Application for Development Review 23-02COMMUNITY DEVELOPMENT DEPARTMENT
Planning Division - 7700 l\,larket Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1100 I Fax: (9521227-1110
ZO t PC Date:
CITY OT CHAI{HASSII{
APPLICATION FOR DEVELOPi'ENT REVIEWzltll>l
""o^",Thbl>z 6&Day Review Date
Section 1: Application Type (check all that apply)
(Refet to the appropiate Applicalion Checklisl fot requircd submitlal inlomation that musl &aamparry this ap cation)
E Comprehensive Plan Amendment $600
$325
$500
$325
$500
$750
$100
ss00
$100
s500
n Subdivision (SUB)
E Create 3lots or |ess.........
E Create over 3 |ots.............
(
E Metes & Bounds (2 lots)...
'.'.................$3oo
$600 + $15 per lot
" "" """" " '$3oo
E Conditional Use Permit (CUP)
E Single-Family Residence ....
E All ottrers......
lots)
!
tr
lnterim Use Permit (lUP)
! ln conjunction with Single.Family Residence..
E At otners......
Rezoning (REZ)
E Planned Unit Development (PUD)..................
E Minor Amendment to existing PUD.................! at ottrers......
E Site Plan Review (SPR)
E AdministrativeE c".r".i"rlrroritriir oiriri"i";....
tr
E Consolidate 1ots..............................................$150
! Administrative Subd. (Line Adjustment).......... $150
E rinat Plat + S15 per lot.................................. $700'.(lncludes $450 escrow for attorney costs)
'Additional escrow may be required for other applications
through the development conlract.
Vacation of Easements/Right-of-way (VAC)........ $300
(Additional recordinq fees may apply)
! Wettand Alteration Permit (WAP)
E Single-Family Residence............................... S1 50
E All others..-... .................... $275
E Zoning Appea|.................
! zoning Ordinance Amendment (ZOA)
... $200
$3 per address( addresses)
........... $50 per document
Plus S10 per 1,000 square feet of b
( '@' thousand square feet)
'lnclude number ol elslg4g employees
'lnclude number of !9q employees:
uilding area
.38
$200
$s00
E Residential Districts ......... s500
Plus $5 per dwelling unit ( units)
LqIE: When mul pla applicalions are processed concu.rontly, th. approflate leo shatt be charyad fo/' a.ch applicadol.
E Notification Sign (city to install and remove) .............
|] Property Owners' List within 500' (city to generate afler preapplication meeting)
El Escrow for Recording Documents (check all that qpply)..........................
E Conditional Use Permit E lnterim Use Permit
E Vacation
E Metes & Bounds Subdivision (2 deeds)
Variance
Easements L_ easements)
E Site Ptan Agreement
E Wetland Alteration Permit
E Deeds , - ^.- rr)
TOTAL FEE: .t z-t'J,
Etr
Section 2: Required lnformation
Description of Proposal:
Property Address or Locarion: 306 W 78th Street, Chanhassen, MN
pslqs1 6. 250500010
4.84
. Office lnstitutional District (Ol)Off ice lnstitutional District (Ol)
Present Land Use Designation . Public Semi-Public Requested Land Use Oesignation . Public Semi-Public
Total Acreage:
Present Zoning
Existing Use of Property:School
E Cnect box if separate narrative is attached
Submittal Datel 4z rl> z
Leoal Descriotion:
Wetlands Prssent? E Yes E No
Requested Zoning:
Section 3: Property Owner and Applicant lnformation
APPLICANT OTHER THAN PROPERTY OWNER: ln signing this application, l, as applicant, represent to have obtained
authorization from the property owner to file this application. I agree to be bound by conditions of approval, subject only to
the right to object at the hearings on the application or during the appeal period. lf this application has not been signed by
the property owner, I have attached separate documentation offull legal capacity to file the application. This application
should be processed in my name and I am the party whom the City should contact regarding any matter pertaining to this
application. I will keep myself informed of the deadlines for submission of material and the progress of this application. I
further understand that additional fees may be charged for consulting fees, feasibility studies, etc. with an estimate prior to
any authorization lo proceed with the study. I certify that the information and exhibits submitted are true and cofiect.
Name:Contact
Phone:
City/State/Zip
Email:
Cell:
Fax:
Date
PROPERW OWI'IER: ln signing this application, l, as property owner, have full legal capacity to, and hereby do,
authorize the filing of this application. I understand that conditions of approval are binding and agree to be bound by those
conditions, subject only to the right to object at the hearings or during the appeal periods. I will keep myself informed of
the deadlines for submission of material and the progress of this application. I further undersland that additional fees may
be charged for consulting fees, feasibility studies, etc. with an estimate prior to any authorization to proceed with the
study. I certify that the information and exhibits submitted are true and correct.
1"r". Chapel Hill Academy 6on1""1. Kassie Grosz
Address: 306 West 78th Street p1,on". 952-214-0809
City/State/Zip Chanhassen, MN 55317
Email Groszk@ch l.org
PROJECT ENGINEER (if applicable)
1"r". Elfering & Associates
Cell:
Fax:
Date 01t20/23
Address: 10062 Flanders Ct. NE
66n166. Lee Elfering
p6gns. 763-780-0450 Ext.3
City/State/zip Blaine, MN 55449 ceil. 651 -295-61 99
s.";1. lelfering@elferingeng.com 7a.,a. 763-780-0452
ll and be typewritten or clearly printed and must be accompanied by all
information and plans required by applicable City Ordinance provisions. Before filing this application, refer to the
appropriate Application Checklist and confer with the Planning Department to determine the specific ordinance and
applicable procedural requirements.
A determination of completeness of the application shall be made within 15 business days of application submittal. A
written notice of application deficiencies shall be mailed lo the applicant within 15 business days of application.
This application must be com
Who should receive copies of staff reports?*Other Contact lnformation:
;qr.". Kristin KishabaE Property Owner Email
fl Applicant Email
I Engineern otner
AddreSS:36w6r7rtlsa-i
Email lellering@elf eringeng.c!m City/State/Zip . chrrr.s, n553r7
Email Email. &,!,ba',@d,e.1r'{.d!
INSTRUCTIONS TO APPLICANT: Com plete all necessary form felds, then select SAVE FoRM to save a copy to your
device. PRINT FORM and deliver to city along with required documents and payment. SUBMIT FORM to send a digital
copy to the city for processing.
Address:
Signature:
Signature:
Section4: Notification lnformation
Groszk@chapel-hill.org