City of Chanhassen IUP Permit Application 12-23-15("(k -c) P6�SS
COMMUNITY DEVELOPMENT DEPARTMENT
Planning Division – 7700 Market Boulevard CITY OF CHANHASSEN
Mailing Address – P.O. Box 147, Chanhassen, MN 55317
Phone: (952)227-1300/Fax: (952) 227-1110
APPLICATION FOR DEVELOPMENT REVIEW
Submittal Date: Z` — PC Date: y'' I tg CC Date:.!N6 60 -Day Review Date: _ / Q
SectionApplication
(Refer to the appropriate Application Checklist for required submittal information that must accompany this application)
❑ Comprehensive Plan Amendment ......................... $600
❑ Minor MUSA line for failing on-site sewers ..... $100
❑ Conditional Use Permit (CUP)
❑ Single -Family Residence ................................ $325
AllOthers......................................................... $425
Interim Use Permit (IUP)
0/n conjunction with Single -Family Residence.. $325
llOthers ......................................................... $425
❑
Rezoning (REZ)
❑
Planned Unit Development (PUD) ..................
$750
❑ Create over 3 lots.......................$600 + $15 per lot
❑
Minor Amendment to existing PUD .................
$100
❑
All Others... ........................................ .............
$500
❑
Sign
Plan Review ...................................................
$150
❑
Site Plan Review (SPR)
❑ Final Plat ..........................................................$700
❑
Administrative ..................................................$100
❑
Commercial/Industrial Districts' ......................$500
through the development contract.
❑
Plus $10 per 1,000 square feet of building area:
$300
( thousand square feet)
❑
Variance (VAR) ....................................................
'Include number of axisi employees:
❑
Wetland Alteration Permit (WAP)
`Include number of now employees:
❑ Single -Family Residence ...............................
$150
❑
Residential Districts.........................................$500
$275
❑
Zoning Appeal ......................................................
Plus $5 per dwelling unit (_ units)
❑
❑ Notification Sign (city to install and remove) ...........................
❑
Subdivision (SUB)
❑ Create 3 lots or less .......................................
$300
❑ Create over 3 lots.......................$600 + $15 per lot
( lots)
❑ Metes & Bounds (2 lots)..................................$300
❑ Consolidate Lots ..............................................
$150
❑ Lot Line Adjustment .........................................
$150
❑ Final Plat ..........................................................$700
(Includes $450 escrow for attorney costsp
Additional escrow may be required for other applications
through the development contract.
❑
Vacation of Easements/Right-of-way (VAC)........
$300
(Additional recording fees may apply)
❑
Variance (VAR) ....................................................
$200
❑
Wetland Alteration Permit (WAP)
❑ Single -Family Residence ...............................
$150
❑ All Others .......................................................
$275
❑
Zoning Appeal ......................................................
$100
❑
Zoning Ordinance Amendment (ZOA).................
$500
NOTE: When multiple applications are processed concurrently,
the appropriate fee shall be charged for each application.
............................................................................. $200
❑ Property Owners' List within 500' (city to generate after pre -application meeting) .................................................. $3 per address
(_ addresses)
❑ Escrow for Recording Documents (check all that apply) ......................................... ....... $50 per document
❑ Conditional Use Permit ❑ Interim Use Permit
❑ Site Plan Agreement
❑ Vacation ❑ Variance
El Metes & Bounds Subdivision 3 docs. El Wetland Alteration Permit
( ) ❑Easements (_ easements)
TOTAL FEE: IJ I A - �
Description of Proposal: Z* v6 Www" " t- �Aw
Address or Location:
_
party#: 1,500 -yw
Total Acreage: �' —
Present Zoning: Select One
Present Land Use Desicnation: Select One
Legal Description: 426FA56
Wetlands Present? ❑ Yes [�tNo
Existing Use of Property: fr4ftotocL#4
❑ Check box is separate narrative is attached.
