BENSALEM TOWNSHIP
Building and Planning Department
2400ByberryRoad
Bensalem,PA19020
Office2156333644Fax2156333753
Residential Emergency Sewer Repairs
Excavation from the trap towards house only
o $10.00 application fee payable to Bensalem Township
*Separate check
o $119.50 permit fee payable to Code Inspections Inc
*Separate check
o Complete Residential Permit Application
o Include site plan showing limits and location of underground/excavation work
and trap
Excavation that includes any work from the trap to the street
o $100.00 fee payable to Bensalem Township
($10.00 application fee $90.00
street opening fee) *Separate check
o $500.00 fee payable to Bensalem Township Street Opening Escrow
*Separate
check
from $100.00 fee*. This fee is refundable less 10% administration fee once
work is complete and satisfactory. W-9 and letter requesting refund from
applicant required to initiate refund.
o $119.50 permit fee payable to Code Inspections Inc
*Separate check
o Complete Residential Permit Application
o Complete Street Opening Application
o Include site plan showing limits and location of underground/excavation work
and trap
A
s applicant I acknowledge this work is an emergency; submission and payment of these applications is not the issuance
of construction permit. Permits will be issued once reviewed and approved. Payment with submission will allow for
inspections to take place while permits are under review. Any work done prior to issuance of permits must meet current
code standards. Additional permits may be required. Underground work in the right of way requires a street opening
permit application to be filed with Bensalem Township and I will be responsible to file and obtain these permits.
__________________________________________________________________________________________
Signature of applicant required Print name of applicant (must be legible) date
__________________________________________________________________________________________
Site address
Code Inspections,
Inc.
CONSTRUCTION PERMIT APPLICATION
605 Horsham Rd Horsham PA 19044 Office 215-672-9400 Fax 215-672-9736
Note: Read page four (4) in its entirety prior to completing this
application
LOCATION OF PROPOSED WORK OR IMPROVEMENT
Site Address: Tax Parcel #
Lot
#
Subdivision/Land
Development:
Phase:
Section:
TYPE OF WORK OR IMPROVEMENT (Check One)
New Building Addition Alteration Repair Demolition Relocation
Foundation Only Change of Use Plumbing Mechanical Electrical Other
Describe
the
proposed
work:
OWNER: Phone # Fax #
Mailing Address: Email:
CONTRACTOR INFORMATION
License # Name Address Phone#
Applicant
Carpentry
Concrete
Design Professional
Drywall or Lathing
Electrical
Excavation
Fire Alarm
Masonry
Mechanical
Paving
Plumbing
Principal Contractor
Roofing
Sewer
Sprinkler
TOTAL
ESTIMATED
COST
OF
CONSTRUCTION
(reasonable
fair
market
value)
$
DESCRIPTION OF BUILDING USE (Check One)
RESIDENTIAL
One Family Dwelling (R-3) Two Family Dwelling (R-3)
NON-RESIDENTIAL
Specific Use:
Change in Use: YES NO
Use Group:
If YES, Indicate
Former:
________________________
Maximum Occupancy Load:
Maximum
Live
Load:
BT 3 /2016 Page 1 of 4
ALL APPLICATIONS ARE TO BE SUBMITTED TO THE BENSALEM TOWNSHIP BUILDING & PLANNING DEPT
AT 2400 BYBERRY RD OR EMAILED TO permitcenter@bensalempa.gov
ALL PLANS PREPARED BY A DESIGN PROFESSIONAL MUST BE SUBMITTED ELECTRONICALLY
VIA DISC OR EMAIL – NO PAPER PLANS ACCEPTED
County:
BUCKS
Municipality:
BENSALEM
Application Date:
Approval Date:
PERMIT NUMBER:
Bensalem Permit #
BUILDING
SECTION:
ESTIMATED COST
OF
BUILDING WORK (Contract V
alue)
$
_______________


Number of Residential Units: ________________ Existing _________________ Proposed
Type of Structural Frame:
Wood Masonry Concrete Pre-Manufactured Dwelling
