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22 TREMONT STREET - BUILDING INSPECTION -.: 22 TREMONT STREET .. �. aCITY OF SALEM, MASSACHUSETTS INSPECTIONAL SERVICES DEPARTMENT THOMAS ST.PIERRE HIMBERLEY DRISCOLL INSPECTIONAL SERVICES DIRECTOR /BUILDING COMMISSIONER MAYOR 120 WASHINGTON STREET♦SALEM,MASSACHUSETTS 01970 TEL:978-745-9595 4 FAX:978-740-9846 Date: September 14,2017 To: Michael J.McGinn&Thomas P. McGinn Jr. Address: 12 Winter Street City/State/Zip: Merrimac,MA 01860 .. . .. . .... ... Re: Obstruction by Shrubbery This Department received a complaint regarding your property at 22 Tremont Street Our office conducted a site-visit to the property on Tuesday, September 5, 2017 During the site-visit, it was determined that your property is in violation of City Ordinance: Sec. 38-9. Obstructions by shrubbery. No tenant, occupant, or owner having the care of any building or lot of land bordering on any street, lane, court, square, or public place within the city shall allow any bushes, shrubbery, or any other form ofplant growth to obstruct the safe passage of any pedestrian on any such street, lane, court, square, or public place. (Code 1973, §26-9.1) You are directed to have the sidewalk cleared of all obstructions within two(2) days of receipt of this notice. Failure to resolve the issues cited above will be construed as non-compliance and may result in the issue of municipal tickets and fines and up to issuing of Criminal complaints at District Court. Respectfully, Thomas St.Pierre Building Commissioner and Zoning Officer City of Salem, ft1a!65arbu!6ett!6 t Public Prupertp Mepartment jguilbing -Mepartment One�balem Oreen (978)745-9595(flat. 380 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer February 5, 1998 Thomas & Michael McGinn 13 Barton Square Salem, Mass. 01970 RE: 22 Tremont Street Dear Thomas & Michael: Due to a complaint received by the Neighborhood Improvement Task Force, I conducted an inspection and found the following violation: 1 . Foundation requires re-pointing of stones. 2. Roof over rear porch needs additional support. 3. Main roof of building is leaking, needs to be replaced. Please notify this department within fifteen (15) days upon receipt of this letter, to inform us as to what course of action you will take to rectify these violation. Failure to do so will result in legal action being taken against you. Thank you for your anticipated cooperation regarding this matter. Since Leo E. Tremblay Inspector of Bu Ings LET: scm cc: Jane Guy Councillor Hayes, Ward 6 i CITY OF SALEM NEIGHBORHOOD IMPROVEMENT TASK FORCE Jurisdiction Hist. Comm. Yes o No t REFERRAL FORM Cons. Comm. Yes o No SRA Yes o No Date: Address: :LrP uq un-f CF-/,o Complaint: 0aC cm cez , Le n k i ✓t! � /lel C }1 i pct 1,2 f Complainant: 14-4 I✓1 ,C —CI 11GG 41MC)�'r^ Phone#: Address of Complainant: BUILDING INSPECTOR FIRE PREVENTION ELECTRICAL DEPARTMENT HEALTH DEPARTMENT CITY SOLICITOR ANIMAL CONTROL SALEM HOUSING AUTHORITY PLANNING DEPARTMENT POLICE DEPARTMENT TREASURER/COLLECTOR ASSESSOR WARD COUNCILLOR DPW SHADE TREE PLEASE CHECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO THE SR PLANNING DEPARTMENT WITHIN ONE WEEK. THANK YOU FOR YOUR ASSISTANCE. ACTION: BpHR CITY OFjSAL HEA-141-1PAr DERqTMENT BOARD O�-ffFALT,W A Uli p Dr. Wael Kaplan Publi, Healfh Center 33 �f� Alemff Mafsssachv�etts 01?I7 17Y U SAL+j,,MA SSU. PHILIP H.SAINDON ROBERT E. BLENKHORN JOSEPH R. RICHARD HEALTH AGENT All M00FAPAzG98NFFn?=R44 JUNE 2, 1981 (617) 745-9060 MILDRED C.MOULTON,R.N. EFFIE MACDONALD ROBERT C.BONIN FREDERICK M.PIECEWICZ,M.D. PATRICK SCANLON Mr. Michael J. McGinn 33 Carlton Street Salem, Ma. 01970 Dear Sir: During an inspection of your property a,t 22 Tremont Street; 'Salem, Ma. , second floor apartment occupied by Robert Eveleth on May 29,-1981,11:00am, the following violations have been noted: . KITCHEN: *1. Light fixture not secure to ceiling. 