О. В. В.
THIS SIDE TO BE FILLED IN 6 MONTHS AFTER ISSUANCE OF NEW BUILDING CERTIFICATE
Tan
Feb.
Mar.
Apr.
Маy
June
July
Aug.
Sept.
Oct.
Nov.
Dec.
BUILDING
Bakery
Halls Heated.
Stores
Basements or Cellar Apts...
Store W, C's
Apts. Heated.
..
APARTMENTS
Cellar Base-
ment Story
3
14
1st
2
4
5
6.
10
11
12
13
15
Total
No, of Apts.
No. of Rooms
No. of W. C's
VIOLATIONS
RENTAL of APTS.
Maximum Rent
Minimum Rent
Per
Per
Fire passages obstructed..
Rented
No.
Amt.
Rooms
Room
Amt
Rooms
Room
Closets under entrance floor stairs.
By Month-front
Illegal stairs or inside openings to Cellar
-rear
Are all fire-proof doors self closing
-court
Is bulkhead door locked.
By Week-front
-rear
Bakery Violations.
-court
Sect. 41 Violations.
Note: Stores and Janitor's apts. not included
REMARKS
(Date).... ..
.. . . (Signature). . .
REVIEW
Increase or decrease in No. of apts.....
Alteration Viol. Reported.
Referred to Police.
Increase or decrease in No. of Rooms.
Fire Escape Viol. Reported....
No action necessary
Alteration Plan No...
Noted on Records... ..
B. of R. per...
...191
(Date)
.. (Signature)......
.
