FDNY Bureau of Fire Prevention Violation Order form, date unknown

NYC 9/11 Public Portal Document

A-17 (3/88) H1-6S0294 R25 INVESTIGATION OF COMPLAINT REPORT □ INTERIM REPORT E FINAL REPORT DIV. BATT. QP. DO. COMPLAINT COMPLAINT A.M. 1 1 E .10 1 NUMBER DATE REC’D()2 / 91 TIME_}4^ q_ P.M.

HOW RECEIVED: □VERBAL □card-letter □ bur. OF F.P. iSDISP. □other PREMISES LOCATION BORO x.JxlLh « ZIP CODE

Bldg. Owner Name 'O.ul Au'.? J'.Li UY Type of Occupancy/ Bldg. QnWblBTC/T.

Construction. Height 4Y Area 246X1 SS Bldg. Agent

Name of Officer (If Corp.) 4 1 .^YERSTSr^ Title Occupant Mailing Address Boro. Zip Code

Complainant’s Name U Telephone.

Complainant’s Address Boro. Zip Code

ITEM FILL IN ROOM/ NATURE OF COMPLAINT LOCATION NO. ITEM NO. FLOOR 1 RUBBISH — COMBUSTIBLE 2 ? CERTIFICATE OF FITNESS REQUIREMENTS 27 'W TI (TIT 3 INCINERATOR CLOGGED/DEFECTIVE 4 DEFECTIVE OIL BURNER 5 REQUIRED SELF CLOSING Ft — DEFECTS 6 EXITS — BULKHEAD DOORS LOCKED______________ 7 BLOCKED — OBSTRUCTED EXITS/HALLS___________ 8 FIRE ESCAPE OBSTRUCTIONS_____________________ 9 DEFECTIVE ELECTRICAL FIXTURES/OUTLETS/WIRING 10 WATER LEAKS (NEAR ELECTRIC WIRING/FIXTURES) 11 VACANT BUILDING (BOARD UP)____________________ 12 LIGHTING IN HALLWAY/STAIRS_____________________ 13 ILLEGAL OCCUPANCY

u 14 iLT.r.r, TT^t: Cj‘ cVi'/LTpg ItitCIi' tihru out

ACTION TAKEN: DVO. ISSUED DA-S □SPECIAL REPORT □SUMMONS ISSUED, m NO CAUSE FOR XXCOMPLAINT REMARKS: i’7.1, kORK F.yTy(.;

WOBK & VALID ( TR/nE Co/i'PLTGT ThOK A-

LOCAL 3 ELSCl'hlCAu V'L lOK) .n ------ --------------- ------ -----------------

-Ajcgz-Y 7^, INVESTIGATED BY: SIGNED) RANK.------ii^^^^tUNIT 4^ 0(( 91

OFFICER ON DUTY JT____ RANK IT UNIT Vj GROUP

BATTALION CHIEF BATT. 4 GROUP DATE //

DEPUTY CHIEF DIV. GROUP DATE 1__ L ENTRIES: LEGIBLY PRINTED, USING BALL POINT PEN OR TYPEWRITER 1

NYC-WTC_000166016