________

CITY ______________________________________

COUNTY:_________________

STATE_______________________________________

ZIP ______________________

(I)(WE)MAKE THIS AFFIDAVIT IN ACCORDANCE WITH SECTION373

SUB/DIVISION 5 OF THE EXECUTIVE LAW.

TRANSFEROR

SWORN TO BEFORE ME THIS _______ DAY OF _______________, 20 ____

NOTARY PUBLIC