Steel Other, Explain: ______________________________________
Does or will your building contain any of the following:
Elevators/Excalators/Lifts/Moving Walks:
YES NO Pressure Vessels: YES NO
Sprinkler System:
YES NO Refrigeration Systems: YES NO
Fireplace(s): Number _____________ Type of Fuel ____________________ Type of Vent ______________________
Bedrooms (number
)
Stories
(number)
Street Frontage
(
feet
)
Full Baths
(number)
Building Area
(
sq/ft
)
F
r
ont Setback
(
feet
)
Partia
l
B a t h s
(number)
Living Area
(
sq/ft
)
Rea
r
Setback
(
feet
)
Garages (number)
Basement Area (sq/ft) Left Setback
(
f
eet)
Garage Area
(sq
/
ft
)
Offic
e
/Sales
(
sq/ft
)
Right Setback
(
feet
)
Outside Parking
(numbe
)
Service
(
sq/ft
)
Height Above Grade
(
fe
e
t
)
PLUMBING
SECTION:
ESTIMATED COST
OF
PLUMBING WORK (Contract V
alue)
$___________
NEW PLUMBING WORK REQUIRES AUTHORIZATION FROM BUCKS COUNTY WATER & SEWER AUTHORITY
Enter the number and size of Fixtures being
Repaired
,
Replaced or Instal
l
ed
  
MECHANICAL
SECTION:
ESTIMATED
COST OF
MECHANICAL WORK (Contract
Value)
$__________
Enter the number and size of Units being Replaced or
I
n
stalled
Forced
Air
Furnace
Space Heater
A/C
Compressor
Solid fuel Aj)
liance
Unit
Heater
Split
AJC
Unit
Heat
Pump
Boiler
Coil
Unit
Air
Handling
Un
it
Gravity Furnace
Gas/Oil Conversion
Electric Furnace
Incinerator
Air
Cleaner
Other:
Fuel Type:
Gas
Oil
L.P.
Electric
Coal
Wood
Other
ELECTRICAL
SECTION:
ESTIMATED
COST OF
ELECTRICAL WORK (Contract Value)
$
__________
Enter the number and size of Fixtures being
Repaired
,
Replaced or Installed
Service Amps # of Circuits _________ # of Service Outlets ___________ 110V ______ 220V _______ Utility #
List devices
Qty
Load/Output List devices Qty Load/Output List devices
Qty Load/Output
Switch
e
s
Dishwasher
Heate
r
Recepta
c
les
·

Washer
Hot Water Heater
Circuit
Pan
el
Dryer
Lights
Spa
I
Hot Tub
Smoke Det.

A/C
Unit
FIRE
PROTECTIO
N
SECTION
:
ESTIMATE
D
COST
OF
FIRE
PROTECTIO
N
WORK
(Co
ntr
act
value
)
$_________
Enter the number and
si
ze
of Equipment being
Replaced
or Installed
Sprinkler System
Hood Suppression System
Fire Alarm
System
Stand
Pi
p
e
Fire
H
y
drants
Smoke
Control S
y
stem
Su
pp
ression S
y
stem
Fire
Pum
p
s
Fire
Detection System
Other
:
Rev 3/2016 P
age2of4
Tubs I Showers

Laundry Tubs Sewage Ejectors
Shower stalls
Dishwashers
Back Flow Preventers
La
v
atories

Garbage Disposals Water Pum
p
s
Toilets Wate
r
Heaters Wate
r
Service
Urina
ls
Wate
r
Softeners Sewe
r
Connection
Sinks

Other
Water Service: (Check)
Public
Private
Sewer Service: (Check)
Public
Private - Septic Permit #
IS PLUMBING WORK NEW?
YES
NO
Text
Revised February
20
1
0
Is the site located within an identified flood hazard
area?
Y
ES
NO
Will any portion of the flood hazard area be
developed?
YES
NO

FLOODPLAIN
:
Owner/Agent shall verify that any proposed construction and/or development activity complies with the
requ
i
rement
s
of the
National Flood Insurance Program and the Pennsylvania Flood Plain Management Act (Act 166-1978), specifically Section
60
.3
Lowest Floor
Le
v
el
:
______________
HISTORIC DISTRICT:
Is the site locate
d
within a Histo
r
i
c
District?
YES
NO
If
construction
is proposed within a Historic District, a certificate of
appropriateness
may be required by the
Municipalit
y
.
The applicant certifies that all information on
this application is
correct and the work will be completed
i
n
accordance
with the
approved
c
on
s
tm
c
ti
o
n
d
ocuments and PA
Ac
t
45
(U
niform
C
o
n
s
truct
ion Code) and
a
ny add itional approved
bui
l
d
ing code requirements
adopted by
the
M
unicipality.
T
h
e
property
owner
a
nd
a
p
p
l
icant
a
s
s
ume
s
t
h
e
r
e
s
p
o
n
s
ibilit
y
of locating aU property lines, setback lines,
easements, rights-of
way, flood
a
reas, etc.
