- Affidavit of Smoke Alarm and Carbon Monoxide Alarm Installation
- Affidavit of Smoke Detector Equipment
- Affidavit of Detetors' Installation
- Statement of Facts
- Affidavit of Facts for the Registration of a Moped - North Carolina
- Affidavit of Compliance with Smoke Detector and Carbon Monoxide Detector Requirement
Fillable Printable Affidavit of Detetors' Installation
Fillable Printable Affidavit of Detetors' Installation
Affidavit of Detetors' Installation
MAYOR
Michael Esmay
TRUSTEE &
DEPUTY
MAYOR
Kar en T ara pat a
TRUSTEES
Ja m e s Ande rson
Vincent S. Morgan
Peter Malcolm
VILLAGE OF UPPER NYACK
328 NORTH BROADWAY
UPPER NYACK, NEW YORK 10960 *
*INCORPORATED 1872 *
Tel. 8 45-358- 0084 FAX, 845- 358-07 41
uppernyack@ optonline. net
www.uppernyack-ny.us
Village Clerk
Carol G.Brotherhood
Village Treasurer
Barry MacCartney
VILLAGE ATTO RNEY
Robert P. Lewis
AFFIDAVIT OF COMPLIANCE ROCKLAND
COUNTY SANITARY CODE §13.34 AND §13.35. S MOKE A ND
CARBON MONOXIDE ALARM INSTALLATION
I am an owner of the property described herein:
Tax designation:
Address:
Upper Nyack, NY 10960
County of Rockland
State of New York
I attest that at the time of transfer, all sleeping areas and access hallways have smoke
detector (s) and carbon monoxide detector (s) installed in accordance with the above
law.
Owner / Transferor
L.S.
STATE OF NEW YORK }
COUNTY OF ROCKLAND } SS.:
Sworn to before m e this
day of
20
Notary Public Seal