Street Opening Application

OFFICE USE ONLY
Date Application Received:

INSTRUCTIONS: This application shall be filled out in its entirety. Three diagrams/sketches of where cut is being made must accompany this application. All fees paid in relation to such an application will be non-refundable and non-transferable. One copy of permit (bearing the approval of the Building Department) shall be kept at the site of the work and exhibited on demand to any Building Inspector of the Inc. Village of East Rockaway.

Application is hereby made to the Incorporated Village of East Rockaway, pursuant to Chapter 250 of the Code of the Village of East Rockaway for a permit for the following:

The undersigned agree to conform to all applicable laws of the Village of East Rockaway.

(Name of applicant) states that he/she is authorized to make this application for (Name of Company/Corporation) , and that all statements are true to the best of his/her knowledge and belief.

NOTE: ALL ROAD RESTORATIONS SHALL BE CURB TO CURB NO EXCEPTIONS

Contractor shall notify the Village and Home Owners affected by work 48 Hrs. in advance of work commencement. Prior to restoration the Contractor shall obtain written approval from Village Engineer.

Applicant's signature

Print name

Address Tel.#

Village of East Rockaway Building Department must be notified at 516-887-6310 if start/end dates vary from original application dates.

Please see back for Technical Specifications for Road Pavement Restoration

Having this day made an application for a permit to open the street at the above referenced property, and having filed with the Clerk of the Village a bond in the penal sum of (bond and insurance as required by ordinance-on file in village office) to assure proper restoration of such excavation(s) an din addition thereto a certificate of an insurance company showing liability coverage of not less the $100,000/$200,000 indemnifying and saving harmless the Incorporated Village of East Rockaway for any and all liability for personal injury, bodily injury or otherwise and $25,000 for any property damage which may result from any such disturbance, change or alteration of the grade or any excavation in the sidewalk, street, highway, curb, gutter, public place, basin drainage line, sewer connection or other installation or works by the applicant herein, permission is hereby granted to the applicant make said opening, upon the condition that they will properly guard every hole or ditch made in executing work under this permit by maintaining around the same, in daytime a sufficient fence or other substitute sufficiently safe, and in case any hole, ditch or other excavation shall remain wholly or partly open at night by maintaining around the same a sufficient fence and a lamp or lamps to be kept constantly burning during the hours of dusk and darkness, placed in such a position that they will light up the said hole, ditch or other excavation in a manner that will avoid danger, and shall properly refill every hole, ditch or other excavation made, and replace any pavement, sidewalk, or crosswalk removed by him/it under this permit, and shall maintain the same in good condition for the period of one year after its refilling or replacement by him, and shall pay the cost of any inspection that may be required by the Village Engineer to insure the satisfactory backfilling the opening or repaving over the cut; and shall promptly notify the Village Engineer of the time of beginning and the time of completion and shall execute said work in all respects in accordance with such directions as may properly and legally be given him by said Village Engineer and shall comply with all the rules and ordinances of the Village of East Rockaway pertaining to this subject, and shall indemnity and save harmless the Village of East Rockaway, its officers or agents, against any and all suits or actions of every name and description, and expenses and costs of defending same, brought against the Village of East Rockaway, or its officers or agents, for or on account of any injury or damages to persons or property, caused by said ditch, hole or excavation.

Should the said street opening fail at any time during said period of one year after completion and inspection of said work to keep and maintain the said street in a safe and good condition, after a 3 days notice to repair same, the Village of East Rockaway may make such repairs at the expense of said owner/contractor or his/its said surety. The right is reserved to revoke this permit at any time.

The Village of East Rockaway requires Curb to curb restoration for all affected Roads. In addition Prior to Commencing any pavement restoration work, the applicants shall submit a restoration plan for the proposed work and said restoration plan must be approved by the Village Engineer.

NOTE: Failure to have this permit constantly in possession of some person actually engaged on the work may result in stopping of the work by the village authorities until the permit is produced.

TECHNICAL SPECIFICATIONS FOR ROAD PAVEMENT RESTORATION

All trenches and pavement restoration areas shall be backfilled and compacted in 6" layers to the subgrade elevation.

The subgrade shall be compacted to 95% of its optimum density as stablished bye the Standard Proctor Test.

The existing pavement shall be overcut a minimum of two (2) feet from the edge of the restoration area on all sides by saw cutting.

The pavement restored for trenches shall be from CURB TO CURB NO EXCEPTIONS.

The existing pavement shall be replaced to an existing joint, pavement edge, from center line of roadway to curb line.

Pavement restoration areas shall be rectangular in shape with the edges perpendicular to the centerline of the roadway.

Pavement restoration shall consist of a 8" compacted asphalt base course as described in the Nassau County Standard Specifications, Item 22C·2 BASE COURSE ASPHALT CONCRETE and a 1-1/2 compacted wearing course as described in the Nassau County Standard Specifications, Item 36D- ASPHALT CONCRETE TYPE 1A. Each Course of asphalt pavement shall be compacted to 95% of its maximum density.

Compaction shall be by vibrating plate compaction, vibratory roller or 10 ton steel wheel roller as designated by the Owner's Representative.

.The edges of restored pavement shall be sealed with thot asphalt cement after the wearing course'is placed and rolled. The minimum width of the area covered by the asphalt cement shall be 2- 1/2".

All testing designated by the Owner's Representative shall be provided by the Contractor at no expense to the Village.

Grass areas shall be restored with sod. The contractor shall be responsible for establishment of healthy growing sod. The restoration shall be accepted after (60) days from the installation when evidence of healthy growing sod is found. Dead sod shall be removed and replaced by healthy sod.

It is the; contractor's responsibility to repair any damaged facilities, and other infrastructure that may have been damaged by proposed repairs.