I
ss
ua
n
ce
of a pennit and
a
pproval of
constmction documents shall
not
b
e
construed as authority to v
i
o
la
te
,
cancel or set
aside
any
pr
o
vi
s
i
o
n
s
of
the
codes or ord inances of the Municipal ity
or a
n
y other governin g body. The applicant
certifies
he/s
h
e
understands
all the applicable
codes,
ordinances and
r
e
g
u
l
a
ti
o
n
s.
A
pplication
for a permit
s
h
all
be
made by the owner or lessee of the
building
or
s
tru
c
t
u
re, or agent
o
f
e
i
th
e
r
,
or by the
registered
design professional
e
mpl
oye
d
in connect
i
on
with
the
proposed
wo
r
k.
Certificate
of
occupancy.
§
403.46(a)
A building,
s
tr
u cture or
fac
ili
ty may not be used or occupied without a certifica
te
of occupancy issued by a building
code
o
ff
i
c
i
a
l.
§
403
.
46(d)
A building
code
official may
suspend
or revoke a certificate of occupancy
w
hen
the
certi
ficate was
issued in error, on the
b
a
s
i
s
of
incorrect
i
nformation
supplied
by the pennit applicant or in violation of the
Uniform
Construction Code.
Before
a certificate of
occupancy
is
r
evoke
d
,
a
b
u
i
l
di
n
g
owner may
r
e
qu
es
t
a
hearing before t
h
e
board of
ap
p
e
a
l
s
unde
403
.
1
22
(
r
e
la
ting to appeals, v
a
ri
a
nces and
ex
t
e
n
s
i
o
n
s
o
ftim
e).
I
certif
y
that the
code administrator or
the
code
administrato
r
'
s
authorized representative shall
have the
authority
to
enter areas
covered
by
such permit
at any
reasonable hour
to
enforce
the
provisions
of the
code(s) applicable
to such permit.
Signature of Owner or Authorized Agent Print Name of Owner or Authorized
Agent
Address
Date
Directions to
Site
:
************"'***************"'
(
FOR
ADMINISTRATIVE
USE ONLY
)**
*********************
********
ADDITIONAL PERMITS/APPROVALS REQUIRED
STREETCUT/DRIVEWAY
YES
NO
ONFILE ONLOTSEPTIC
YES
NO
ONFILE
CUTANDFILL
YES
NO
ONFILE ZONING
YES
NO
ONFILE
PENNDOTHIGHWAYOCCUPANCY
YES
NO
ONFILE HARB
YES
NO
ONFILE
DEPFLOODWAYORFLOODPLAIN
YES
NO
ONFILE OTHER
YES
NO
ONFILE
SEWERCONNECTION
YES
NO
ONFILE OTHER
YES
NO
ONFILE
APPROVALS
BUILDING PERMIT DENIED
YESNO
D
A
TE
:
DATE RETURNED:
ISSUED BY:
TOTAL SQ FT USED FOR FEE
S
q
Ft
TOTAL CONTRACT VALUE USED FOR FEE
$
PLAN PERMIT
FEE
$
FIRE PERMIT
FEE
$
BUILDING PERMIT
FEE
$
ACCESSIBILITY PERMIT
FEE
$
ELECTRIC PERMIT
FEE
$
ENERGY PERMIT FEES
$
PLUMBING PERMIT FEE
$
ADMINISTRATIVE FEES
$
MECHANICAL PERMIT
FEE
$
STATE
FEES
$
TOTAL CONSTRUCTION PERMIT FEES:
$
Page 3 of
4
Residential Permit Application and Submittal Requirements
The following sections located on page one must be completed in full :
I. County and Municipality
2. Location of proposed work or improvement, most importantly, site location, tax parcel number and lot number.
3. Type of improvement including a brief description of work.
4. Owner information with complete mailing address.
5. Estimated cost of construction is required to be provided.
The contactor section is required to be completed only
when work is performed within Municipalities that require contractor registration. However,
Code
Inspections, Inc. requests a minimum of the primary contractor information to be provided in case correspondence or contact is
necessary.
Page two needs to be completed for only the sections that apply to the proposed project, or work to be
performed.
Page three needs to be completed for floodplain information and, a signature by the property owner, or agent of the owner must be provided on
page
three. The bottom of page three is intended for administrative use and will be completed by Code Inspections, lnc. during the application
review.
