NYC 9/11 Public Portal Document
CERTIFICATE OF CORRECTION
State of New York , )
County of
, being duly sworn, depose and say that I am the respondent cited in the
4)|NT your name
Notice of Violation and that I admit the existence of the violations(s) described in the Notice of Violation.
I have corrected all said violations as ordered by the Commissioner
Check one or
□ 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.
SIGNATURE
(Sign only before a notary)
' ..■..A.,
TO BE COMPLETED BY NOTARY
L. ’-ORI M. STEINHAU8ER
County of ro / \ ______ __ _________ Registration Numbe>*°*aiy Public,^state of New vorft SEAL
Y T i, n in Queens County
Sworn to 0fore me this M day of ^iJlv 19 Notary Number ^-ommission Expires July 27,1989
Signature of Notary Commission ExpireS-Z^yA/-
The Fire Commissioner reserves the right to reject any Certificate of Correction that is incomplete. Raise 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
CERTIFtCJVriON INSTRUCTIONS
For first offenses:
1. ALL offenders must correct the violation(s) cited on the NOTICE OF VIOLATION.
2. 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
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 on
the NOTICE OF VIOLATION for return of the certificate. (See reverse side for return date)
5. Respondents will be notified by mail whether or not their Certificate of Correction has been approved. If the certificate is not approved,
you will be notified of the appropriate action to take.
6. If it is impossible to correct any or all violations within the time indicated, you may be eligible for a stipulation extending the time
to correct. A request for a stipulation extending compliance time must be made at the hearing and is subject to the approval of
the Fire Department and the ECB.
7. If you properly certify that ALL violations have been corrected, you will be excused from appearing at the scheduled ECB hearing
and no penalty will be imposed.
8. If you fail to comply with (7) above or if your are a repeat offender, you will be required to attend the ECB hearing designated
on the NOV and bring any and all proof of correction to the hearing.
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) 971-3600 ★ Queens: 91-14 Merrick Blvd., 6th Fl. (718) 297-1080
★ Brooklyn: 233 Schermerhorn St., Illh Fl. (718) 858-1305 ★ Staten Island: Borough Hall Building, 10 Richmond Terrace (212) 971-3600
NYC-WTC_000168973
OCR can misread numbers and units. Confirm readings against the page image before using them.