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11 REAR WINTER ISLAND ROAD - BUILDING INSPECTION 74520 400/* p4 i �aSc/ O 6 SolI �� ss'll'ys UNITED STATES � ESSF i � MA GIs' 1 . 0__g� aid I Y3. JUH 20(17 P' �` • Sender: Please //print your name, address, and ZIP+4 in this box ( .-Tlv0�C/i� 4NDni .•sa-3 ilf� �� Itl�Ld„JFh,,,JI,J�1„J,I„II,hI„LI„��LI( COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Also complete A Sipa M item 4 if Restricted Delivery is desired. ❑Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. Printed Name) C. Dat5,af Def ry ■ Attach this card to the back of the mailpiece, or on the front if space permits. 'y L 1. Article Addressed to: D. Is delivery address different from Rem 1 0/yes If YES,enter delivery address below: ❑No A4X llz7e� r� J (��`ic��si /ylq• d�y7o 3. Service Type kCertiRed Mall ❑ Express Mail ❑Registered 0 Return Receipt for Merchandise 13 Insured Mall O C.O.D. 4. ResMcted Delivery?(Extra Fee) 0 yes 2. Article Number (transfer from service labeq PS Form 3811,February 2004 Domestic Return Receipt 102595.02-M-1540 ;., APPLICATION FOR APPLICATION NO. (COURT USE ONLY) PAGE Trial Court of Massachusetts CRIMINAL COMPLAINT of District Court Department I,the undersigned complainant, request that a criminal complaint issue against the accused charging the Salem DistrtGt C ovn offense(s)listed below. If the accused HAS NOT BEEN ARRESTED and the charges involve: QJ Washington Street I{T'ONLY MISDEMEANOR(S),I request a hearing ❑ WITHOUT NOTICE because of an imminent threat of Salem, MA.01974) ❑ BODILY INJURY ❑ COMMISSION OF A CRIME ❑ FLIGHT ❑ WITH NOTICE to accused. ❑ONE OR MORE FELONIES, I request a hearing ❑ WITHOUT NOTICE ❑ WITH NOTICE to accused. ARREST STATUS OF ACCUSED ❑WARRANT is requested because prosecutor represents that accused may not appear unless arrested. ❑ HAS HAS NOT been arrested ti.b��t��±rte +�..� :µ n'.+^ F � • :• � . i>f'" w-a-3;•(R 5a ,+fit" +y�`, f'. NAME(FIRST MI LAST)AND ADDRESS • BIRTH DTE, SOCIAL SECURITY NUMBER ; s PCF NO. MARITAL STATUS DRIVERS LICENSE NO. STATE GE DER HEIGHT WEIGHT EYES !! 4Al e HAIR RACE COMPLEXION SCARS/MARKS/TATTOOS BIRTH STATE OR COUNTRY DAY PHONE EMPLOYERISCHOOL MOTHER'S MAIDEN NAME(FIRST MI LAST) FATHER'S NAME(FIRST MI LAST) _ a COMPLAINANT NAME(FIRST MI LAST) �/ t COMPLAINANT TYPE l PD /r 7 7 j r 1'C' 1 ❑ POLICE ❑ CITIZEN /OTHER }r ADDRESS ! PLACE OF OFFENSE �yrP�4 Irl I �17T INCIDENT REPORT NO. OBTN 4+ II CITATION NO(S). OFFENSE CODE DES)C�R/IPTIOr�f OFFENSE DATE ' t/ /e f r. p /' 7 /G; •n �:. {A 1,,, t- �LT („° t% ici G. . VARIABLE//S(e.g.victiim/m name,controlled substance,type and vat a of propsotherother vanable informa�l'°n; ee Complaint Language Manual) OFFENSE CODE DESCRIPTION OFFENSE DATE 2 C ,I VARIABLES OFFENSE CODE DESCRIPTION OFFENSE DATE 3 VARIABLES REMARKS COM 7T'S SIGN U DATE f ILEDr COURT USE ONLY A HEARING UPON THIS COMPLAINT APPLICATION ( M D/aTE OF HEARING T;E OF HEARING COURT USE ONLY WILL BE HELD AT THE ABOVE COURT ADDRESS ON J} {(�Jj 0 AT 0 E DOOR-2(oaw) COMPLAINANT'S COPY.' l/6/ell/1J7 Z4-- j 1,ld- C,1 d0,1- CITY OF SALEM 1 PUBLIC PROPERTY DEPARTMENT KI MBERLEY DRISCOIL MAYOR 120 WASHINGTON STREET♦SALEM,MASSACHUSEPCS 01970 TEL:978-745-9595 4 F�,-x 978-740-9846 VIOLATION NOTICE PROPERTY LOCATION 11 Rear Winter Island Road Fred Kozlowski 11 Rear Winter Island Road Salem Ma. 01970 Dear Mr. Kozlowski The above listed property has been found to be in violation of the following State Codes and/or City Ordinances: Massachusetts State Plumbing Codes 248 C.M.R section (9) Prohibited Methods of Water Heating. This Department as well as Fire and Health has responded numerous times to your property for complaints regarding the methods you use to heat hot water. The equipment you are using is not a legal device and while using it you cause complaints throughout the neighborhood. A