FDNY Bureau of Fire Prevention Violation Order form, date unknown

NYC 9/11 Public Portal Document

A-17 (3/88) H1.B80294 R26 INVESTIGATION OF COMPLAINT REPORT □ INTERIM REPORT □ FINAL REPORT DIV. BATT. CO. D.O. X COMPLAINT COMPLAINT A.M. 4 1 R 4.10 4 NUMBER___ DATE REC’D / / TIME P.M. 02 06 91 1100 HOW RECEIVED: □ VERBAL □CARD-LETTER UBUR. OF F.P. □ disp. Oother XX PREMISES LOCATION BORO. ZIP CODE _________ 7 i J-* *

Bldg. Owner Name...... ........ ....... ,. ......________ Type of Occupancy/ Bldg. cofaCTICAr Construction Height Area Bldg. Agent t rr 246x1bb Name of Officer (If Corp.) ,. Title..... ............... Occupant Mailing Address Boro. Zip Code

Complainant's Name Telephone.

Complainant’s Address Boro. Zip Code

ITEM FILL IN ROOM/ NO. ITEM NO. NATURE OF COMPLAINT FLOOR LOCATION 1 RUBBISH — COMBUSTIBLE 2 CERTIFICATE OF FITNESS REQUIREMENTS 3 INCINERATOR CLOGGED/DEFECTIVE 27 Jii .t OUT 4 DEFECTIVE OIL BURNER 5 REQUIRED SELF CLOSING DOOR — DEFECTS 6 EXITS — BULKHEAD BHM'RS 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

TT TT thru out

ACTION TAKEN: DVO. ISSUED LJA-8 OSPECIAL REPORT HSUMMONS ISSUED n NO CAUSE FOR 3^ COMPLAINT REMARKS: kith i-KCPiA t i’OiiuXELji Tit i/.H vDKKLICT BBTwKiS IKUh WcKhKb A:

INVESTIGATED SIGN ______________ RANK UNIT DATE_ / / 02 06 91 OFFICER ON DUTY ... RANK _______ UNIT GROUP V EMU T9 BATTALION CHIEF BATT. GROUP DATE L/ T DEPUTY CHIEF ____ DIV. GROUP DATE 1/ ENTRIES; LEGIBLY PRINTED, USING BALL POINT PEN OR TYPEWRITER 1

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