Requested Zoning: Select One
Requested Land Use Designation: Select One
COMMUNITY DEVELOPMENT DEPARTMENT
Planning Division — 7700 Market Boulevard CITY OF CHA HASFN
Mailing Address — P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1300 / Fax: (952) 227-1110
APPLICATION FOR DEVELOPMENT REVIEW
Submittal Date: Z - PC Date:
CC Date:
60 -Day Review Date:
Section• • ••
(Refer to the appropriate Application Checklist for required submittal information that must accompany this application)
❑ Comprehensive Plan Amendment ......................... $600
❑ Minor MUSA line for failing on-site sewers..... $100
❑ Conditional Use Permit (CUP)
❑ Single -Family Residence ................................ $325
AllOthers......................................................... $425
Interim Use Permit (IUP)
n conjunction with Single -Family Residence.. $325
AllOthers......................................................... $425
❑
Rezoning (REZ)
❑
Planned Unit Development (PUD) ..................
$750
❑ Create over 3 lots.......................$600 + $15 per lot
❑
Minor Amendment to existing PUD .................
$100
❑
All Others.........................................................
$500
❑
Sign
Plan Review...................................................$150
❑ Lot Line Adjustment.........................................$150
❑
Site Plan Review (SPR)
❑ Final Plat ..........................................................$700
❑
Administrative ..................................................$100
❑
Commercial/Industrial Districts*......................$500
through the development contract.
❑
Plus $10 per 1,000 square feet of building
area:
(Additional recording fees may apply)
( thousand square feet)
❑
Variance (VAR) ....................................................
$200
*Include number of existin employees:
Wetland Alteration Permit (WAP)
*Include number of new employees:
$150
❑
Residential Districts.........................................$500
❑
Zoning Appeal ......................................................
$100
Plus $5 per dwelling unit (_ units)
Zoning Ordinance Amendment (ZOA).................
❑
Subdivision (SUB)
❑ Create 3 lots or less ........................................
$300
❑ Create over 3 lots.......................$600 + $15 per lot
( lots)
❑ Metes & Bounds (2 lots)..................................$300
❑ Consolidate Lots .............................................
$150
❑ Lot Line Adjustment.........................................$150
❑ Final Plat ..........................................................$700
(Includes $450 escrow for attorney costs)*
'Additional escrow may be required for other applications
through the development contract.
❑
Vacation of Easements/Right-of-way (VAC)........
$300
(Additional recording fees may apply)
❑
Variance (VAR) ....................................................
$200
❑
Wetland Alteration Permit (WAP)
❑ Single -Family Residence ...............................
$150
❑ All Others .......................................................
$275
❑
Zoning Appeal ......................................................
$100
❑
Zoning Ordinance Amendment (ZOA).................
$500
NOTE: When multiple applications are processed concurrently
the appropriate fee shall be charged for each application.
❑ Notification Sign (City to install and remove)...................................................................................................................... $200
❑ Property Owners' List within 500' (City to generate after pre -application meeting) .................................................. $3 per address
(_
El Escrow
Escrow for Recording Documents (check all that apply)................................................dd .......... $50 per document
El Conditional Use Permit ❑ Interim Use Permit ❑ Site Plan Agreement
❑ Vacation ❑ Variance ❑ Wetland Alteration Permit
❑ Metes & Bounds Subdivision (3 docs.) ❑ Easements (_ easements)
TOTAL FEE:
Description of Proposal: Z04 &C 0160" t. IFIL
Ny Address or Location: _
#: 2,500-V400
Total Acreage: 3e,
Present Zoning: Select One
Legal Description: t24§456 ai
Wetlands Present? ❑ Yes [�tNo
Present Land Use Designation: Select One
Existing Use of Property: ffza4lze *4
❑ Check box is separate narrative is attached.
Requested Zoning: Select One
Requested Land Use Designation: Select One
Section 3: Property Owner and Applicant Information
APPLICANT OTHER THAN PROPERTY OWNER: In signing this application, I, 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. If 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 consulting fees, feasibility studies, etc. with an estimate prior to
any authorization jp,gjc the study. I certify that the information and exhibits submitted are true and correct.
a
i��%jiffy`/L���%����1:%tulip •• /S.