Massachusetts approved hot water appliance must be installed and maintained. Said violations must begin to be corrected, repaired, and/or brought into compliance within 15 days of your receipt of this notice. Failure to do so may result in further actions being brought against you, up to and including the filing of complaints at District Court. If you have any questions regarding this letter, please contact the Building Inspectors Office at (978) 745-9595, extension 5640. Sr1omas ,0--h, � � ro J. t. P1err� Building Commissioner/Zoning Enforcement Officer CC: file.Mayor,s office, Health Department, Fire Prevention CITY OF SALEM PUBLIC PROPERTY DEPARTMENT KI NMERLEY DRISCOLL MAYOR 120 WASHINGTON S IAEET• SALEM,MASSACHESMTS 01970 TEL:978-745-9595 ♦ FAR:978-740-9846 VIOLATION NOTICE PROPERTY LOCATION 11 Rear Winter Island Road Fred Kozlowski 11 Rear Winter Island Road Salem Ma. 01970 Dear Mr. Kozlowski The above listed property has been found to be in violation of the following State Codes and/or City Ordinances: Massachusetts State Plumbing Codes 248 C.M.R section (9) Prohibited Methods of Water Heating. This Department as well as Fire and Health has responded numerous times to your property for complaints regarding the methods you use to heat hot water. The equipment you are using is not a legal device and while using it you cause complaints throughout the neighborhood. A Massachusetts approved hot water appliance must be installed and maintained. Said violations must begin to be corrected, repaired, and/or brought into compliance within 15 days of your receipt of this notice. Failure to do so may result in further actions being brought against you, up to and including the filing of complaints at District Court. If you have any questions regarding this letter, please contact the Building Inspectors Office at (978) 745-9595, extension 5640. Si cern ely, Thom/a�s Building Commissioner/Zoning Enforcement Officer CC: file.Mayor,s office, Health Department, Fire Prevention CITY OF SALEM Ia PUBLIC PROPERTY DEPARTMENT KIMNERLEY DRISCOLL MAYOR 120 WASHINGTON STREET♦ SALEM,MASSACHUSETTS 01970 Tr--L:978-745-9595 ♦ F.A.Y:978-740-9846 VIOLATION NOTICE PROPERTY LOCATION 11 Rear Winter Island Road Fred Kozlowski 11 Rear Winter Island Road Salem Ma. 01970 Dear Mr. Kozlowski The above listed property has been found to be in violation of the following State Codes and/or City Ordinances: Massachusetts State Plumbing Codes 248 C.M.R section (9) Prohibited Methods of Water Heating. This Department as well as Fire and Health has responded numerous times to your property for complaints regarding the methods you use to heat hot water. The equipment you are using is not a legal device and while using it you cause complaints throughout the neighborhood. A Massachusetts approved hot water appliance must be installed and maintained. Said violations must begin to be corrected, repaired, and/or brought into compliance within 15 days of your receipt of this notice. Failure to do so may result in further actions being brought against you, up to and including the filing of complaints at District Court. If you have any questions regarding this letter, please contact the Building Inspectors Office at (978) 745-9595, extension 5640. Si cerely, T Si J� t. P1�JeJrry/ Building Commissioner/Zoning Enforcement Officer CC: file.Mayor,s office, Health Department, Fire Prevention 611ty of cSa&n; :::M- aisacfiiaiF-tL w Si � �}izE l�e�iaztmenE MIld 4,6 -Lafay£tt£ Sheet .Saftm, rAaiaac4uietts Or970-9695 508744-1235 - 9ii£ AwEntion �hief 3„r 506-745-4646 Duteau 5oS'-744-6990 508-745-7777 RECORD OF COMPLAINT DATE : iy jy�� RECEIVED BY: SUBJECT: �✓OO/GIS//ddb/ / LOCATION: // `'j/?f:%i/� 1Sl4cCe/ A / COMPLAINT BY: ADDRESS : JsyJCf� //ye NARRATIVE : y- Ile tz SITE INSPECTED BY: DATE : COMMENTS : REFERRED TO : SIGNED: Form #58 (revised 3/97)