069
FOR INTERNAL USE ONLY
2009-10-16 JCM
TOWN OF WAPPINGER
Application for Public Access to Records
FOIL REQUEST
Received by: Chris Mastetson ['
Christine Fulton ...,S;
Sue Rose 8
Date Received: 0....1 Jl / ---1L
FOIL Ser. #:
~
DEPARTMENT:
ASSESSOR [j
ACCOUNTING !
CODE ENFORCEMENT --'.. .....
->
PLANNING
ZONING 0
FIRE INSPECTOR 0
HIGHWAY [
RECEIVER OF TAXES 0
RECREATION D
SUPERVISOR 0
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=FOWN CLEftK f5
WATER/SEWER 0
DOG CONTROL OFFICER 0
TOWN ENGINEER 0
TOWN ATTORNEY [
FOR DEPARTMENT USE ONLY
Date Received by Dept .2 / lkrttI-. 1t .
Department Head approval: ~
~/ 171 jJ
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Closed by:
Date:
:!21111 ;J
Notes:
Amount Due:
Pages for a total of $
Name: / 4 0 check here if you are
Address: 1"3 I 17. 'n c::.... -r",. e. -e... 4' J . requesting that the records
/YJ-u n yo il e.. ,.N Y /09 S- \) be mailed to this address.
Agency or frrm: ~ e.... 4,j V.::i..,-f"dI.K... :;:: J1tP ed~ '0 M S evv I'~ €J
Telephone #: <l11'-)~-1 J/3 ~AX #: (~'!$'") ~- 3 ~"1,
Email address: 4 i> c.. \) .
o I request to be notified when I can come to inspect the record(s) described above
o I request copies of the records described above and agree to pay the cost of such records in
accordance with the fee schedule on the back ofthis application
V I request that the records be sent via e.mail to the address listed above
~ I request that the records be faxed to the number listed above
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2009-10-16 JCM
The Town of Wappinger has designated the Town Clerk, by the adoption of Resolution No. 43 of 2002, as the Records
Management Officer (RMO). It is the re$ponslbility of the RMO to ensure compliance with the Freedom of Information Law.
The Town Clerk's Offke houses many of the Town's records and maintains a subject file index of those records. However, each
individual Department within the Town of Wappinger government maintains records specific to their office and is designated
custodian of such records.
Active records are located at the Town Hall, 20 Middlebush Road, Wappingers Fal[s, NY, 12590. Hours of operation for the
Town Hall are 8:30 AM to 4:00 PM, Monday through Friday, excluding holidays named at each Reorganization Meeting and other
times during which the Town Supervisor, or other authorized official, directs the Town Hall to be closed, such as for in<:lement
weather or other emergency.
FOIL request forms are availab(e at the Town Clerk's Office. To make a request for access to records, fill out the
application to Include the followfng:
· Name
· Agency or Firm (write "self" if making the request for yourself)
. Address of applicant
· Telephone number of applicant
. Fax number of applicant
· Notate if you would like copies of the records or would only like to Inspect the records
· A SPECIFIC description of the records beitle requested
FOIL requests can be faxed, emailed, mailed or dropped off at the Town Clerk's Office. If records are being requested
from multiple offices, submit separate requests for each.
The cast for copies of records is $0.25 per page for paper copies up to 9" X 14". Copies for most other records will be the
cost of reproduction. Other costs will be calculated in accordance wIth !l87 of the Freedom of Information Law.
Upon receipt of a FOIL request, the RMO will assign the request a serial number. The request will then be entered into a
database and forwarded to the appropriate department. Within 5 days after the receipt of the request, the responsible department
will make such record available to the person requesting it, deny such request in writing or furnish a written acknowledgment of thi!
receipt of such request and a statement of the apprOXimate date, which shall be reasonable under the circumstances of the request,
when such request will be granted or denied. The apprOXimate date will be within 20 days of the date of receipt. If the request
cannot be fulfilled within 10 days, the department will provide the requestor with an exact date that the record will, wholly or in
part, be provided or made available.
The RMO may require the reqOestor of certain FOIL requests to sign an affidavit that information being provided will not be
used for solicitation or fund'raising purposes and that the requestor will not sell, give or otherwise make such information available
to another person for the purpOse of allowing that person to use the information for solicitation or fund.raising purposes.
A requestor may a$k that the Town Clerk certify records being requested. Such requests will require that the requestor pay
the appropriate fee for certified copies as set forth in Chapter 122 of the Town Code of the Town of Wappinger.
If a request fs denied by the RMO or appropriate custodian, the requestor may appeal such dental within seven business
days of receipt of denial. Appeals must be submitted In writing and sent to the RMO.
The Information provided here is posted to assist you with your FOIL request. It will be updated as needed, but is always to
be considered subordinate to the ~reedom of Information Law and the Town Code of the Town of Wappinger. If at any time, the
information posted here contradicts the Freedom of Information Law or the Town Code of the Town of Wappinger, the information
posted here is to be deemed invalid.
or ntero se ~v
StafrMember Phone Number Called E~mail Addrcu (if aDDlie.ble) Date Messae:e Left (Y/N)
Record of Attempts to Contact Applicant
F I alU On!
Notes & Comments
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HOME ADVANTAGE INSPECTION SERVICES} LLe
131 PINE TREE ROAD
MONROE, NY 10950
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Telephone: (845) 492-1173
FAXCOVERSHEET
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FROM:
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NUMBER OF PAGES INCLUDING COVERSHEET:
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(if all pages are not received, please call us immediately)
MESSAGE: 4/17 1u.~JIi..l""J C4 /17"'Je .q/,
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Confidentialitv Statement
The attached information is CONFIDENTIAL, and is prDtected under the Privacy Act of] 97 4. This
message is imendedfor the sDle use afthe individual and entity to whom it is addressed, and may Contain
informaIion thai is privileged, confidential and e:xemptfrom disclosure under applicable law. lfyou are nOI
the intended addressee, not authorized to receive for the intended adciJ-essee, you are hereby notified that
you may not use, copy. disclose or dislribure 10 anyone this communication. if you have received this
communiCCflion in error, please advise the sender by return facsimile orlelephone immediately.
10/01/2007
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