FDNY Bureau of Fire Prevention Violation Order form, date unknown

NYC 9/11 Public Portal Document

L-'i 0 -dO.r CERTIFICATE OF CORRECTION State of New York ) ‘ ,r ss; County of ■ -)

• being duly-sworn, depose and sayTtaat I am the respondent cited in the T P It i i . : Notice ofMofMion and that I admit the existence of the violations(sj described in the Notice of Violation.

I have corrected all said violations as ordered by the Commissioner Check one or □ I have only corrected Rule Number(s) and. will attend hearing on scheduled date.

(The respondent certifies that all violations have been corrected if no box is checked.) I have attached legible copies of any and alPbiHs', receipts and other proof of correction to this certification as required.

(Sign only before a notary)

TO BE COMPLETED BY NOTARY

County of _______ ________ J____ _ Registration Number SEAL — - KMfyWB Sworn to before .me this_A,Z.__^y oLsfe^L^. 19j^7_ Notary Number

Signature ..of Notary Commission Expires?®??^'

The Fire Commissioner reserves the right to reject any Certificate of Correction that is incomplete-’False certification is punishable by a fine of not less than $1,000 nor more than $5,000 arid/or up to 6 months imprisonment pursuant to Administration Code Section 15-220.1

CERTIFICATION INSTRUCTIONS For first offenses: 1. ALL offenders must correct the violation(s) cited-on the NOTICE OF VIOLATION. 2. All offenders must complete the Certificate of Correction-above and have it notarized. Do nol detach above certificate from this pagr 3. Attach legible copies of any and all'.bills, receipts and/or other proof of compliance to this Certificate of Correction (see c'^rrectioi requirements on reverse of greeri.copy)\and-.sob.rrVit them along with this Certificate. 4. Return the completed Certificate of Correction with all appropiiate documentattori attached to the Bureau of Fire Prevention, Enforcement Unit, 9 Metro Tech East, Brooklyn, New York 11201-3857 by the close of business on the date indicatHO on the NOTICE OF VIOLATION for return of the certificate. (See reverse side for return date) 5. Respondents will be notified by mail if their Certificate of Correction ha.s been disapproved and of the appropriate action to takt to correct same. 6. if it IS impossible to correct any or all, violations v/ithin the time indicated, you may he eligible for a stipulation extending the timi to correct. A request foi a stipuiation extending compliance 4 >-n mii.st be' mads at the hearing and is subject to tbs .apmoval o the fire Department and the ECB. 7 If you properly certify thatAEL violations have been corrected, von wi!! be excused from appearing at the scheduicd ECB hesrirn and rn nrnaltv v/i|| be imposed. 8. If you fail to comply with (?) above or if your-'are a repeat eflencier you will be required to attend the ECB -hearing-.rtgst^^ on the NOV- and. bring any and ail proof of ^correction >o. ths tiee,fi*"g. _ —

EGB HEARING OFFICES If you are required to attend an ECB hearing, check the location and lime indicated on the tace of the NOV and note the address below: ■ Manhattan: 1250 Broadway, 7th Fl. (212) 971-3601/03 • Qiieens: 144-06 94ih Avenue. Jamaica - Main Floor (718) 298-7300

■ Brooklyn- 233 Schermerhorn St.. 11th Fl. (718) 858-1305 ■ Slnlen island: 350 St. Marks Place. 4th Fl.. St. George. SI (212) 971-3600 • Bronx: 1932 .Arthur Ave., 6th Fl., (212) 971-3601-03

NYC-WTC_000165985