FDNY Bureau of Fire Prevention Violation Order form, date unknown

NYC 9/11 Public Portal Document

A-268 (4/69) OFFICE BUILDING INSPECTION FORM

DIV. BATT. CO. BLOCK NO.

I I J-Ie; A. 1. Address ' ■________ ____________________ _______________________ „■ _______________________ 2. Name of Owner or Agent l\/C Height in Storie.^ 4. Arca Q-J d 5. Date of erection _J_f^2Z3ZZZ_7^ Certificate^ Q.ccupancy posted sP. Spp in^twr.

7. Enter the number of the Certificate of Occupancy __ j/'l____________________________________ :______ ___________

B. Permits, Certificates, Records 1. Fuel Oil permit # ' ‘ S-fe-AM (A2341. 2 Fuel Oil C. of F.ff_2ZZZ=Z2d ________ (F.O.l) 3. Sprinkler C. of F. number_(£j.(2^^^____ (C32) 4. Standpipe Certificate of Qualification number ( (C33) 5- Written records of monthly sprinkler tests_____ _ fFP52) •6. Written records of monthly standpipe tests ________ fFP43) 7. Refrigeration Certificate of Qralification number 1 > { i >_________ (C31) 8. Other required permits or certificates, enter type and the number of the permit_ CT. XA234)

C. Cellar or sub cellar, state which _ Oil Butner 1. Ceiling overhead fire .(F09) 2. Pails of sand or extinguisher provided(F02) 3. Movable combustiole material at 'Jea,^5’ f^m He aking .surfaces or fire retarded (F03) 4. Remote control properly labelled (FO8) J Flue pipes in good condition .(SP29)

D. Housekeeping Conditions. (Apply to erftire building) ✓ 1. All areas clear of rubbish cY (FP12) y' 2. Properly covered fire proof receptaclex for rubbish ________ (FPZ 3- Fire proof receptacles with self clj>^ng covers for oily waste (FP6) 4. Aisle space, minimum 3’ _______ (FP27) 5. Ceiling clearance 18” (FP'13) 6. Cellar ceilings, walls, floors in good condition. oles ___________ (SP26- A8-10) 7. Chemicals, V.I.O. paints properly, Stored (FP^ 22, 23. 24. SP-42) 8. All empty container s of flamm: e liquids remove' (FPM) 9. No Smoking signs (FPll) 10. All electrical wiring in conduit or BX _______ /’■(SP64. 1) 11. Electrical switches, junction boxes equipped with covers (SP65) 12. Only one attachment to an electrical outlet (SP63,) / 13- Electric motors clean, free from dust and lint and with proper clearance frogf combustible material (SP66,67) 14. Grease Ducts; a. Non-combustible Filters or Extinguishing System (A8-^ b. Hoods, ducts, flues and filters Clean and Record of Craning Kept mP12A-12B) c. Where/fextinguishing system present- Control valves labelled (SP-1) Ann, al Test Record ___________ (A 8)

E. 1. Correct number of extinguisherj/and or^fire pails iFPl,3) 2. Proper datexdn tag (FP4J 3. Nozzle unobstructed vx (SP) -4. Hose in good condition v.-/ 5. Properly charged and placed (FP4. 5) 6/Fite pails filled, properly placed XFP2, 5)

F. Standpipe Systems. 1. Siamese caps painted red (FP41) 2. Siamese swivel serviceable ISP46) 3. Conditions at hose outlets satisfactory (FP42)

G. Sprinklers If no sprinklers, see instruction sheet. 1 1. Type of sprinklerj^jut^ati c^on-automaticjQwep dry ~l C vy-z* ____________________ 2. Extent of building protected~^ Sign posted (FP50J 3. City main shut oHXabelledxnd clear of Mstructions __^;;;;___(SP58, 59) 4. Control valve^z<ealed open and labelled (FPj^) 5. Access ladder provided for ^rJf^trol valves (over 7’)j^<--z^ (A8-43)/^ 6. Heads in place Vz^ (SP53) 7- 'obstructed (FP55. 58) 8. Fteg^f paint or dirt L^(SP52, 54) 9. Stock 18” below sprinklers (FP55) 10. Ex tradie a ds (6) LI'F 11. Sprinkler Siamese connection - automatic spripkler, caps painted green (FPS I) Labelled IfPSO) Swivel serviceable (SP56) 12. Non automatic or perforated pipe _____ Properly capped f (FP53) Painted Aluminum fU I (SP60) Labelled (FP50) ' Swivel serviceable ___ (SP46)

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