2. Wall above baseboard is unfinished. *3.Apartment door to hall is in poor repair; knob and striker. BATHROOM: 4. Opening in floor between tub and toilet. LIVING ROOM: 5. Storm window is not secure to frame. BEDROOM: *6. Ceiling leaks. HALL: 7.Broken window. REAR PORCHES: *8.Rear stairs from first floor to ground' level has n0 handrail. *9.First to second floor handrail needs balusters. *lO.First floor porch floor boards near railing are in poor repair. *11.Second floor porch;one section has no acceptable handrail and two other sections have inadaquate balusters. NOTE: All protective railings shall have balusters placed at intervals of no more than six inches, or any other ornamental pattern between the railing and floor or stair such that a sphere six inches in diameter cannot pass through. GENERAL: *12.Mice droppings noted in building. . 13.Rear yard needs cleaning. 14.Owners. name, address and telephone number not posted on property. Regulation enclosed. Page 1 of 2 Pages 3 CITY OF SALEM HEALTH DEPARTMENT T DR. ISRAEL KAPLAN PUBLIC HEALTH CENTER Page 2 of 2 Pages OFF JEFFERSON AVENUE. Date June 2 1991 SALEM, MA 01990 ~ F£cMm Re: Robert Eveleth Ant. To: Mr. Michael J. McGinn 22 Tremont St. 33 Carlton St. Salem, Ma. 01970 Salem, Ma. 01970 HEARING AND APPEALS 410.850: Right to Hearing Unless otherwise specified in this Chapter, the following persons may request a hearing before the Board of Health by filing a written petition: (A) Any person or persons upon whom any order has been served pur- suant to any regulation of this Chapter (except for an order issued after the requirements -,f. 105 CMR 410.831 have been satisfied) ; pro- vided, such petition must be filed within seven days after the day the order was served. You are hereby ORDERED to make a good faith effort to correct these violations; said correction of these violations shall be commenced *Immediately, All others 7 days , after receipt of this letter and shall be completed no later thadt24 Hours, All others '14 Days. Also notify the Health Department immediately by letter of your intentions to make these repairs. Under Provisions of Article 2 of the State Code, the above are considered EMERGENCY CONDITIONS which may endanger or materially impair the health and/or safety and well- being of an occupant. You are hereby advised of your right to a Hearing before the Board of Health by filing a written petition within 7 days. Procedures for filing of said petition are enclosed. You are also hereby advised that the conditions which exist may permit the occupants to exercise one or more statutory remedies which can include rent withholding. You are further advised that failure on your part to comply within the specified :ime can result in a complaint in the Salem. District Court. FOR THE BOARD OF HEALTH REPLY T0: ROBERT E. BLENKHORN WALTER SZCZERBINSY.i, R.S. Health Agent Senior Sanitarian Certified Mail I�P�O gg,�3634 Return Receipt Requested. Encls. 1) Procedures for filing petition 2) Three-page Inspection Report' cc: x Building Inspector, One Salem Green Electrical Inspector, 44 Lafayette St. Fire Prevention, 48 Lafayette St. Plumbing Inspector, One Salem Green x Tenant(s) Attorney Ward Councillor x NSCAP ♦�Y�4 � f1�if of � Iem, Cftt51SttrtInuffs OcT 23 8 32 AM '87 s S �DMTD of CAPPUd CITY CLERK,S4LE!'.!;AZ�L DECISION ON THE PETITION OF THOMAS & MICHAEL MCGINN FOR, VARIANCE FORr22.TREMONT:ST:=R'- 11 A hearing on this petition was held September 30, 1987 with the following Board Members present: James Hacker, Chairman; Messrs. , Bencal, Fleming, Luzinski and Strout. Notice of the hearing was sent to abutters and others and notices of the hearing were properly published in the Salem Evening News in accordance with Massachusetts General General Laws Chapter 40A. The Petitioners are requesting a Variance to convert a four family to a five family in this R- 1 district. At the request of the petitioners the Board of Appeal voted unanimously to allow them Leave to Withdraw Without Prejudice. WITHDRAWN L` )James B. Hacker, Chairman A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK APPEAL FP.OK THIS CCG:: GS:OS L .. _- Ef �H.S DE � 1i.Er. L u.