State: New York
TOWN OF MARLBOROUGH
MILTON, ULSTER COUNTY, NEW YORK 12547
DEPARTMENT OF BUILDINGS
E.N. COLLETA 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 P R E M I S E S OPERABLE SINGLE STATION SMOKE DETECTING A L A R M DEVICES AS REQUIRED ABOVE,
2. THE P RO P ER T Y 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
,TRANSFEROR
SWORN TO BEFORE ME THIS DAY OF , 20.
NOTARY PUBLIC
SMOKE AND CARBON MONOXIDE DETECTOR AFFIDAVITS NY06: TOWN OF MARLBOROUGH AFFIDAVIT OF COMPLIANCE OF SMOKE ALARM INSTALLATION IN ONE AND TWO FAMILY HOMES