Signed application Hope House CUPCOMMUNITY DEVELOPMENT OEPARTMENT
Planning Division - 7700 [ilarket Boulevard
Mailing Address - P.O. Box 147, Chanhassen, IvlN 55317
Phone: (952) 227410A / Fax: (952) 227-1110
17 July 2024 PC Date
*crTYorcttmttAssrlt
APPLICATION FOR DEVELOPMENT REVIEW
CC Date
Section 1: Application Type (check all that apply)
! Comprehensive Plan Amendment.... . ......... ..... $600
E Conditional Use Permit (CUP)
n Single-Family Residence .. .. ..................$325E nlt otners .... $po-
E lnterim Use Permit (lUP)
! ln conjunction with Single-Family Residence . $325
L_l All Others. .. .. .. .... .. . S5OO
E Rezoning (REZ)
Planned Unit Development (PUD) .
Minor Amendment to existing PUD
All Others......
E Subdivision (SUB)
X Create 3 lots or less ........... S50O! create over 3 lots... ...................$1000 + $15 per lo(_ lots)
! Metes & Bounds (2 lots)..... ..... .......... ...$300E Consolidate Lots ............................................. $1SO! Administrative Subd. (Line Adjustment).......... g 1 50n Final Plat + $15 per tot.................. . . $700..(lncludes $450 escrow for attorney costs)
'Additional escrow may be lequired for other applications
through the development conkact.
D Vacation of Easements/Righlof-way (VAC)........ $300
(Additional recording fees may apply)
! Variance (VAR) ........ ... .... ..
E Wetland Alteration Permit (WAP)
n Srngle-Family Residence. . ........
! Att otners. ........
E Rppeat of Adminrstrahve Decrsron.......
n Zoning Ordinance Amendment (ZOA)
trTn
$750
$ 100
$500
E Sign Plan Review. ......
n S(e Ptan Review (SPR)
E Administrative. .......
7 Commercial/lndustrialDistricts-.... ...... $5€O--
Plus $10 per 1 000 square feet of building area 1)c
(_ thousand square feet)*lnclude number of el]slEq employees
$150
$100
$200
$1s0
s275
$200
$s00'lnclude number of lgg employeestr Resrdential Dtstncts $500
Plus $5 per dwelling unit (_ units)
AqIE: Whed multiple applications are processed concurrendy, the awropiate fee shall be charged for each application.
I Property Owners' LaSt within 500' lctty to generate after pre-apptication meeting) ................. . .. ... $3 per address(_ addresses)
n lgzow for Recordrng Documents (check all that apply)........... . .
-..........................
$ per document< Conditionat Use-permit sio' : rriurin1 i1;:"#;,t $;o _ Site iian Asreement - $85
- Wetland Alteration Permit - $50 - Easements ( easements) 985 - Vacation - $85
- Variance - S5O - Metes & Bounds Sub (2 deeds) $250 - Deeds - $100
TOTAL FEE: I ui
3010 W 78th St., Excelsior, MN 55331
Section 2: Required lnfoamation
Property Address or Location
Parcet #. 250093200
1.08
Legal Description Thai P/o Nwl A SWr /4-16.23 DESC AS Comm ai SW com o' NW1/4 SW1/4 Tti N89.E
Total Acreage:
Present Zoning
Wetlands Present?EvesEno
Requested Zon ingRural Residentral
Present Land Use Designation
Rural Residential
Res Low Density Requested Land Use Designation Res Low Density
Existing Use of Property Hope House-Teen shelter
Submrttal Date 60-Day Rev@w Date
(Refer to lhe appropnate Application CheckJist for required submittal informatton that must accofipany this application)
Description of Proposal:
E Check box if separate narrative is attached.
Section 3: Property Owner and Applicant lnformation
APPLICANT OTHER THAN PROPERTY OWNER: ln signing this application, l, as applicant, represent to have obtained
authorizatron 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 of full legal capacity to flle the application. This application
should be processed in my name and lam the party whom the City should contact regarding any matter pertaining to this
application. lwill keep myself informed of the deadlines for submission of material and the progress ofthis application. I
further understand that additional fees may be charged for consulting fees, feasibilaty 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" Open Hands Foundation Contact: Fodney Provart, Executive Director
Address: 3 121 Westvvood Drive Phone (952) 224-7458
City/State/Zip Excelsior, MN 55331 6s11 (612) 799-0790
Email:
Signat
rodn @prov net Fax
ure oate l A^r^s+ ?b2+
0
PROPERTY OWN ; ln signing this application l, as property owner, have full legal capacity to, and hereby do,
authorize the flling 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 deadiines for submisslon 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 estamate prior to any authorization to proceed with the
study. I certify that the information and exhibits submitted are true and correct.
1,1r,n" Westwood Community Church Contact
Phone:
Gerald Barnaby, Westwood Board Chair
Address: 3121 Westvvood Drive
City/State/Zip Excelsior, MN 55331 Cell
Fax.
Date
(612)708-0537
s.r11 barnabyjk@yahoo.com
Signature
PROJECT ENGINEER (if applicable)
Name Westwood Professional Services 6on,r", David Bade
py.tons. 9521697-5724Address 12701 Whitewater Drive, Suite 300
City/State/Zip Minnetonka, MN 55343
ar",, david. bade @ westwoodps. com
Who should receive copies of staff reports?
! Property Owner Emarl_
.Other Contact lnformation:
Name Jim Theis
E Applicant
I EngineerE otner
Emailrod.provart@openhandsfoundation.com AddfeSS: 3121 WestwoodDnve
Email david.bade@westwoodps com
Email jim.theis@westwoodcc.org
INSTRUCTIONS TO APPLICANT: Com plete 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 for processing.