- fs E. .._. A.D ILiaO:I THE OW:r r5 C° kECGR� �R S RcG BOARD OF APPEAL i CITY OFeSALEM HEALTH DEPARTMENT $OAR=D OF,HEALTH ''1 Dr. Israel Kaplan Public Health,Cd enter t '�Off Jeffers0n'Avenue„x ale 'Massachusetts )197,0 PHILIP H.SAINDON ROBERT E. BLENKHORN JOSEPH R. RICHARD HEALTH AGENT JUNE 2, 1981 (617) 745-9000 MILDRED C.MOULTON,R.N. EFFIE MACDONALD ROBERT C.BONIN FREDERICK M.PIECEWICZ,M.D. , PATRICK SCANLON Mr. Michael J. McGinn 33 Carlton Street Salem, Ma. _01970 Dear Sir: During an inspection of ,your property at 22 Tremont Street, Salem, Ma. , second floor apartment occupied by Robert Ev9leth on May 29, 1981, 11:00am, the following violations have been noted: . KITCHEN: *1. Light fixture not secure to ceiling. 2. Wall above baseboard is unfinished. *3.Apartment door to hall is in poor repair; knob and striker. BATHROOM: 4. Opening in floor between tub and toilet. LIVING ROOM: + 5. Storm window is not secure to frame. BEDROOM:- , *6. Ceiling leaks. HALL: 7.Broken winh.ow. REAR PORCHES: — -- ----_._ *8_Rear stairs from first floor .to ground level has no handrail. *9.First to second floor handrail needs balusters. *10.First. floor porch floor boards neer railing are in poor repair. ,*11.Second floor porch;one section has no acceptable handrail and two other sections have inadaquate balusters. NOTE: All protective railings shall have balusters placed at intervals of no more than six inches, or any other ornamental pattern between the railing andffloor or stair such that a sphere six inches in diameter cannot pass through. GENERAL: r *12.Mice droppings noted in building. 13.Rear yard needs cleaning. 14.Owners name, address and telephone number not posted on property. Regulation enclosed. Page 1 of 2 Pages 1 / ww f e. CITY OF SALEM HEALTH DEPARTMENT T ¢ DR. ISRAEL KAPLAN PUSLIc HEALTH CENTER Page 2 of 2 Pages OFF JEFFERSON AVENUE Date June 2 1981 - - --- SALEM. MA 01970 ' 4'k.cmE Re: Robert Eveleth Apt. To: Mr. Michael J. McGinn 22 Tremont St. 33 Carlton St. Salem, Ma. 01970 Salem, Ma. 01970 HEARING AND APPEALS 410.850: Right to Hearing Unless otherwise specified in this Chapter, the following persons may request a hearing before the Board of Health by filing a written petition: (A) Any person or persons upon whom any order has been served ,)ur- scant to any regulation of this Chapter (except for an order issued after the requirements -,f '105 CMR 410.831 have been satisfied) ; pro- vided, such heti.tion mist be filed within, seven*days _ater��he drav the order was served. You are hereby ORDERED to make a good faith effort to correct these violations; said correction of these violations shall be commenced *Immediately, All others 7 days , after receipt of this letter and shall be completed no later thaf#24 Hours, All others. '14 Days. Also notify the Health Department immediately by letter of your intentions to make these repairs. Under Provisions of Article 2 of the State Code, the above are considered EMERGENCY CONDITIONS which may endanger or materially impair the health and/or safety and well- being of an occupant. You are hereby advised of your right to a Hearing before the Board of Health by filing a written petition within 7 days. Procedures for filing of said petition are enclosed. You are also hereby advised that the conditions which exist may permit the occupants to exercise one or more statutory remedies which can include rent withholding. You are further advised that failure on your part to comply within the specified :ime can result in a complaint in the Salem, District Court. FOR THE BOARD OF HEALTH REPLY TO: ROBERT E. BLENKHORN WALTER SZCZERBINSKI, R.E. Health Agent Senior Sanitarian Certified Mail $P�o ,�Ks�6?)4 Return Receipt Requested. Encls. 