PLANS AND
SUBMITTALS
The submittal shall include one complete set of plans, a plot plan and specification sufficient to indicate the scope of work being proposed. Listed
below
are some basic examples of information necessary to complete a plan review. Additional information may be requested depending on
the
intended project. Any document larger than 11 x 17 must be submitted in electronic format (disc, email,
etc.)
• Project design shall conform to the most current edition of the International Residential Code adopted by the Commonwealth of
Pennsylvania.
Drawings shall specify all site information such as address, lot number, TMP number, owner name and type of work Proposed. This
information
shall be reflected on all
pages.
Drawings shall include Floor plan showing new construction in comparison to existing, room labels or use of rooms, bearing locations,
window
and door sizes, header sizes and all other pertinent information. Footing details and specifications shall be provided for all locations. Detail
should
include a footprint or outline of the scope of work as well as specifying pier or continuous footings where applicable. Pre-cast concrete panels
and
all other pre-manufactured products shall have manufacturers engineered designs and
specs.
• Insulation and thermal values shall be indicated for walls, ceiling, floors, basement walls and slab
perimeter.
Indicate electrical components including locations and
sizes.
Swimming
Pools
• Provide swimming pools construction
specifications.
• Swimming pool enclosures and barriers shall be shown and include fence, gate and gate device
details.
Commercial Permit Application and Submittal
Requirements
The Application shall be completed as explained in the Residential information listed above.
PLANS AND SUBMITTIALS
The submittal shall include one complete set of plans and specifications bearing the signature and seal of a licensed Design Professional. Plans
and specifications shall, at minimum, be required to contain the information specified within the sections listed below.
§ 403.42a(b) A permit applicant shall submit an application to the building code official and attach construction documents, including plans and
specifications, and information concerning special inspection and structural observation programs, Department of Transportation highway access
permits and other data required by the building code official with the permit application. The applicant shall submit three sets of documents.
§ 403.42a(c) A licensed architect or licensed professional engineer shall prepare the construction documents under the Architects Licensure
Law (63 P. S. §§ 34.1-34.22), or the Engineer, Land Surveyor and Geologist Registration Law (63 P. S. §§ 148-) 58.2). An unlicensed
person
may
prepare design documents for the remodeling or alteration of a building if there is no compensation and the remodeling or alteration
does not relate to additions to the building or changes to the building's structure or means of egress.
§ 403.42a(e) The permit applicant shall submit construction documents in a format approved by the building code official. Construction documents shall
be clear, indicate the location, nature and extent of the work proposed, and show in detail that the work will conform to the Uniform Construction Code.
§ 403.42a(1) All of the following fire egress and occupancy requirements apply to construction documents:
§ 403.42a(1)(I) The permit applicant shall submit construction documents that show in sufficient detail the location, construction, size and character of
all
portio
ns of the means of egress in compliance with the Uniform Construction Code.
§ 403.42a(f)(2) The construction documents for occupancies other than Groups R-2 and R-3 shall contain designation of the number of occupants to be
accommodated on every floor and in all rooms and spaces.
§ 403.42a(f)(3) The permit applicant shall submit shop drawings for a fire protection system that indicates conformance with the Uniform Construction
Code in accordance with the following: .
§ 403.42a(f)(3)i. The shop drawings shall be approved by the building code official before the start of the system installation.
§ 403.42a(f)(3)ii The shop
dr
awings must contain the information required by the referenced installation standards contained in the " International
Building Code."
§ 403.42a(g) Construction documents shall contain the following information related to the exterior wall envelope:
§ 403.42a(g)(I) Description of the exterior wall envelope indicating compliance with the Uniform Construction Code.
§ 403.42a(g)(I) Flashing details.
§ 403.42a(g)(1) Details relating to intersections with dissimilar materials, corners, end details, control joints, intersections at roof, eaves, or parapets,
means of drainage, water-resistive membrane and details around openings.
§ 403.42a(h) Construction docum
ents shall
contain a site plan that is drawn to scale. The building code official may waive or modify the following site
plan requirements if the permit application is for an alteration or repair or if waiver or modification is warranted. Site plan requirements include all of the
following:
§ 403.42a(h)(1) The size and location of new construction and existing structures on the site.
§ 403.42a(h)(2) Accurate boundary lines.
§ 403.42a(b)(3) Distances from lot lines.
§ 403.42a(b)(4) The established street grades and the proposed finished grades.
§ 403.42a(h)(5) If the construction involves demolition, the site plan shall indicate construction that is
to be
demolished and the size and location of
existing structures and construction that will remain on the site or plot.
