East Rockaway, NY · Nassau County
Carbon Monoxide and Smoke Detector Affidavit
This affidavit lets property owners attest that required carbon monoxide and smoke detectors or a qualifying residential fire alarm system are installed and operating at their East Rockaway property.
At a glance
- Issued by
- City of East Rockaway · East Rockaway, Nassau County, New York
- Notarization
- Required: sign this form in front of a notary before filing it.
- Official source
- villageofeastrockaway.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
East Rockaway’s Building Department uses this affidavit to document an owner’s statements about carbon monoxide and smoke detector installation and operation, or a qualifying residential fire alarm system. The form identifies the property and permit numbers and must be submitted before completion or within 30 days of inspection. The owner’s statements are sworn before a notary, and the form warns that false statements are punishable as a Class A misdemeanor.
Who needs it
Owners of a one- or two-family dwelling classified as R3 occupancy must submit the affidavit to the East Rockaway Building Department as directed.
How to get this notarized
- 1
Download the Affidavit
Get the Carbon Monoxide and Smoke Detector Affidavit from the East Rockaway Building Department.
- 2
Fill In the Form
Enter the owner names, property address, permit numbers, and date. Review the statements about detectors or the fire alarm system.
- 3
Book an Online Notary
Schedule a remote session with a commissioned online notary before signing the affidavit.
- 4
Sign on Video
Sign and swear to the affidavit during the live video appointment, following the notary’s instructions.
- 5
Submit to the Village
Submit the notarized form to the East Rockaway Building Department before completion or within 30 days of inspection.
Preview the form
The blank PDF straight from East Rockaway. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I notarize the detector affidavit online?
- Complete the form, book a session with a commissioned online notary, and sign during the live video appointment. Submit the notarized affidavit to the Building Department by its deadline.
- Do I need to sign the affidavit in front of a notary?
- Yes. The form includes a sworn-before-me jurat, so the owner or owners named on the affidavit must sign and swear to its statements before a notary.
- Can I use remote online notarization for this form?
- New York authorizes remote online notarization for its own notaries under Executive Law §135-c, in effect since 2023. Sign before a commissioned online notary during a live video session.
- When must I submit the affidavit?
- The form says it must be submitted before completion or within 30 days of inspection. Confirm with the city, town or village if unsure.