INC. VILLAGE OF EAST ROCKAWAY • 376 ATLANTIC AVENUE, P.O. BOX 189 • EAST ROCKAWAY, NEW YORK, 11518-0189

(516) 887-6300 • • fax: (516) 887-6305

APPLICATION INSTRUCTIONS FOR PARKING PERMIT • Pursuant to Chapter 203 of the Village Code

  • Please fill in required information below, check the type of permit you need and attach proof of residency and a copy of the vehicle registration. Commuters must submit train ticket as proof.
  • If you are filing for an Employee Parking Permit, please attach proof of employment(a letter from Employer on letterhead).
  • Be advised that permits are NOT transferable. If you are filing for a replacement sticker: remove and return the old sticker with new application and include a copy of the new registration at a cost of $15.00 per vehicle.
  • Parking with a permit does NOT exempt you from inserting coins when parking at a meter.
  • **A PARKING PERMIT DOES NOT GUARANTEE A PARKING SPACE AT ANY OF THE MUNICIPAL PAKING LOTS**
  • **NO REFUNDS WILL BE ISSUED**.
  • **PARKING FROM 8PM TO 3AM IS FREE IN ALL PARKING FIELDS**.

***AFTER MARCH 31ST ANNUAL PARKING PERMIT FEES ARE PRO-RATED. PLEASE CALL 516-887-6300 FOR PRO-RATED RATE*****

Applicant’s Name______

Address: ______Apt:/Floor:______

______

Home Phone #: ______BusinessPhone#:______Mobile Cell Phone#:______

Email address: (Optional) ______

PLATE# ______YEAR: ______MAKE: ______

MODEL: ______COLOR: ______STATE: ______Signature: ______

Amount enclosed: $______Make checks payable to: Inc. Village of East Rockaway PARKING FIELD NO. ______

______

- RESIDENT/EMPLOYEEDAYTIME/OVERNIGHT PARKING: (PARKING FROM 8PM TO 3AM IS FREE IN ALL PARKING FIELDS)

Daytime -Valid between 5AM-8PM only Overnight – Valid between 8PM-8AM only

MONTHLY FEE ( ) ______/_____ 2016______/_____ 2016 ANNUAL FEE ( )______/_____ 2016______/_____ 2016

$ 30.00 per sticker/per vehicle$ 200.00 per sticker/per vehicle

______

- NON-RESIDENTDAYTIME/OVERNIGHTPARKING:

Daytime -Valid between 5AM-8PM only Overnight – Valid between 8PM-8AM only

MONTHLY FEE ( )______/_____ 2016______/_____ 2016 ANNUAL FEE ( )______/_____ 2016______/_____ 2016

$ 40.00 per sticker/per vehicle$ 300.00 per sticker/per vehicle

______

-COMMUTER/RESIDENTDAYTIME/OVERNIGHT:(Parking Fields #1-St. Raymond’s, #2-Forest Ave, #3-Ocean Ave N and #4- Ocean Ave

Valid between 5AM-8PM only

MONTHLY FEE ( )______/_____ 2016______/_____ 2016 ANNUAL FEE ( )______/_____ 2016______/_____ 2016

$ 25.00 per sticker/per vehicle$ 150.00 per sticker/per vehicle

______

-COMMUTER/NON-RESIDENTDAYTIME/OVERNIGHT: (Parking Fields #1-St. Raymond’s, #2-Forest Ave, #3-Ocean Ave N and #4- Ocean Ave S) Valid between 5AM-8PM only

MONTHLY FEE ( )______/_____ 2016______/_____ 2016 ANNUAL FEE ( )______/_____ 2016______/_____ 2016

$ 35.00 per sticker/per vehicle$ 225.00 per sticker/per vehicle

______

- REPLACEMENT STICKERS: For replacement of one vehicle to another ONLY. PROCESSING FEE( ) Per sticker/per vehicle $ 15.00

**IMPORTANT** PARKING STICKER MUST BE AFFIXED TO THE REAROUTSIDE (Drivers Side)WINDSHIELDor BUMPER

Sticker #______Expires: ______Date issued:______Permit issued by: ______Check Cash Charge

Signature______

J:CLERKS OFFICE\misc.forms\ Parking Permit Application 2015B