West Haverstraw, NY · Rockland County
Application for Certificate of Fire Safety Compliance and New Occupancy
This application collects business, owner or agent, emergency contact, and alarm information for a fire safety compliance certificate and new occupancy.
What this form is
The Village of West Haverstraw application is for a Certificate of Fire Safety Compliance and New Occupancy under Chapter 107, the Village Fire Prevention Code. It asks for the business name and address, business type, owner or agent details, emergency contacts, approximate square footage, and alarm information. The form requests return of the completed application with payment.
Who needs it
Businesses seeking a Certificate of Fire Safety Compliance and New Occupancy from the Village of West Haverstraw can complete this application.
How to submit it
Return the completed application and $100 payment to the Village of West Haverstraw Building Department, 130 Samsondale Avenue, West Haverstraw, NY 10993.
About notarization
No notary is required; this application has no notary block, and the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Fire Safety Compliance and New Occupancy Application PDF.
- 2
Complete The Application
Provide the business, owner or agent, emergency contact, square footage, and alarm information requested.
- 3
Prepare Payment
Include the $100 payment requested by the application.
- 4
Submit To The Building Department
Return the completed application and payment to the Village of West Haverstraw Building Department at 130 Samsondale Avenue.
Frequently asked questions
- Do I need a notary for the Fire Safety Compliance and New Occupancy Application?
- No. This application has no notary block, and the signer just signs and dates it.
- How do I submit the application?
- Return the completed application and $100 payment to the Village of West Haverstraw Building Department at 130 Samsondale Avenue, West Haverstraw, NY 10993.
- What information does the application ask for?
- It asks for business and owner or agent details, emergency contacts, approximate square footage, and alarm company and system information, if applicable.