PROPERTY OWI signing this application,], as property owner, have full legal capacity to, and hereby do,
authorize the fill is 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 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 certify that the information and exhibits submitted are true and correct.
Name:
Contact:
Address:
Phone:
City/State/Zip:
Cell:
Email:
Fax:
Signature:
Date:
PROJECT ENGINEER (if applicable)
Name:
Contact:
Address:
Phone:
City/State/Zip:
Cell:
Email:
Fax:
Section 4: Notification
Information
Who should receive copies of staff reports?
*Other Contact Information:
❑ Property Owner Via:
❑ Email
❑ Mailed Paper Copy
Name:
❑ Applicant Via:
❑ Email
❑ Mailed Paper Copy
Address:
❑ Engineer Via:
❑ Email
❑ Mailed Paper Copy
City/State/Zip:
❑ Other* Via:
❑ Email
❑ Mailed Paper Copy
Email:
INSTRUCTIONS TO APPLICANT: 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 for processing (required). SAVE FORM PRINT FORM SUBMm FORM
Section ••• •plicant Information
APPLICANT OTHER THAN PROPERTY OWNER: In signing this application, I, 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. If 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 consulting fees, feasibility studies, etc. with an estimate prior to
any authorization the study. I certify that the information and exhibits submitted are true and correct.
IA
PROPERTY OWsigning this application, I, as property owner, have full legal capacity to, and hereby do,
authorize the fifi is 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 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 certify that the information and exhibits submitted are true and correct.
Name: NN$C�M�-pa PUB L'Cc_. &AaO S
Address: 57(0,;L
City/State/Zip: ANN �'LCaf`tKA inN 3is
Email: PPML ttk4t taS�1�5 �Mktl`4.1.c 1Q• I kAS
Signature:
Paul Bourgeois
Contact:1
Phone: c�I A UJ__ 16� ��V �S
15,' - q%3 (— 5� a'Lt
Cell 1a— alta-S`t5"t
Fax: 503a
5 i ol-ifsr5`
This application must be completed in full 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 and fees.
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.
PROJECT ENGINEER (if applicable)
Name:
Address:
City/State/Zip:
Email:
Contact:
Phone:
Cell:
Fax:
Section 4: Notification Information
Who should receive copies of staff reports?
*Other Contact Information:
❑
Property Owner Via:
❑ Email
❑ Mailed Paper Copy Name:
❑
Applicant Via:
❑ Email
❑ Mailed Paper Copy Address:
I r /. � ,-F
PROPERTY OWsigning this application, I, as property owner, have full legal capacity to, and hereby do,
authorize the fifi is 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 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 certify that the information and exhibits submitted are true and correct.
Name: NN$C�M�-pa PUB L'Cc_. &AaO S
Address: 57(0,;L
City/State/Zip: ANN �'LCaf`tKA inN 3is
Email: PPML ttk4t taS�1�5 �Mktl`4.1.c 1Q• I kAS
Signature:
Paul Bourgeois
Contact:1
Phone: c�I A UJ__ 16� ��V �S
15,' - q%3 (— 5� a'Lt
Cell 1a— alta-S`t5"t
Fax: 503a
5 i ol-ifsr5`
This application must be completed in full 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 and fees.
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.
PROJECT ENGINEER (if applicable)
Name:
Address:
City/State/Zip:
Email:
Contact:
Phone:
Cell:
Fax:
Section 4: Notification Information
Who should receive copies of staff reports?
*Other Contact Information:
❑
Property Owner Via:
❑ Email
❑ Mailed Paper Copy Name:
❑
Applicant Via:
❑ Email
❑ Mailed Paper Copy Address:
❑
Engineer Via:
[]Email
❑ Mailed Paper Copy City/State/Zip:
❑
Other* Via:
❑ Email
❑ Mailed Paper Copy Email:
INSTRUCTIONS TO APPLICANT: 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 for processing (required). SAVE FORM PRINT FORM SUBMIT FORM