1) Procedures for filing petition 2) Three-page Inspection Report' cc:x Building Inspector, One Salem Green Electrical Inspector, 44 Lafayette St. Fire Prevention, 48 Lafayette\St. Plumbing Inspector, One Salem Green x Tenant(s) \ y Attorney Ward Councillor X .NSCAP ti - e���s 4✓ r .1 a r 410:990 Continued THE FOLLOWLJG IS A BRIEF SMMARY OF SOME OF THE LECAL itl'.^tLDIES TENANTS MAY USE IN ORDER 'if) GET HOUSING CODE. VIOLATIONS CORRECTED. 1. Rent tditiiYo7.di= g (General Laws Chapter 239 Section 8A) If Code Violations .Are Not Being ';orrected you may be entitled to hold back your rent payments. You can do this without being evicted if: A. You can prove that your, dwel.li%9 unit or common areas contain code violations which are serious enough to endanger or materially impair your health or .safety and that your 1a.nd1<,rf knew about th+ violations before you were behind in your rent. ; B. You did riot cause th- violations ;n:' they can be repalr<.d while you continue to live in the building. 1 C. You are prepared to nay any portion of the rent into court if a judge orders,you to pay it. (For t:his ,it is best to put the rent money_ aside. in a safe place.) 2. Repair. and Deduct (General Laws Chapter III Section 127L) . The Law sometimes allows you to use your rent money to make the repairs yourself. If your local code enforcement agency certifies that there are code violations which en- danger or materially impair your health,safety or well-being and your landlord has.. received writt n notice of the violations,you may be a5le to _t thi,;, remedy. If the _.: . . �- -F '=m necessary repai s-`yvr to`enter iueo'a writtencontract to have them made)within five days after .notice on to complete repairs within 14 days after notice you can use up to four months' rent in any year to make the repairs. 3. Retaliator; Rent Increases or Evictions Prohibited (General Laws Chapeter 186,Section 18 and Chapter 239 Section 2A) . The owner may not increase your rentor evict you in retaliation for making a com- plaint to your local code enforcement agency about code violations. If the owner raises your rent or tries to evict within six months after. you have made the com- plaint he or she will have to show.,a good reason for the increase or eviction which is unrelated to your ,complaint. lou, may be able to sue the landlord for damages if he or she tries this. S, 4. Rent Receivership (General Laws Chapter; IIII Secions 1270-11) . The occupants and/or the Board of Health may petition the District or Superior Court to allow rent to be paid into court 'rather than to the owner. The court may then aD_ - point a "receiver" who may spend as much of the rent money as is needed to correct the ViOlati roi rp j q - �n�su ect to a spending limitation of. four months' rent. 5. B� h of ?7arranty of tI�abit�bit r< ou may he entitled- of sue your l; dlord to haveall or some of vour rent. returned if your dwelling ,unit does not meet. r;;inimum standards of habiLaoilitg. 6• Unfair and Deceptive Practices (General Laws Chapter. 93A) . ' Renting an apartment with code violations is a v.401ation of the consumer protection act and regulations for which you may Gip an owner. . THE INFORMALION PRESENTED ABOVE IS ONI.1Y , ALM tArYrrt t'Ri 7 A14',B HOPE YOU�DEf nI T t.? J,mzl- ..K-•--w' h^T .ver.':' rR>�'.dT,} 0.��'+��;.=;rr� 1, AC 1'}lj.