Piermont, NY · Rockland County

No notary required

Pier Permit Application

Piermont residents and other applicants use this application to request a permit for a motorized vehicle entering the pier.

What this form is

This application requests a Piermont pier permit for a motorized vehicle for the January 1 through December 31 permit year shown on the form. Applicants provide their name, phone number, address, vehicle plate and state, proof of residence, ownership or rental status, and vehicle year and make. Fees vary by residency and eligibility, and permits are limited, issued first come, first served, and non-refundable.

Who needs it

Anyone seeking a pier permit for a motorized vehicle must complete this application and provide the vehicle and residence information requested.

How to submit it

The form says permits may be obtained at Village Hall, 478 Piermont Avenue, Piermont, NY 10968, Monday through Friday from 8:00 am to 3:30 pm, and by mail.

About notarization

This application is signed and dated without a notary; the applicant affirms receiving, reading, and agreeing to the pier rules and regulations.

How to submit this form

  1. 1

    Download The Application

    Download the Pier Permit Application.

  2. 2

    Complete The Application

    Enter your contact, residence, and vehicle information, then sign and date the application.

  3. 3

    Gather Proof Of Residence

    Provide the proof of residence requested on the form.

  4. 4

    Obtain The Permit

    The form says permits may be obtained at Village Hall or by mail.

Frequently asked questions

Do I need a notary for the Pier Permit Application?
No. This application is signed and dated without a notary; the applicant affirms receiving, reading, and agreeing to the pier rules and regulations.
How do I submit the Pier Permit Application?
The form says permits may be obtained at Village Hall, 478 Piermont Avenue, Monday through Friday from 8:00 am to 3:30 pm, and by mail.
What information does the application ask for?
It asks for your name, phone number, address, vehicle plate and state, proof of residence, ownership or rental status, and vehicle year and make.
What fees does the form list?
The listed fees are free for village residents, $145 for Orangetown residents, $125 for qualifying Orangetown seniors, veterans, and disabled applicants, and $200 for all others.

Need something notarized?

This Pier Permit Application doesn’t need a notary — but if you have another Piermont form that does, a commissioned online notary can help.