NYC 9/11 Public Portal Document
CERTIFICATE `O - . CORRECTION-
State of New York
County of NEM/ yo Qt . ).
I • MICf4AEL : J. LEE being duly sworn,.depose and say that I am the respondent cited in the
^RIoaT•rrn]R'nnME ---~ -- ,------------6---- -'--i---------------- -. . — -
Notice of 1b1atton and that 'Iadmit, the existence of tfie =vt tations(s) çlescnbed in tie Notice of Violation.
I have corrected all said violations as ordered by the Commissioner
Check one __ _ __ior,
O 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 certificat as required.
(Sign only QfJre a notary)
TO BE COMPLETED BY NOTARY
County of.NE!x) .R. Registration Number 0M L IM -SEAL
11 N6Cr9fAlE~WW
Sworn to before me this ,ct—day of 19g Notary Number K
1995
Signature of Notary Commission Expires t.
The Fire Commissioner reserves the right to reject any Certificate of Correction t at is incomplete. False certification
is punishable by a fine of not less than4'7X 00 nor more than S5,000 and/or up to ionths imprisonment pursuant to
Administration Code Section 15-220.1
CERTIFICATION INSTRUCTIONS
For first offenses: -K ETh -.
1. ALL offenders must correctthe ,tolation(s) cited on the NOTICE OF VIOLATION. . T:
2. All offenders must complete the Certificate of Correction above and have it notarized. Do not detach above certificate from this pag
3. Attach legible copies of any and all bills, receipts and/or other proof of compliance to this Certificate of Correction (see correctic
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 Preventior
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 tat
to correct same.
6. If it is impossible to correct any or all violations within the time indicated, you may be eligiblefor a stipulation extending the tin
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 ECB.
7. It you properly certify that ALL violations have been corrected, you will be excused from appearing at the scheduled ECB hearir
and no penalty will be imposed.
8. It you fail to comply with (7) above or if your are a repeat offender, you will be required to attend the ECB hearing designate
on the NOV and bring any and- all proof-of correction to the hearing:-
ECB HEARING OFFICES
It you are required to attend an ECB hearing, check the location and time indicated on the tac c' the NOV and note the address below: --
r Manhattan/Bronxr 1250 Broadway, 7th FI. (212) 971-3600 _ r Queens: 96-05 Horace Harding Expressway—Main Floor (7181 595.4584
Brooklyn: 233 Schermerhorn St:. 11ih*Fl. (716) 658.1305 d Staten Island: 350 St. Marks Place. 4th FI.• St. George, S)(212) 971.3600
NYC-WTC 000166168
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