Application for Development Review 17-15COMMUNITY DEVELOPMENT DEPARTMENT
Planning Division - 7700 Market Boulevard CITY 4F CHANHASSEN
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1300 / Fax: (952) 227-1110
APPLICATION FOR DEVELOPMENT REVIEW
Submittal Dale: (>r/(a-/7_ PC Date: 7-/8-/7 CC Date: �-!4 -!7 00 -Day Reviaw Date: .6
Section 1: Application Type (check III that apply)
(ROW to the appmpnate Application Checklist for requkad submittal Information that must accompany this application)
❑
Comprehensive Plan Amendment.. ..............
..... $600
❑ Minor MUSA line for failing on-site sewers
..... $100
®
Conditional Use Permit (CUP)
per lot
❑ Single -Family Residence ................................
$325
® All Others .........................................................$425
❑
Interim Use Permit (IUP)
❑ In conjunction with Single -Family Residence.. $325
$150
❑ All Others .........................................................$425
® Final Plat ..........................................................$700
Rezoning (REZ)
(Includes $450 escrow for attorney costs)'
❑ Planned Unit Development (PUD) ..................
$750
❑ Minor Amendment to existing PUD .................
$100
❑
® All Others... ............................ ................. .......
$500
❑ Sign Plan Review ................................................... $15o
❑ Site Plan Review (SPR)
❑ Administrative.. .................. ............................. $100
❑ Commercial/Industrial Districts' ......................$500
Plus $10 per 1,000 square feet of building area:
t_ thousand square feet)
'Include number ofxg istipg employees:
'Include number of ngwempioyees:
❑ Residential Districts ......................................... $500
Plus $5 per dwelling unit (_ units)
❑ Zoning
$100
❑ Zoning Ordinance Amendment (ZOA)................. $500
Nom: When multiple applications are processed concurrently,
the appropriate fee shall be charged foreach application.
® Notification Sign (City to Install and remove)...................................................................................................................... $200
® Property Owners' List within 500' (city to generate ager pre-appticadon meeting) .................................................. $3 per address
Escrow for Recording Documents (check all that apply)(L addresses) ...................................................................... $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: '038 e0Section 2: Required Information I
Description of Proposal:
Property Address or Location: '72A40 64r_ A! BoucE ✓.f.eL, G�/.y ut/.rszE..� N/ t5 z3
Parcel #: Legal Description: _-�K RT1iiaCCiW=
Total Acreage: _ /o. 99 Wetlands Present? Ig Yes ❑ No
Present Zoning: Select One q -z Requested Zoning: Select One ,eLH
Present land Use Designation: Select One 46 Requested Land Use Designation: Select One SF
Existing Use of Property: 4YL Y .esiger, eE
Q Check box Is separate narrative is attached
CI OFCHANHAS"Er
RECEIV
JUPJ 1 u 201%
CHIIHASBEIIN R4ANNING pEpr
Subdivision (SUB)
❑ Create 3 lots or less ........................................
$300
Create over 3 lots.......................$600 + $15
per lot
�o lots)
❑ Metes & Bounds (2 lots)..................................$300
❑ Consolidate Lots..............................................$150
❑ Lot Line Adjustment .........................................
$150
® Final Plat ..........................................................$700
(Includes $450 escrow for attorney costs)'
Addatlonai 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
❑
Welland Alteration Permit (WAP)
❑ Single -Family Residence ...............................
$150
❑ All Others.. .....................................................
$275
❑ Zoning
$100
❑ Zoning Ordinance Amendment (ZOA)................. $500
Nom: When multiple applications are processed concurrently,
the appropriate fee shall be charged foreach application.
® Notification Sign (City to Install and remove)...................................................................................................................... $200
® Property Owners' List within 500' (city to generate ager pre-appticadon meeting) .................................................. $3 per address
Escrow for Recording Documents (check all that apply)(L addresses) ...................................................................... $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: '038 e0Section 2: Required Information I
Description of Proposal:
Property Address or Location: '72A40 64r_ A! BoucE ✓.f.eL, G�/.y ut/.rszE..� N/ t5 z3
Parcel #: Legal Description: _-�K RT1iiaCCiW=
Total Acreage: _ /o. 99 Wetlands Present? Ig Yes ❑ No
Present Zoning: Select One q -z Requested Zoning: Select One ,eLH
Present land Use Designation: Select One 46 Requested Land Use Designation: Select One SF
Existing Use of Property: 4YL Y .esiger, eE
Q Check box Is separate narrative is attached
CI OFCHANHAS"Er
RECEIV
JUPJ 1 u 201%
CHIIHASBEIIN R4ANNING pEpr
1 1111111111111111
EWA 1
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 1 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 to proceed with the study. I certify that the information and exhibits submitted are true and correct.