§ 403.42a(h)(6) Location of parking spaces, accessible routes, public transportation stops and other required accessibility features.
§ 403.42a(l) A building code official may waive or modify the submission of construction documents, that are not required to be prepared by a licensed
architect or engineer, or other data if the nature of the work applied for does not require review of construction documents or other data to obtain
compliance with the Uniform Construction Code. The building code official may not waive the submission
of site plans that relate to accessibility
requirements.
§ 403.42a(m) An applicant for an annual permit under § 403.42(f) shall complete an application and provide information regarding the system that may
be altered and the date that approval was previously provided for the approved electrical, gas, mechanical or plumbing installation.
§ 403.42a(n) A permit applicant shall comply with the permit, certification or licensure requirements of the following laws applicable to the construction:
§ 403.42a(n)(I) The Boiler and Unfired Pressure Vessel Law (35 P. S. §§ 1331 .1- 1331 .19).
§ 403.42a(n)(2) The Propane and Liquefied Petroleum Gas Act (35P. S. §§ 1329.1 - 1329.19).
§ 403.42a(0)(3) The Health Care Facilities Act.
§ 403.42a(0)(4) The Olde
r Adult Daily
Living Centers Licensing Act
Rev 3/2016 Page 4 of 4
BENSALEM TOWNSHIP
Building and Planning Department
2400 Byberry Road Bensalem, PA 19020
Office 215-633-3644 Fax 215-633-3753
APPLICATION for STREET OPENING
You must notify the Bensalem Township Engineering Dept. 24 hours in advance of a road opening. Un-inspected restorations
will result in removal of all backfill materials. Restorations shall then commence with an inspector present.
The applicant agrees to replace the surface of the highway in the manner provided for by a resolution of Bensalem Township,
approved and enacted on April 27, 1981, entitled Standard Specifications and Design Standards for Roads
And Streets” as amended.
The applicant further agrees to assume all liability for all or any damage which may result from the performance of the work
done under the permit hereby applied for, and to protect and indemnify the Township against the loss or damage thereof.
The applicant further agrees to perform, fulfill, and comply with all the terms, conditions and provisions of the said ordinance,
and all the rules and regulations of the Township of Bensalem.
The applicant further agrees to abide by the rules and regulations set forth in Section 197-22 of “The Code of Bensalem
Township” regulating the opening or breaking the surface of Township streets or roads, sidewalks or curbs, without first
obtaining from the Township the requisite permit.
PLAN OR BLUE PRINT TO BE ATTACHED
The applicant has read and understands the Bensalem Township “Road Restoration Requirements” as attached as a
part of this application packet and further agrees to comply with all the requirements set forth therein.
Applicant’s Information
Name: Address:
Phone No.
Si
g
nature
A SIGNED APPLICATION IS REQUIRED PRIOR TO ISSUANCE OF PERMIT
FOR OFFICE USE ONLY
Fee: Escrow:
Approved By: Date:
Township Engineer
4/2009
Permit No.
Date:
Fee:
The undersigned applicant hereby makes application for a permit to break open a Township road or street.
Street Name: Tax Parcel No.
Address:
Purpose of Opening:
IMPROVED SURFACE UNIMPROVED SURFACE OPENING
Length: Length:
Width: Width:
Total Sq. Footage: Total Sq. Footage:
NAME AND ADDRESS OF PERSON FOR WHOM WORK IS BENG PERFORMED:
Name: Address:
1. Disturbed portions of the highway, including but not limited to, slopes and appurtenances and structures such as guide
rails, curbs, signs, markings, drain pipes, driveways and vegetation, shall be restored by the permittee to a condition at
least equal to that which existed before the start of work authorized by the permit. Additional restoration may also be
required upon written notification, to restore the structural integrity of the pavement or shoulder.
2. If the permittee opens pavement having a bituminous concrete surface and the Township’s wearing course is less than
five (5) years old, the permittee shall, in addition to the restoration conditions outlined in the permit and in this section, be
required to overlay the pavement in accordance with the following conditions”
When a longitudinal opening longer than 100 linear feet has been made in the pavement, the permittee shall
overlay the traffic lanes in which the openings were made, for the entire length of highway between the openings
in a manner authorized by the Engineering Department.
When two or more transverse openings have been made within 100 linear feet of pavement, the permittee shall
overlay traffic lanes in which the openings were made, for the entire length of highway between the openings, in a
manner authorized by the Township.
When 4 or more emergency openings have been made by the same permittee within 100 linear feet of pavement,
the permittee shall overlay traffic lanes in which the openings were made, for the entire length of highway
between the openings, in a manner authorized by the Township.