-t r sic -`2j ( n011E MAX YOU CONSULT AN AT- 11Y:" l+' YOU CANNOT AFFORD TO C014SULT IN ATTORNEY, YOU SHOULD CONTACT THE NEAREST LE- CAL SERVICES OFFICE 14HICE IS: NEIGHBORHOOD LEGAL SERVICES INC. 927-4430. (Name) (Telephone Number) 407 - 409 CABOT STREET BEVERLY MASSACHUSETTS 01915 (Address) i INSPECTOR L AS TITLE f ffjTj DATE A TIME_ P.? .THE NEXT SCHEDULED REINSPECTION Zy f�jQS �xz F i s .ti � � ��• ✓ SALEM CI'iY[TOINN HEALTH DEPARTMENT OFF- JEFFERSON AVENUE SALEM MASSACHUSETTS 01970 ADDRESS 745-9000 extention 207 TELEPHONE THE FOLLOWING IS A BRIEF SUMMARY OF SOME OF THE LEGAL REMEDIES TENANTS MAY USE IN ORDER TO GET HOUSING CODE VIOLATIONS CORRECTED. This is art important legal document. It may affect your ri,hts. You may obtain a translation of this form at: +� Isto a um dowmento legal muito importante qua poder",�afectar os sews ifireitot,Pt&Ar. ajaquirir uma tradu;�jo dWe documarho de: J. _ Le suivante ast un important document legal. It pourrait affecter vos draits. Vow pouvez obtenir une traduction de tette forma a: Questoa un dowmento legate importante. Potrebbe avers effetto sui suoi diritti. Lei puo ottenere una traduzione di questo modulo a: Esta es un documento legal importante. Puede quo afecte sus derechos. Ud. Puede adquirir una trac!ucci; n de esta forma an: AUTO ELvaL Eva c muaVTLKO VOULUO EYYPaipo. Mrcope� VQ ErnPEWEL Ta vo.uLxa aag 6k.N,aLU=Ta. MT100CLTE va TLQOETE UETacppaOT1 QUTOU TOU EYYPC=U QTLO TO _ Gtr raj : : a � ;��/�J STATE CHAPTE II ��� l� �SANITAF.Y CODE ADDRESS : NO OCCUPANTS:—3--TELEPHONE NO.: � OCCUPANT:�����/ ��/?:LE FLOOR: APT. NO. : NO DWELLING UNITS: NO ROOMING UNITS: NO STORIES: 2 /67-- BASEMENT: TYPE STRUCTURE.: FRAM: V BRICK: - SEMIDETACHED: DETACHED:_) NO'JOFF HABITABLE ROOMS :_ _y OF SLEEPING ROOMS: -- �— OWNER: "/IGTIl/r1— (T y • /"/GC7/N(K p ADDRESS: 33 CRPLTD/U Sz" "< fALC-M - e 3 , n X=VIOLATION ✓=N0 VIOLATION REMARKS VIO. YARD Out Bldgs. , Fences / Garbage and rubbish Containers X STRUCTURE EXT. Steps, Stairs Porches IML5 .} Dual Egress and Obst'n. Roof, Gutters, Drains Walls, _Foundation Chimney BASEMENT Gen. Sanitation Dampness Stairs Li titin STRUCTURE INT. Hall Stairway COMMON Obstructions Hall, Floor, Wall, Ceiling Hall Lighting _ Hall Doors_, Windows 2 �• :7xF} R HEATINGG p 0O OT Chimney - CENTRAL O y ON Equip. and Repair ~ 4-� TYPE: Stacks, Flues, Vents Name of Oil Co. PLUMBING Supply Line v O MS OST CSP Waste Line ELECTRICAL Gen. Cond. Dist. Box 0 110 O 220 Gen; Basm t Wiring OTHER I " DWLLLING UNIT Ventil. L tng. IOUtl t Wls. Ceils. Wind Drs. Locks Tem . S &Use Ext.Cds. L KITCHEN �j � ✓ � _ BATHROOM y_ v- ✓ ,/ �. DEN LIVING ROOM BEDROOM (1) ✓ v/ �/ _ 7, 1 - BEDROOM (2) 1 p/ BEDROOM (3) BEDROOM ( ) OTHER HOT WATER FACILITIES Gas l=1 Oil ED Elect. 1=7 ✓ SUPPLIED BY: OO OT Stacks, Flues, .Ven s, •Safetys KITCHEN FACILITIES- '" Sink- St$ve ; - --- - - — _ BATHROOM FACILITIES Vent Plumb;" Sanit'n ('• Sink, Shower or tub INFESTATION Rats, Mice, Roaches, or other EGRESS Dual and 01,3 t n GENERAL IBuilding Posted Locks, Common Drs. TENANTS RESP. Structural F.lem is OTHER DETERMINATION ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH BY NSPECTOR MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE L N OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) 410.990: Continued S 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises , shall. be deemed conditions whic'n may endanger or impair., the health, or safety and well-being of a person or persons occupying the premises. Thi.; listing is composed of these items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public Because Chapter II, C14R 410.000 through 410.499 state minimum requirements of fitness for human habitation, any violation has the potential to fall within this category in any given situation but may not do so in every case and therefore cannot be included 'in this listing. Failure to include shall in no way be construed as a determination that other violations may not be found to fall within this category. Nor shall failure to include affect,,the duty of the local health official to order repair or correction of the violation(s) pursuant to 410 CMR 410. 