Name: NP ni6,_,.i=.5 LL/' Contact: : n "
Address: hl�3r .�c �.. /YirY Phone: 9s.1 - R4,/- /93
City/State/Zip:��iu u, r.s .a/,y 3V� Cell: 6/1 - R 7.2 - 97nI
Email - t�i.,..� �c ,.r Fax:
Signature: I-jam r --� Date: f> -/J -Zi ,'7
PROPERTY OWNER: In signing Itis application, I, as property owner, have full legal capacity to, and hereby do,
authorize the filing of this application. 1 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: Hw.ur .�-1wCr� rrE ?s �x..s �artia Contact:
Addres//'`
Phone.
City/State/Zip: s a Cell: g ti-1- 6
Mss
Email: 0-rec piVi+�.Cqm
.Fax:
Signature: I A-r _ r rl I u Cj9n( d1- I tnU,J,4 .> Date: 10t 1-7
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: .Po6rur 5, HasnFe (5/1ryrE - rrcA6,-5t ysT�Contact:
Address: /92> So✓n✓ 6 A. v Phone- 9ct - 'a 7v -
City/State/zlp:._ Gcf.A z.f rr .<Gy sss9/ Cell:
Email- it -Acral OV SA f/, �ewr Fax:
Who should receive copies of staff reports? *Other Contact Informafion:
❑ 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
%i- OF6i•IMHAS-&i
RECEIVE
JUN.Ii201%
CNANHASSEvPLANNING I)EP;
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 to proceed with the study. I certify that the information and exhibits submitted are true and correct.
Name: HP Holdings, LLC (info attached previously) Contact:
Address: Phone:
City/State/Zip: Cell:
Email: Fax:
Signature: Date:
PROPERTY OWNER: In signing this application, I, 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 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: Chanhassen Investments LLC Contact: Timothy J. Brown
Address: 6035 Culligan Way Phone: (952) 294-2126
City/State/Zip: 4nnetonka/MN/55345 Cell: (651)226-9040
Email: /I/no6imscompanies.com Fax:
Signature: S- a Date: 6/19/17
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: Sathre-Bergquist, Inc (info attached previously) Contact:
Address: Phone:
City/State/Zip: Cell:
Email: Fax:
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.
SAVE FORM PRINT FORM SUBMIT FORM
COMMUNITY DEVELOPMENT DEPARTMENT
Planning Division — 7700 Market Boulevard
Mailing Address — P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1130 t Fax: (952) 227-1110
CPPIf OF CNANHASSEN
SUBDIVISION
APPLICATION CHECKLIST
Per Chanhassen City Code Section 18-40
Applwolicm�will be processed only if all 'Pque�ted itom� ire submitte,]
Prior to filing an application for a subdivision, the applicant shall attend a conference with city staff. The
application shall Include the following:
(1) Completed Application Form.
(2) Evidence of ownership or an interest in the property.
(3) Application fee (to be calculated as follows):
Type
Fee
Calculation
Create three (3) lots or less
$300
$300
Create over three (3) lots
$800 plus
$15 rlol
$800 + ($15 x /o = /S'o ) = 3sG+
Metes & Bounds
$300 plus
$50 er lot
$300 + ($50x_= )_
Consolidate Lots
$150
$150
Lot Line Adjustment
$150
$150
Notification Sign
$200
$200
Property Owners' List within 500' of subject property
Cit to Generate,fee determined ai re -a Ilca6on meetin
Final Plat*
$3 per address
$250
$3 x addresses =
'Requires additional $450 escrow for attorney
costs. Escrow will be required for other
a lications throw h the deveb ment contrect.
(4) Seven (7) full-size folded conies Including an B'/" x 11" reduced cony for each plan sheet alona with a dlaital
copy In TIFF -Group 4 f .ttf) format of the followina:
(1) Identification and description:
a. Proposed name of subdivision, which shall not duplicate or be similar in pronunciation or spelling to the name
of any other plat in the county.
b. Legal description.
c. Names and addresses of the record owner, subdivider, land surveyor, engineer, designer of the plat, and any
agent having control of the land.
d. Graphic scale not less than one inch to 100 feet.
e. North arrow.
f. Key map including area within one mile radius of plat.
g. Date of preparation.
(2) Existing conditions:
a. Boundary lines of proposed subdivision.
b. Existing zoning classifications for land within and abutting the subdivision.
c. Acreage and lot dimensions.
d. Location, right-of-way width, and names of existing or platted streets; locations of parks, buildings and
structures, railroad right-of-way, easements, section lines and corporate boundaries within the proposed
subdivision and to a distance 150 feet beyond.
e. Boundary lines of adjoining platted or subdivided land, within 150 feet, identified by name and ownership
including all contiguous land owned or controlled by the subdivider.
t; IT1' OF f;i-IAtvr1A4`�Er
RECEII E�
CHANH459EN PLANNING t)Epi