Nyack, NY · Rockland County

No notary required

Contractor's Material and Test Certificate for Fire Sprinkler Aboveground Piping

Sprinkler contractors and property representatives complete this certificate after aboveground fire sprinkler piping work is finished, inspected, and tested.

What this form is

The certificate records the inspection and test of aboveground fire sprinkler piping after work is complete. It asks for property and plan details, equipment and system information, test results, explanations of any deficiencies, and signatures from the sprinkler contractor and the owner or representative. The contractor's representative conducts the inspection and test, witnessed by an owner's representative, and defects must be corrected before the system is left in service.

Who needs it

Sprinkler contractors and property owners or their representatives complete and sign the certificate after aboveground fire sprinkler piping work and testing.

How to submit it

The form says to prepare copies for the approving authorities, owner, and contractor. It lists the Village of Nyack Building Department at 9 N Broadway, Nyack, NY 10960, and [email protected].

About notarization

This document is signed and dated without a notary; the sprinkler contractor and property owner or representative sign it, and no notarized or sworn attachment is mentioned.

How to submit this form

  1. 1

    Download the Certificate

    Download the Contractor's Material and Test Certificate for Fire Sprinkler Aboveground Piping.

  2. 2

    Complete the Form

    Enter the property, plans, equipment, system, inspection, and test details, and explain any deficiencies.

  3. 3

    Gather Test Information

    Record the applicable test results and system information requested on the certificate.

  4. 4

    Sign and Prepare Copies

    Have the sprinkler contractor and owner's representative sign and date the certificate; prepare copies for the approving authorities, owner, and contractor.

  5. 5

    Provide the Copies

    Provide copies to the approving authorities, owner, and contractor as directed by the form.

Frequently asked questions

What does the fire sprinkler piping test certificate record?
It records details and test results for aboveground fire sprinkler piping, including equipment, system operation, deficiencies, and signatures from the sprinkler contractor and property representative.
Who completes the certificate?
The sprinkler contractor's representative completes and signs the certificate, and an owner's representative witnesses the inspection and test and also signs it.
Do I need a notary for the fire sprinkler piping test certificate?
No. The document is signed and dated by the sprinkler contractor and property owner or representative; it does not mention a notarized or sworn attachment.
How do I submit the fire sprinkler piping test certificate?
Prepare copies for the approving authorities, owner, and contractor. The form lists the Village of Nyack Building Department and [email protected].

Need something notarized?

This Contractor's Material and Test Certificate for Fire Sprinkler Aboveground Piping doesn’t need a notary — but if you have another Nyack form that does, a commissioned online notary can help.