Dutchess County Dept. of Public Works i
2010-01-19 JCM
FOR INTERNAL USE ONLY Town of WappingeT
Received by: Joseph P. Paaloni c Agreement for the Use of the Town
Grace.Robinson � Hall Facilities for Meetings
Date Received: 1
._ _ no
Serial#: {
U .Application [7:$100.00 0'Cert. Of L1 4 2015
❑ Notified Recreat%oii�ctate }'' VIjAPP NG
TOWN OF
-,roW po r l �
Agreement for the Use of the Town Hall Facilities for Meetings ''..
Name of Organization or Group
Name of person representing the Organization or Group
E
41:.
Address Phone No.
This will.confn-m.the arrangements beim;requested for your groups'use of the Wappinger Town Hall.Facilit.ies,,as
noted below:
( �
Senior Citizens Room
( ) Large:Meeting Room
(41, Other:Specify: ""'g, r-
The group is not expectFd to exceed i S` persons
Date(s): ..$ M Time;
1t should be understood that groups using the Buildings' Facilities for evening meetings must select dates when 1
Town Meetings are normally scheduled(i.e.,Justice Court,Planning Board, etc:)Special requests will be
considered upon their own merit, and arrangements can be made for access to,and closing, the building at.the close
of your meeting.
You and your Organization hereby agree to adhere to the rules set forth.on the attached page by signature of an
authorized member of your Organization or group.
The Town of Wappiager reserves the right to suspend temporarily this agreement should the Town have.need of the
facil.ity:for its own purposes. Advance notice will be given as soon as possible on such occasions..
The Town Clerk should be informed promptly of any schedule change or cancellation of your group activities.
Arrangements for access to specific area to be used should,be made with the Town Clerk at the time this form is
submitted.
No application shall be considered approved until it has been submitted to the Town Clerk for review and
Clearance.
i
i
20IM149 JCM
Terms of the agreement must be strictly adhered to by the contracting group as any disregard or abuse of the rales
for use of the facilities will result in termination of use by the offending group,and they will not be granted
reinstatement,
I lave.read and understand the rules and regulations:For the use of the Facilities in.the Town of Wappinger'.Town.
Hall,and will:comply with these equireme S.
RoIACbert H. -Balkind, P.E.
Signed: j)epQqpijtV Commissioner.
For:
(Marne of group or Organization)
Date:
Approved:
Town Cleric
Date:
Grace Robinson
From: Barbara Gutzler
Sent: Friday, September 04, 2015 9:24 AM
To: Joe Paoloni; Grace Robinson
Subject: Fwd: EDPL October 14 - PIN 8755.45
Attachments: 15-09-04-Wappinger Town Hall request form PIN 875586.pdf
Sent from my Verizon Wireless 4G L F srnartphone
-------- Original message --------
From: "Akins, Jefferson" <jakinsndutchessny. ov>
Date: 09/04/2015 9:12 AM (GMT-05:00)
To: Barbara Gutzler <BGutzler atow.nofwappi.n eg r.us>
Subject: RE: EDPL October 14 - PIN 8755.45
Good Morning Supervisor Gutzler,
Thank you for assistance in scheduling use of Town Hall for the evening of October 10' so we may conduct an EDPL
hearing for the CR-93 Myers Corners Road Improvement Project (PIN 8755.45). Attached please find the room use form
signed and detailed for that date/time and we appreciate your requesting waiver of the building use fee. I'll keep in
touch as details develop regarding this meeting. Have a delightful Labor Day weekend.
-jeff
Jeff Akins, P.E
Asst. Civil Engineer 11
Dutchess County Dept. of Public Works-Engineering Division
626 Dutchess Turnpike
Poughkeepsie, NY 12603
Phone:(845)486-2925 Fax: (845)486-2940
Email: iakins@dutchessny.gov
www.dutchessny.gov
From: Barbara Gutzler [mai Ito:BGutzler townofwa in er.us]
Sent: Tuesday, September 01, 2015 11:07 AM
To: Akins, Jefferson
Subject: EDPL October 14
Hello,Jeff.
I have attached the Building Use form that needs to be filled out so the Town Clerk can have a record of the request.
You can complete the form, scan & return to me. I think we might have a copy of the County's insurance certificate
from the last time you used Town Hall.
1
'I will ask the Board to waive the building use fee, as I will be here to open &close for you. Any questions, please call!
Thanks,
Barb
From: Barbara Gutzler [mai Ito:BGutzler@townofwa pinger.us]
Sent: Monday, August 31, 2015 2:54 PM
To: Akins, Jefferson
Subject. EDPH October 14
Jeff,
The room is available and reserved for you. October 14 from 6:30 to 8:30. 1 will be here to meet&
greet.
Thanks,
Barb Gutzler
2