If disturbed lanes adjacent to undisturbed lanes are overlaid, the edge of the disturbed lane shall be saw cut or
milled to a depth of 1 ½ inch or the depth of the existing surface course, whichever is less, for the length of the
opening to insure a smooth joint with proper elevation and cross section. A full width overlay may be authorized
on various highways instead of saw cutting or milling the disturbed lane.
If disturbed lanes adjacent to shoulders are overlaid, the shoulder shall be raised with material and in a manner
authorized by the Township for the type of existing shoulder so that the overlaid pavement and shoulder edges
are at the same elevation.
3. Regardless of the age of the wearing course:
If more than 100 linear feet of longitudinal or transverse openings, or both, are made in the pavement the
Township may require the permittee to overlay traffic lanes in which the openings were made for the entire length
of highway that was opened, if the Township Engineer determines the ride-ability or structural integrity of the
pavement has been impaired by the opening.
If four or more openings are made by the same permittee within 100 linear feet of pavement, the Township may
require the permittee to restore the entire disturbed pavement between the openings by milling, planeing or other
authorized method and overlaying the entire disturbed pavement.
4. Aggregate used in a bituminous overlay wearing course shall comply with skid resistance lever (SRL) criteria specified in
PA DOT Design Manual, Part 2, Chapter 11.
5. If an opening is made in a bituminous concrete pavement within 3 feet from the edge of the pavement or other longitudinal
joint or opening, the surface restoration shall be extended to the edge of pavement or other longitudinal joint or opening.
6. At each end of overlay, the permittee shall install a paving notch by milling, planeing or other authorized method and
provide a minimum of 10 foot transition.
7. The transition areas at each end of an overlay shall follow the contour of the surrounding surface.
8. When pavement markings on more than 100 linear feet of highway are covered or destroyed by the permitted work,
including overlays, they shall be replaced with temporary pavement markings before opening the disturbed pavement to
traffic.
When the pavement surface is restored, pavement markings that were covered or destroyed shall be replaced in their
former location.
9. Restored openings in the pavement or paved shoulder shall be sealed under Section 401(j)(3) of PA DOT Publication 409
in the cases of bituminous concrete or Section 501.3(n) of Publication 408 in the case of cement concrete.
May 4, 1998
STREET OPENING
R
O
AD RE
S
T
O
RATI
O
N RE
QU
IREMENT
S
BENSALEM TOWNSHIP
Building and Planning Department
2400 Byberry Road Bensalem, PA 19020
215-633-3644 Fax 215-633-3753
12”12”
8” CONCRETE (3500 PSI)
FINISH GRADE
TYPICAL TRENCH RESTORATION IN PAVED CARTWAY N.T.S.
1. Certain conditions may require overlay of travel line or entire street width.
See Bensalem Township Road Restoration requirements.
2. Trench work must be completed at 3:30 p.m. Trench area must be secured and road reopened by 5:00 p.m. If
roadway is not secure by 5:00 p.m. contractors will incur additional consulting fees based on an hourly basis.
3. Final restoration on openings for new construction shall be completed prior to occupancy. The restoration must be
completed within 30 days. Failure to comply will result in a $1500 escrow in addition to any other escrow previously
required.
ALL WORK TO BE DONE IN ACCORDANCE WITH PENNDOT SPECIFICATIONS
PUBLICATION 408 AS AMENDED
STREET OPENING
R
O
AD RE
S
T
O
RATI
O
N RE
QU
IREMENT
S
Building and Planning Department
2400 Byberry Road Bensalem, PA 19020
215-633-3644 Fax 215-633-3753
2A
MODIFIED
STONE
6” 6”
6”
3” ID-2 WEARING COURSE
1
ASPHALT RUBBER SEALING
COMPOUND (12” WIDE TYP.)
COMPACT IN
6” LIFTS (MAX)
BENSALEM TOWNSHIP
HOUSE
ROAD
SAMPLE SEWER REPLACEMENT PLOT
1. Show work area with length and width of excavation.
2. Show location of trap.
3. Show distance from center of roadway to work area
This site plan is intended for an example only. Your specific site plan may vary depending on
the locations of structures and layout of your property.
TRAP
PROPOSED
LENGTH AND
WIDTH OF
EXCAVATION
DISTANCE FROM CENTER OF
ROADWAY TO WORK AREA
EXISTING SEWER LATERAL
EXISTING SEWER MAIN
sample