830 through410.833 nor shall it affect the legal obligation of the person to whom the order is issued to comply with such orde. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to'meet the ordinary.needs ,of the occupant in accordance with 105 CMR 410. 190 for a period of 24 hours or longer. (B) Failure to provkoe heat' as required by 105 MIR 410.201 or improper venting or use- of a_ ___ space heater or water hater as pronibiteq'''by 105 CMR 410:`L00(ii), and -410.202. . (C) Shut-off and/or failure to restore electricity or gas. (D) Failure to supply the electrical facilities required by 105 CMR 410.250(B) ,410.251(A) , 410.253(A) ,410.253(B) and the lighting in common area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage system is operable condition as requir- ed by 105 OIR 4,10. 150(A) (1) and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by an object, including garbage or trash, which prevents access in case of an emergency 105 CMP. 410.450 and 410.451. (H) Failure to comply with the security requirements of 105 CMR 410.480(D) . (I) Failure to comply with any provisions of 105 CMR 410.600 through 410.602 which results in any accumulation of garbage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents , insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. . (J) The presence of lead-based paint on a dwelling or dwelling unit in violation of' the Mass- achusetts Department of Public Health ,Regulations for Lead Poisoning Prevention and Con- trol 105 CMR 460.000, (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. " (L) Failure to install electrical, plumbing, heating and;gas-burning facilities in accordance with accepted plumbing, heating,. gas-fitting and cle' ctrical wiring standards or failure to maintain such faci_lit.ec. 3 . quir��,,'. ,y 10 CMR i . s� < s,r 4-v i.3D2 so'as fo expose the occupant or anyone else to fire, burns shock, accident or other danger or impairment to health or safety. (AO Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions : (1)Lack of a kitchen sink of sufficient."size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either operable. (2)Failure to provide a washbasin and a shower or bathtub as required in 105 CMR 410. 150(A) (2) and 410. 150(A) (3) and any defect which renders them Inoperable. (3)Any defect in the electrical, plumbing, or heating system which makes such system or any part thereof in violation of -generally accepted plumbing heating, gas-fitting or electrical wiring standards that do not create an immediate hazard. (4)Failure to maintain a safe handrall or protective railing for every stairway, porch balcony,roof or similar place as required by 105CMR 410.503(A) and 410.503(B) . (5)Failure to eliminate .rodents ,cockroached,insect infestations and other pests as re- quired by 105 CMR '410.550. (N)Any other violation. of Chapter II not enumerated in 105 CMR 410. 750(A) through(M) shall be deemed to be a condition which may endanger or materially impair the health or safety and well- being, of an occupant upon the failure of the owner to remedy said condition within the time s " FIRST DISTRICT COURT OF ESSEX APPLICATION FOR A COMPLAINT OR WARRANT D !COMPLAINANT C 'h " na"RESS s ALLEGED DEFENDANT" ,ADDRESS (If House Contains More Than Ne Family, Designate Which Apartment) J �OF BIRTH /OFFEN �jdow Il I (GivendSection of Statute, Ordinance or R gulatio Violated) / DATE OF OFFENSE /PLACE OF OFFENSEr� (Or if for Non-S pport, Length of Time No Support Had) STATE IF DEFENDANT ARRESTED _YES k NO DATE OF ARREST WAS DEFENDANT BAILED —YES -)�NO AMOUNT $ INFORMATION TO BE GIVEN ON MOTOR VEHICLE VIOLATIONS LICENSE # ISSUED REGISTRATION + ISSUED OWNER INFORMATION TO BE GIVEN ON JUVENILE COMPLAINTS JUVENILE ADDRESS AGE FATHER ADDRESS MOTHER ADDRESS FACTS UPON WHICH YOU RELY FOR COMPLAINT TO ISSUE 64 t i ) WITNESSES DATE.OF APPEARANCE IN COURT C������ ,.