NYC-WTC_000166105

NYC 9/11 Public Portal Document

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i CERTIFICATE OF CORRECTION State of.New York ~__ t } ; )ss . -GOunty of E v-. o . : r i I biting duty sworn, depose-and-say that I am the.respondent .cited in the

Notice of Violation and that 1 admit thetefastence ofthe yi'iolations(s) described inthe Notice of Violation. ~~ •' , ., IX I have cof+cted all said violations as ordered by the Comrnissloneç Check one ' . — D ..-t have. Only-corrected_Rule-Numbers) .-. and will attend`hearing on scheduled data

(The respo identcert les'that"a/lrviolalldns have been corrected it no box is checked) I have attached legible copies of -and all bills, receipts and other proof ofcorrection to.this certification as required.

(Sign only_before a notarvt

O;-BE COMPLETED BY NOTARY !

County of 4/L. Y ~/~-- ^ - Registration Number — SEAL rte' MARTIN SOKOLOW day;of'• Qcc ° 19 Ngtary Number `hr_ /o /Yf NOTARY PU3U81iIOt Sworn tobefore meth' No. M-91014/0 Signature of Not ' -Commission Expires , / > Ccj LiID

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 -offenses::' r ,- For first 1. -ALL-offenders-must correct the'vfolation(s) cited on"the NQTICE OF-VIOLATiON: 7 2. All offenders must complete the Certificate of Correction above and have it notarized Do not detach above certificate from this page 3. Attach legiblecopies of any and all bills,: receipts and/or other proof ofcompliance to this(:ertificateofCorrection""(see correctiO requirements on reverse of green copy)-and submit them along with this Certificate. - 4. etum the completed Certificate of:Correction-with all appropriate documentation attached to the-Bureau of Fire Preventlor `Enforcement Unit, 250 Livingston Stree - New York 11201-5884 by the close of busme the F V CATION for return of-the certificate (See reverse_ side for turn date) . .. - _..__. _.- . .. ?:'1T ._-. _. 't •• ."~ ..,tea , — — ..... ..— R.—.

5. Respondents will be notified by mail whethe- ornnot their Certificate of Correction has been approved. If the certificate is not approver you will be notified of the appropriate-action totake. - — — 6. If it`is impossible to correct an (ore rviolafions within the time indicated, you may be'eligible.for a atipulabon-etctending the tim to correct. A request for a stipulation,extending compliancetime must be made of the hearing and is subject to the approval t the Fire Department and the ECB _ -" 7. It you properly certify that ALL violations have been corrected, you will beexcused from appearing at the scheduled.ECB hearin and no penalty will be imposed. 8 If you fail to comply with (7) above or if your are a repeat offender, y,ou wiljJe required to attend the ECB, hearing.-designate on the NOV and -bring any and alrproot"of correction to the hearing.

ECB HEARING OFFICES : - - . —. . - . -. . It you are required to attend an ECB hearing, check the 6 atlon and three indicated, on the face of the NOV and note the address below: * ManhattanlBronz: 1250 Broadway. 7th Fl. (212),9713600 _ • Queens: 91-14 Merrick Blvd.. 6th A. (718) 297.1080 - --.. * 8rooldyn: 233 Schermerhom Si.. 11th F. (718) 858.1305 _ . .~ t Staten island: Borough Nall Building, 10 Richmond tarraco (2t2►VWi1b0.

NYC-WTC 000166286