NYC-WTC_000166105

NYC 9/11 Public Portal Document s

CERTIFICATE OF CORRECTION State of New York ) - t County of , /s4 / 7.A/

I MuSI" being duly sworn, depose and say that I am the respondent cited in the

Notice of Violation and that I admit the existence of"the violation(s) described in the Notice of Violation.

. . I have corrected all said violations as ordered by the Commissioner- Check one —: -..._ _or ., r,rti. ❑ 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.) ttave°et ached legible copies of any and all bills, receipts and other proof of correction to th ts certification as required. _ 'en'af~tr~}eris;v^=9a.y1c-^.~x

t1tary) Al lie KFYCQ r ~1OTARY PUBLIC, St'ste d New York _ TO BE COMPLETED BY NOTARY No. 31.4935341 Oualdred in Now York Co" County of i" Registration ° ~' 1997 SEAL. Numb,/ Sworn to before me this / 4 da f,l/& . 19 Notary Number3, 7 y3 3 ~7/ /

Signature of Notary Commission Expires________~7 QZ

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 and/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. J : rep 2. All offenders must complete the Certificate of Correction above and have it notarized. Do not detach above certificate from this pat 3. Attach legible copies of any and all bills, receipts and/or other proof of compliance to this Certificate of Correction (see correcti requirements on reverse of green copy) and submit them along with this Certificate. 4. Return the completed Certificate of Correction with all appropriate documentation attached to the Bureau of Fire Preventio Enforcement Unit, 250 Livingston Street, Brooklyn, New York 11201-5884 by the close of business on the date indicated c 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 has been disapproved and of the, appropriate action to to to correct same. g=`• 6. If it is impossible to correct any or all violations within the time indicated, you may be eligible for a stipulation extending the tit to correct. A request for a stipulation extending compliance time must be made at the hearing and is subject to the approval the Fire Department and the Environmental Control Board. (ECB). 7. If you properly certify that ALL violations have been corrected, you will be excused from appearing at the scheduled ECB heari, and no penalty will be imposed. 8. If you fail to comply with (7) above or if your are a repeat offender, you will be required to attend the ECB hearing designat on the NOV and bring any and all proof of correction to the hearing.

. ECB HEARING OFFICES 11 you are required to attend an ECB hearing, check the location and time indicated on the face of the NOV and note the address below: r Manhattan/Bronx: 1250 Broadway, 7th FL (212) 971-3600 - * Queens: 91-14 Merrick Blvd., 6th Fl. (718) 297-1080 - - r Brooklyn: 233 Schermerhorn St., 11th R. (718) 858-1305 * Staten Island: 350 St. Marks PL. - 4th Fl. St. George, (212) 971.3600

NYC-WTC 000166211