Application for Development Review Hickory Rd 23-15-15
Section 1: Application Type (check allthat a )
Submittal Date:PC Date:
(Refer to the appropiate Application Checklistfor rcquired
I Comprehensive Plan Amendment................ .. .... $600
E Conditional Use Permit (CUP)
D Single-Family Residence........... .. $325
[ rut others........ . . ....... $500
E lnterim Use Permit (lUP)
n tn conjunction with Single-Family Residence.. $325
E rutothers........ ... .....$500
U lt,,t lsl +lwltz CC Date:60-Day Review Date:zlslt<
submiftal information that must arcompany this application)
E Suooivision (SUB)
trtr
nnntr
Create 3 lots or less
Create over 3 lots...
$250 [
.......$500
Administrative............... ..... .......... $100
Commercial/lndustrial Districts* ... $500
$1000 + $15 per
$300
$200
$150
$27s
$200
$500
$200
$3 per address(sz addresses)
$ Per document
Site Plan Agreement - $85
Vacation - $85
Deeds - $100
TOTALPEg;561
(_ lots)
Metes & Bounds (2lots) .... . ........$300
Consolidate Lots............ .. .... . . ...$150
Administrative Subd. (Line Adjustment) .......... $1 50
Final Plat + $15 per lot............... $700.*(lncludes $450 escrow for attorney costs)
-Additional escrow may be required for other applications
through the development contract.E Rezoning (REZ)
I Planned Unit Development (PUD).
n MinorAmendment to existing PUD
fl Allothers........
[1 Sign Plan Review
n Site Plan Review (SPR)
E Vacation of Easements/Right-of-way (VAC)...
(Additional recording fees may apply)
E] Variance (VAR)
n Wettand Alteration Permit (WAP)
trtr
Single-Family Residence.
AllOthers...
$750
$100
$500
$150
Plus$l0perl,000squarefeetofbuildingarea: [] nppearofAdministrativeDecision...................(_ thousand square feet)
*lnclude number of 945(i4g employees:
-I Residential Districts ... $500
Plus $5 per dwelling unit (- units)
NO[f: When mulfrpte apptications are processed concurrenily, the appropriate f* shall be charged for each applicalion.
E ruotification Sign (city to install and remove)
E Property Owners' List within 500' lcity to generate after pre-application meeting)
n Escrow for Recording Documents (check allthat apply).........
I Conditional Use Permit - $50 Ll lnterim Use Permit $50
I Wetland Alteration Permit - $50 n Easements (- easements) $85
B Variance - $50 flMetes & Bounds Sub (2 deeds)
COTTiMUNITY DEVELOPMENT DEPARTMENT
Planning Division -7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227 -11 00 / Fax: (952) 227 -1110 *crTIoICnrttrusxil
APPLICATION FOR DEVELOPMENT REVIEW
Section 2: Required lnformation
Description of Proposal
Property Address or Location:3732 Hickory Road, Chanhassen, MN 55331
Parcel s. 256600161
2
Legal Description:Lot 26, Block 1, Red Cedar Point, Lake Minnetonka, Carver County, Minnesota
TotalAcreage:
Present Zoning
Wetlands Present?n Yes E tto
Requested Zoning:RSF RSF
Present Land Use Designation Residential Low Density Requested Land Use Designation:Residential Low Density
Existing Use of Property:Single-family home
ntr
E Check box if separate narrative is attached.
Section 3: Property Owner and Applicant lnformation
APPLICANT OTHER THAN PROPERW 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 ob.iect 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 of full 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 mnsulting fees, feasibility studies, etc. with an estimate prior to
any authorization to proceed with the study. I certiry that the information and exhibits submitted are true and conect.
Name Everson Architect LLC 6o,1gs"1. Tommy Everson
Address: 5301 Glenbrae Circle Phone:
Edina, MN 55436 6s1. 952-210-9845
gr";g. tommy@everarch.com
Date: 2023.06.15 09:25:03 {5'00'
Fax:
Date o6t1612023
PROPERTY OWNER: 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 obiect at the hearings or during the appeal periods. lwill keep myself informed of
the deadlines ficr 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 to proceed with the
study. I cediry that the information and exhibits submitted are true and correct.
Contact:
Phone:Address
City/State/Zip
Email:
Cell:
Fax:
Cell:
Fax:
Signature
PROJECT ENGINEER (if applicable)
Name Contact:
Phone:Address
City/State/Zip:
Email:
This application must be completed in full 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 to the applicant within 15 business days of application.
Section 4: Notification lnformation
Who should receive copies of staff reports?
E Property Owner Email-
*Other Contact lnfomation:
p"r.. Tommy Everson
El ApplicantE Engineern otner
Email tommy@eveErch.com AddreSS: s3ol Glenb€e circl€
Email
Email
City/State/Zip Edina MN 55436
Email lommy@eve€rch.com
INSTRUCTIONS TO AP PLICANT : Complete all necessary form fields, 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 fior processing.
City/State/Zip:
Signature:
Name:
noro _