Village Of Upper Nyack Affidavit Of Compliance
Rockland County Sanitary Code §13.34 AND §13.35
Smoke And Carbon Monoxide Alarm Installation

Village Of Upper Nyack Affidavit Of Compliance Rockland County Sanitary Code §13.34 AND §13.35 Smoke And Carbon Monoxide Alarm Installation

MAYOR
Michael Esmay

TRUSTEE &
DEPUTY
MAYOR
Karen Tarapata

TRUSTEES
James Anderson
Vincent S. Morgan
Peter Malcolm

VILLAGE OF UPPER NYACK
328 NORTH BROADWAY
UPPER NYACK, NEW YORK 10960 *
*INCORPORATED 1872* Tel. 845-358-0084 FAX 845-358-0741
uppernyack@optonline.net
www.uppernyack-ny.us

VILLAGE CLERK
Carol G.Brotherhood

VILLAGE TREASURER
Barry MacCartney

VILLAGE ATTORNEY
Robert P. Lewis

AFFIDAVIT OF COMPLIANCE ROCKLAND
COUNTY SANITARY CODE §13.34 AND §13.35. SMOKE AND
CARBON MONOXIDE ALARM INSTALLATION

I am an owner of the property described herein:

Tax designation:

Address:

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.

STATE OF }
COUNTY OF } SS.:

Sworn to before me this day of , 20.

Notary Public

Seal