NYC 9/11 Public Portal Document
SA I For E.U. U^ FPIMS Date
n Agency Code No. 1111
/ ,1, Initials__________ .
ERLMsS. Account No. Li_l_ I I I nnii Hamo l^Z.I^T^n' l I__ I I I fr a I I I unit phone ,_____________________
OITY OP MBW am-*” I "‘TSj.'SaSir” treuwreL 1024969A H
Fits Commissioner of the City of New York, xws Respondent; _
lihUiMUUiLlihlJj
Respondent Is: Downer □ managing agent (J tenant U city agency □ daycare center
Place of Occurrence (Premises Address)
Street Number I I I I | l I I }l ‘ ;XPrefixL_LJ., Street Name IM^ vl tl /jl f]' lhlj^l^tf[ 'I
I
^Code IlJjlMlJ-I II'" J Boro Code l-Man; 2-Bx;
AKA I I 11 / 1 I I I I I I I I il l I I I I I I Illi.
Malling Address (if different from (premises address)
Street Number I I I I I I I I Prefix I I I Street Name
Illi
Type I 1 Suffix I I I Zip Code I III I I [ J Boro Code 1«Man; 2.Bx; 3-SI; A^Myn/gs^pefewOut of City
Add Info I 11111............. 1111111111I I111I II iin
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. tt is further ORDERED by fhe 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).
TheCertificateof Correctionandall proof of complianceMUSTBEREGEIVED by the Bureau of Fire Prevention, Enforcement Unit, 250 Livingston Street, Brooklyn, New York
11201-5884 (TEL 718-403-1372) by close,of business on | ‘41 ky | ■< | First offenders who properly certify correction shall avoid a hearing and penalty. All other respondents
must appear al the EnviroQmental ControNBoard (ECB) hearing indicated below.
Notice of Hearing; 5
If the Certlficale of Correcttbn lS NOT RECEIVED by the date indicated above OR if no date is indicated atow, the respondent MUST APPEAR at a hearing on
I I i. A-l /at D8:30am, C3f10:30am, □ 1:30pm, OSrOOpm at the ECB Hearing Office located in □ Brooklyn ^Manhattan □Queens □ Staten Island. (The address for
each loc^ion isprovtded bn the.fevVt^ sIde of this form.) This hearing is your opportunity to answer and defend lhe «rfieg)itions set forth below. // you do not appear, you will be
held in delault ar}d subject to maximum penalties.
REPEAT OFFENDERS MUST appear at the hearing on the scheduled date.
Upon invastigation, it hets been determined by the above named'Petitioner that there Is reasonable cause to believe that the above named Respondent is in violation of the
Admini^iiSe Code and/or Fire Department Rule(s), "3 RCNY §§16-01, 16-02, 16-03;"
Rule 1 Buckets and/Or Fire Extingulshars Rule 17 Certificates of Fitness ,
□ ftiled^to' pwide fire buckets filled with (sand/water) and/or
-—TSCSrJBR-
oEiRR -------- - “
□ Failed to (obtain/provide) a'(Certificate of FItness/CertifIcate Holder on Duty)
for _ ______;______________ _____________________________ .
SWECtF*
Rule 2 Fa/lffd’td'tSf^ida 1 approved receptacles for waste at Rule 18 Certificates Of Approval/Quaflflqatlon/License
□ ’ LOtAifON'
_________________ as required.
□ Failed to (obtaln/provld^ a Certl&ate of (Approval/Oualiflcation/Llcense)
for ___ _________ ____________ _______________________ as required.
. , ' . ' ' SPECtFY ■—
Rule 3 No Rule 19 Certificate of Occupancy/PuWteAssembtyPermtVAfftdavtta/Documentation/
□ (Sol fOsed/Manufactured/Transported) (combustibles/flammables/ Plans/Appllcatlons
explosives) without required valid permit.
Rule* Quantftlea In Exceaa of Permit
Q ....(Soid/Stored/Used/Manufactured/Transported) - . . amount
□ Failed to provide for
- : from
SPECIFY
SIGNAf6RY~
.as required.