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
July 11 ,2O24
Cell:
Fax:
City/Statei Zip: Excereor MN 55331
Email Im.theis@westwoodcc.org
CITY OF CHANHASSEN
APPLICATION FOR DEVELOPMENT REVIE\I\'
Narrative for Conditional Use Permit
JulY 17 ,2O24
project Description: We propose to build a nine-bedroom addition to our existing teen crisis shelter,
known as Hope House, which is dedlcated to providing a safe and healing environment for youth in
crisis. The planned addition will be a three-level structure encompassing 5,-100 square feet. This
expanslon is essential to meet the growing needs of our community and enhance our ability to serve
vulnerable teens and their families.
Purpose and Benefits:
1. lncreased Capacity: The new addition will double the number of bedrooms available in our
crisis shelter. This increase is critical as we frequently reach full capacity, resulting in the
inability to accommodate all teens in need of immediate shelter and support'
2. Acces;ibility lmprovements: The addition wlll include an accessible bedroom and bathroom
on the ground floor, ensuring that our facilities are inclusive and can accommodate youth
with disabilities or mobility challenges
3. Confrdential Counseling Spaces: The expansion will provide additional spaces specifrcally
designed for confidential intakes and counseling sessions. These spaces are vital for
cond"ucting sensitive and private conversations with youth, parents, and families, fostering a
supportive and therapeutic environment.
Design and Safety Considerations:.- Healing Environment: The design of the new addition emphasizes a healing and safe
utro.Ih.r", with attention to cieatlng spaces that promote mental well-being and physical
security for all residents.
. Compliance with Regulations: The project will comply with all relevant building co-des, state
licensing, and safetylegulations to ensure the well-being of our residents and staff
. Commu-nity lntegraiion: The architectural design will be in harmony wlth Westwood
Community Chuich and the surrounding neighborhoods, maintaining the aesthetic integrity
of the area.
community lmpact: The expanded facility will enable us to better address the urgent needs of our
community by providing more comprehensive support services for at-risk youth. This expansion will
not only offeiimmediaii shelter bui also enhance our capacity to deliver crucia_l counseling and
family iupport services, ultimately contributing to the overall well-being and safety of our
community.
conclusion: The proposed addition to Hope House is a necessary and thoughtfully planned project
that wlll significantly benefit the youth in our community. By doubling our capacity, improving
accessibility, and providing dediiated counseling spaces, we will be better equipped to offer the vital
services thit help'our youih heal and thrive. We iespectfully request the city's support and approval
of this zoning application to allow us to proceed with this critical expansion'
APPLICATION FOR DEVELOPMENT REVIEW
Submittal Date PC Date CC Date 60-Day Review Date
(Refer to the appropriale Application Checklist for required submitlal infomation that must accompany this applbatton)
fl Comprehensive Plan Amendment......................... $700 D Subdivision (SUB)
n Plat 3 lots or lessE Conditional Use Permit (CUP) n ptat over 3 1ots....... ...............E Single-Famity Residence . .. ............ $400 n Metes & Bounds (2 tots)........................E Alt Others...... . .... ... . ....$600 3 Consotidate t_ots.. ................
E tnterim use Permit (tuP)
=
l1i,'it]:"t'" subd (Line Adjustment)
! ln conjunchon with Srngle-Famrly Residence.. $400 L-l Flnal Plat' ' '
E Att Others...... .... ............................ $600 E Vacation of Easements/Rightof_way (VAC)
E Rezoning (REz) (Additional recording fees mav applv)
fl Planned Unit Development (PUD) .................. $750 E Variance (VAR) .......
E Minor Amendment to existing PUD................. $100
E All Others...... .. . ..... . ........ $600 n wetland Alteration Permit (WAP)
! Srngle-Famrly Residence.................... ..
E Sign Plan Review.................... . . ...... ... .. ............ $150 ! All Others......
n Site ptan Review (SPR) E Rppeat of Administrative Decision ...............
n Administrative ... .....................$100
E Residential/Commercial/lndustrlal Diskicts.. $750" n Zoning Ordinance Amendment (ZOA).........
gLE: When fiultiple applications arc processed concunently, lhe appropiate fee sha be charged for each application
COMMUNITY DEVELOPMENT DEPARTMENT
Planning Division - 7700 l\4arket Boulevard
lvlailing Address - P O. Box 147, Chanhassen, MN 55317
Phone (952) 227-1100 lFaxr (952) 227-1110
E Notification Sign (city to instal and remove)
! Escrow for Recording Documents (checkall thatapply)...........
E Conditional Use Permit - $50 n lnterim Use Permit - $50
! Wettano Alteration Permit - $50 [ Easements (- easements) - $85
E Variance - $50 tr Metes & Bounds Sub (2 deeds) - $250
*lncludes $450 escrow for attorney costs.
'.Additional escrow may be required for other applacations through the development contract
*crTYorcttAttttAssn{
s500
$1250
$300
$150
$150
$700-
$ 300
$200
$150
$275
$200
$500
$200
.... $ per document
Erefte+ta1-cgreernerTt-:S83-
n Vacation - $85
Tl Deeds - $ 100
TorAL ree: $1,685 00
f,|tooo c'o
Section 1: Application Type (check all that apply)
Section 2: Required lnformation
Description of Proposal
3010 W 78th Street Excelsior, MN 55331Property Address or Location
Parcet # 250093200 Legal Description TWP 116, RNG 023, SEC 09
Total Acreage:
Present Zoning
1.08 Wetlands Present?n Yes E tlo
Requested zoningRural Residential Rural Residential
Res Low Density Requested Land Use Designation Res Low Density
Existing Use of Property Hope House - Emerqency housinq shelter & counselinq for teens
E Check box if separate narrative is attached
Present Land Use Designation: