NYC 9/11 Public Portal Document
I For E.U. U ily: FPIMS Date_____ /_____ I-__ Initials
1 Agencytode NoLLJ-J
F.P.I.M.S. Account No. I I I I i I I I i Unit; HQ/DO LxLzJ GO. L-LLJ-J G.B. # I—LJ
UNIT PHONE #
BHVIRONNENTAL CONTROL NOTtCa OF VtOt^n^
Ein tom AM^ty of Naw Itork, Petitioner vs Respondent;
’_______
■vVli/lTb/
Respondent is: owner □
4
ten^tj ^^tyA^ncyk C daycare center
I I I I I I
Place of Occumnee (Premlaes Address) [ ’ 1
Street Number F7I I I I I I I Prefix I I i Street Name U^olA4/ldl I Illi I I I Illi
"suffix I I I 7ip Code I I I l/l tl Q I_____ _____
__1_____ Boro Code
Type 1>Man: 2=Bx; 3~SI: 4=Bklyn; 5=Qns
AKA L ! I I I I I I I I I I I I I I I I I I I I H I I I I I I I I
Mailing Address (if different from premises address)
Street Number I I I I I I I I Prefix I I I Street Name
LU I I I I I I I I I I I
Suffix I I I Zip Code I I I I I I [
Type I I I Boro Gode L_L_| 1=Man; 2=Bx; 3=SI; 4-Bklyn; 5=Qns; 6=Out of City
Add Info I L I J I I I I I I I I I I I I I I I I I Illi I I 1 1 I I I II I
Notice of Violation and Order to Correct and Certify Correction:
PLEASE TAKE NOTICE that the premises cited above is in violation of the requirements of law. It is further ORDERED by the FIRE COMMISSIONER that these violations be
corrected and certified to be in compliance with the requirements of law within 35 days of the date of issuance. Certification must be made on the Certificate of Correction (Gold Copy)
The Certificate of Correction and all proof of compliance MUST BE R^EIVED by the Bureau of Fire Prevention. Enforcement Unit. 250 Livingston Street. Brooklyn, New Ybrk
11201-5884 (TEL 718-694-2392) by close of business on CZ3ZIZZ23Z3 offenders who properly certify correction shall avoid a hearing and penalty. All other respondents
must appear at the Environmental Control Board (ECB) heVing indicafeo below
Notice of Hearing:
If the Certificate of Correction IS.NCfT RECEIVED by the date indicated above OR if no date is indicated , ye, the respondent MUST APPEAR at a hearing on
I I I 1^5^ ” □8:30am, 1^0:30am. □ 1:30pm, G3:00pm at the ECB Hearing Office located in □ Brooklyn Manhattan □ Queens □ Staten Island, (The address for
each location IS prdvided on the rev^e side of this form.) This hearing is your opportunity to answer and defend the a lations set forth below. // you do not appear, you will be
held in default and subject to maxinnim penalties.
REPEAT OFFENDERS MUST appear at the hearing on the scheduled date.
Upon investigation, it has been determined by the above named Petitioner that there is reasonable cause to believe that the above named Respondent is in violation of the
Administrative Cod^qtor,£ire Department Rute(s), "S’RCNY §§16-01, 16-02, 16-03: "
Rule1
I I By
Buckets^Extinguishers 4 dj
Failed to prSt/lde ___ fire buckets fifterTwith (sahd/water) anSbr '
approved, operative fire extinguishers al ______ .AAjgv.______ “ required.
Rule 17 Certificates of Fitness
[ I Failed to (obtain/provide) a (Certificate of Fitness/Certificate Holder on Duty)
tor____________ ■____________ __________________________________
SPECIFY
location
Rule 2 Waste Receptacles Rule 18 Certificates of Approval/Qualification/License
I ) Failed to provide
NUMBER
TSCAhON
approved receptacles for waste at
_________________ as required.
□ Failed to (obtaln/provide) a Certificate of (Approval/Qualification/License)
for
SPECIFY
as required.
Rule 3 No Permit Rule 19 Certificate of Occupancy/Public Asaembly Permit/Affidavita/Documentation/
(Sold/Stored/Used/Manufactured/Transported) (combustibles/flammables/ Plans/Appllcatlons
Rule 4
explosives) without required valid permit.
Quantities In Excess of Permit
□ Failed to provide for
_________________ from
SPECIfV
.as required.
□ (Sold/Stored/Used/Manufactured/Transported) ________ ctssit
AMOUNT
_______ Rule 20 Teet/lnspection
SIGNATORY
Rule 5
of. PBODudt
Produce Permit and/or Record
in excess of amount stated on permit.
□ Failed to conduct required (equipment/system) (test/inspection) of
____________________________________________________ as required.
SPECIFY
I I Failed to produce (permit/record) regarding Rule 21 Containers
OESdT^I#tldN——————
_____ _as required. r~l Falled to provide i«pprtwad!.eantBiBeii»Xiifcf«*^
at --------- ------- —----------------- taaiTiON
ttssawr-------------------------------- ZjFr—)' — as required. ' SPCCfFY
r
' Rule 7
SIgns/PostIngs/lnstructions
LalMWlilrtn/StMnpX ST
.J C| .J Rule 22 Tanks/Supports
Failed to (proviude/maintain) approved tanks/supports for
as require^
” Storage
Failed to provide (vaults/cabinets/room/area) for the storage of
■splcirv
□ Failed to provide (Labels/Marks/Stamps) for'—
at LOCATION
as required. Rule 24 Racks
as required.
I I Failed to pmvi'ide appropriate racks at
Rule 8 Obstructiona/Accumulations LOCATION
as required)
Q Failed to remove all (obstructions/accumulations of rubbish or storage) of
Rule 25 Electrical Equipment
Rule 9
as required-
Adequate Ei
•m
nee
□ Failed to (provide/protect/maintain)
electrical equipment as required.
TYPE
. Rule 26 Approved Refrlgeratlon/Heatlng Devices or Units
Q Failed to pro
f
le^
as required. □ Failed to (provide/protect/maintain)
(refrigeration/heating) devices as required.
TYPE
Rule 10 OperatiiwfZ^ Rule 27 Approved Lighting Devices
Q
Rule 11
Operated^ t^
General Maintenance Y)
contrary to the certificate of occupancy.
Vf]
□ Failed to (provide/protect/maintain)
lighting devices as required. Specify type of protection required:
n Failed to maintain f t WUI in a proper Rule 28 Exposed Flames or Sparics
condition as required, f '
Rule 12 Maintenance of Sprinkler, Standpipe, Alarm, Suppression Systems
istoifu
□ (Unlawfully allowed/failed to protect) exposed flame or spark at
_______________________ _________________ as required.
□ Failed to properly (provide/maintain)
swggirv
system or part thereof
Rule 29 Designated Areas
LOCATION
as required. Describe below.
Rule 13 Fire Retardant Material □ Failed to (provide/maintain) designated area/premises for
□ Failed to provide/maintain non-combuslible material.
at
TSCXnCBT
SPECIFY ITEM
or provide affadavit that combustible material Rule 30 Fire Safety In Office Bulldings/Hotels/Motels
.as required.
has been treated with flame retardant as required. Failed to comply with the fire safely. requirements .tor (office buildings/
hotels/motels). Specify: ■' I.' .4, Li 'fc < j, /< /-_________
Rule 14 Fireproof Doors/WIndows
□ Failed to (provide/maintain) (self-closing fireproof doors/windows) at
________________________LOCATION_______________________ as required. Repeat Violation (§15-229)
' S .' !. , /
Rule 15 Fireproof Partitions or Walls □ Failed to correct Rule(s)
SPECIF*
as previously cited on NOV
□ Failed to (provide/maintain) fireproof partitions or walls at
as required.
# ____________
False Certification (§15-220.1)
(Respondent must appear at the hearing.)
Rule 16 Ventilation
LOdAtidN
□ Willfully falsified Certificate of Correction for NOV #.
□ Failed to provide (approved vents/adequate ventilation) at
7 J LOCATION jas required. 1-4
(Respondent must appear at hearing.)
Other Code Section/Rule
SPECIFY SECTION
Describe offense below.
,
Description of Violation: y \ I I
I personally observed the commission of the above offense(s) or personally reviewed! the office/ec^s indicating the offense(s) charged above.
All statements made herein are affirmed under penally of perjury. Date of Offense: 1/ I
,----------------------------- ,
"■ I / y ■ Time:__G_^a.m./p.rr^Y, 1
INSPECTOR'S SIGNATURE J'- J ' [/
Inspector's Tax Registry Numbai PH PRINT NAME i .? L- i? QgUtrty: /
M2S*19 HI-912711-11-112
V
AFFIDAVIT (CERTIFICATE) OF SERVICE (COMPLETE REVERSE SIDE)
FIRE DEPARTMENT COPY
NYC-WTC_000168852
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