Rule 20 Test/lnspection
Rule s
of
Produce Permit and/or Record
_________ in excess of amount stated on permit.
□ Failed to conduct required (equipmenVsyslem) (test/inspection) ol
SPtCIFV
as required.
Q Fail^ .to produce (permil/record) regarding Rule 21 Containers
□ Failed to provide approved containers for.
as required.
SPECIFY
Rule 6 Signs/Postings/lnstructlon* Rule 22 Tanks/Supports
Q Fall
as required.
( r~|
'
Failed to (provide/maintain) approved tanks/supports for
as required. ^CIFV
Rule 23 Storage
Rule 7
□
Labels/Marks/Stampg
Failed to provide (Labels/Marks/Stamps) for □ Failed to provide (vaults/cablnets/room/area) for the storage of
_________ __________ ____________ ______ as required.
SPECIFY
at as required. Rule 24 Racks
Rules Obatructions/Accumulations
LOCATION
□ Failed to provide appropriate racks at
LOCATION
□ Failed to remove all (obstructions/accumulations of rubbish or storage) of
as required.
Rule 25 Electrical Equipment
Rule 9
as required, -
Adequate Egross/Alste Space/Clearance
from
lOCATiflW
□ Failed to (provide/protect/maintain)
electrical equipment as required.
Rule 26 Approved Refrlgeration/Heating Devices or Units
Failed to provide adequate (egress/aisle space/clearance) al rn Failed to (provide/protect/maintain)
tO&kTi&N
as required. (refrigeration/heating) devices as required.
Rule 10 Operating Contrary to C of O Rule 27 Approved Lighting Devices
□
Rule 11
Operated
General Maintenance
SPECIFY
.contrary to the certificate of occupancy. □ Failed to (provide/protect/maintain) . ____________________
lighting devices as required. Specify type of protection'requlred:
□ Failed to maintain
S^iPy
in a proper Rule 28 Exposed Flames or Sparks
condition as required.
Rule 12 Maintenance of Sprinkler, Standpipe, Alarm, Suppression Systems □ (Unlawfully allowed/failed to protect) exposed flame or spark al
□ Failed to properly (provide/maintain) system or part thereof
'
Rule 29 Designated Areas
< "• *i
LOCATION
as required.
as required. Describe below.
Rule 13 Fire Retardant Material
I ] Failed to provide/maintain non-combuStible material.
□ Failed to (provide/maintiin) designated area/premises for
SPECIFY
.as required.
leesTTreir
at or provide affadavit that combustible material Rule 30 Fire Safety In Office Bulldings/Hotels/Motels
lSUTOn'
has been treated with flame retardant as required.
Rule 14 Fireproof DoorsAYindows
□ Failed to comply with the fire safety requirements for (office buildings/
hotels/motels). Specify:_____________________ _____________________
□ Failed to (provide/maintain) (self-closing fireproof doors/windows) at
_ as required. Repeat Violation (§15-229)
Rule 15
” LOCAtIdN
Fireproof Partitions or Walls □ Failed to correct Rule(s) as previously cited on NOV
□
SPECIFY
Failed to (provide/maintain) fireproof partitions or walls at # _____________ (Respondent must appear at the hearing.)
as required. False Certification (§15-220.1)
Rule 16 ventilation . rj Willfully falsified Certificate of Correction for NOV #.
□ Failed to provide (approved vents/adequate ventilation) at
" LOCATION
as required.
__ .(Respondent must appear at hearing.)
Other Code Section/Rule
SPECIFY SECTION
Describe oftense below.
Description of Violation:
I personally observed the commission of the above offense(s) or personally reviewed the office records indicating the otfense(s) charged above.
All statements made herein are affirmed under penalty of perjury. Date of Offense: I_____ I. Time:. a.m./p.m.
INSPECTOR'S SIGNATURE!.
Inspector's Tax Registry Number: Pll PRINT NAME J
MJ5-H
CERTIFICATE OF CORRECTION (COMPLETE REVERSE SIDE)
CERTIFICATE OF CORRECTION (COMPLETE REVERSE SIDE)
NYC-WTC_000168877
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