NYC-WTC_000166105

NYC 9/11 Public Portal Document

CERTIFICATE OF CORRECTION State of New Y rk County of ~~ ~~ ~IGL/m7t AtSN" ,^.being . _. . am the respondent cited in the duly sworn, depose and say that I _ -wrnn war KANE --. .. . , -- -- --

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 0 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 all bills, receipts and other proof of correction to this certification as required.

- ertlaaarE

(Sign only before a notary)

TO BE COMPLETED BY NOTARY

County of_______________________________________ Registration Number - SEAL pp YVETTE KEYES Sworn to before me this c2 day 191/ Notary Number NOTARY PUBLIC, State of New Yak No. 31-4935341 New Yak 07. 1 7 Signature of Notary g Commission ExP ires—~.e~aiseio+t E ,tune

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 or first offenses: i. ALL offenders must correct the violation(s) cited on the NOTICE OF VIOLATION. . All offenders must complete the Certificate of Correction above and have it notarized. Do not detach above certificate from this page 3. Attach legible copies of any and all bills, receipts and/or other proof of compliance to this Certificate of Correction (see correction t 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 Prevention Enforcement Unit, 250 Livingston Street, Brooklyn, New York 11201-5884 by the close of business on the date indicated of the NOTICE OF VIOLATION for return of the certificate. (See reverse side for return date) — 3. Respondents will be notified by mail if their Certificate of Correction has been disapproved and of the appropriate action to take to correct same. 3. If it is impossible to correct any or all violations within the time indicated, you may be eligible for a stipulation extending the tim( to correct. A request for a stipulation extending compliance time must be made at the hearing and is subject to the approval c 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 hearin( and no penalty will be imposed. 9. If you fail to comply with (7) above or if your are a repeat offender, you will be required to attend the ECB hearingdesignate( on the NOV and bring any and all proof of correction to the hearing. 4 L_

ECB HEARING OFFICES If 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: -- ♦ Manhattan/Bronx: 1250 Broadway, 7th Fl. (212) 9713600 * Queens: 91-14 Merrick Blvd., 6th Fl. (718) 297-1080 V t Brooklyn: 233 Schermerhorn Si., 11th Fl. (718) 858-1305 * Staten Island: 350 St. Marks PL. - 4th Fl. St. George, (212)9713600 -

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NYC-WTC 000166242