Whippany Fire District No. 2
Bureau of Fire Prevention
440 Route 10
Tel:
Fax:
REQUEST FOR TIME EXTENSION
Registration Number: _________________________ Original Inspection Date: _________________________
|
Business
Name:_______________________________________________________________________________ Business
Address:_____________________________________________________________________________ Work which has been
abated:___________________________________________________________________ ____________________________________________________________________________________________ Work that
Remains:___________________________________________________________________________ ____________________________________________________________________________________________ Reason why
extension is necessary:______________________________________________________________ ____________________________________________________________________________________________ Date work will be
completed:___________________________________________________________________ |
Pursuant to N.J.A.C. 5:70-2.10(d)2., an application for extension of time shall be deemed to
be an admission
that the Notice
of Violation is factually and procedurally correct and that the violations do
or did exist.
The following information MUST BE
COMPLETED IN ORDER TO BE CONSIDERED, and the information
CAN NOT be the same as the Business
Address or phone number, UNLESS the owner lives at the address year round.
Owner’s HOME ADDRESS _____________________________________________________________
Owner’s
Owner’s HOME PHONE NUMBER
______________________________________________________
___________________________ _____________________________________
Date Signature
of owner or agent
|
Your request for an extension of
time to abate violation(s) at the above location is: [
] GRANTED: The new date by which compliance is ordered
is:_______________________________ [
] DENIED: The time limit originally imposed remains in
effect. Failure to correct violations within the
time limits set will result in the imposition of penalties and possibly other enforcement proceedings. ____________________
_________________________________________ Date
Inspector Signature
Certification Number: _____________________________ |
You shall either fax
or mail this extension to our office prior to the scheduled abate date to be
considered for
an extension.