Development Review ApplicationCOMMUNITY DEVELOPMENT DEPARTM ENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Pho e: (952) 227-1300 / Fax: (95?) 227-1110 *
CNYOICIHffiMMMt
suumittar oatSl rr I r 9
A,PPLICATION FOR DEVE
pco.r. Gl tXlF. cc Date:
LOPMENT REVIEW
1l ?(ta 6ooa y Revi "*gg+rilstil
Section 1: Application Type (check all that apply)
(Retet to the awropriate Application Checldist lot rcqui@d sublittal intomation that mug, accompany this application)
E Comprehensive Plan Amendment......................... $600 [ Subdivision (SUB)
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! Minor MUSA line for failing on-site sewers ..... $100
Conditional Use Permit (CUP)
D Single-Family Residence ................................ $325! ett otners....... .................... $425
lnterim Use Permit (lUP)
E ln conjunction with Single.Family Residence.. $325! ntl ottrers....... .................... $425
Rezoning (REZ)
! Planned Unit Development (PUD) .................. $750D Minor tunendment to existing PUD................. $100E ell ottrers....... .......-............ $500
Sign Plan Review. .................... $150
Site Plan Review (SPR)
! Administrative .................... $100[l GommerciaUlndustrial Districts'......................$500
Plus $10 per 1,000 square feet of building area:
! Create 3 lots or less ........................................$3OO
fl Greate over 3 |ots.......................$600 + $15 per lot( lots)
Ll Metes & Bounds (2 lots)..................................$300n Consolidate Lots..............................................$1 SO! Lot Line Adjusrnent.........................................$1 50E Final Plat........ ....................$700
(lncludes $450 escrow for attomey costs)'*Additbnal escow may be required for othe. applications
though the development conuaci.
Vacation of Easements/Right-ol-way (VAC)........ $300
(Additbnal recoding b€s may apply)
Variance (VAR).... .................. $200
Wetland Alteration Permit (WAP)
fl Single-Family Residence............................... $150n lut ottrers....... .................. $275
Zoning Appeal...... .................. $100
E Zoning Ordinance Amendment (ZOA)...... $s00
$200
( 38 addresses)
. $3 per address
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( 10 thousand square feet)
'lnclude number of g!ls[!g employees
@ Notification S ign (ci9 to install and remove) .......... ...........
E Property Owners' List within 500' (city lo generate afrer preapplicali$ meeting)
'lnclude number oflgg employees:
n Residential Disficts:......................------- SSOO N.gfE: When multiple applicttions aro processed concunontlv,
plus g5 per dwelling unit f ,nii;i ---- th' appropriate fee shall be charged fo' each application.
E Escrow for Recording Documents (check all that apply)..................-.......
E Condilional Use Permit E lnterim Use Permit
E Vacation E Variance
I Metes & Bounds Subdivision (3 docs.) E Easements L-easements)
....... ............... $50 per document
E] Site Plan Agreement
E Weuand Alteration Permitl-l Deeds
16141pgE' $964.00
Section 2: Required lnformation
3300 Tanadoona Drive, Excelsior, MN 55331Property Address or Location
Parcet #: 250093200 at
'ret
p.fl of l}ovt toi 9 in se 6, and ds d p.n c, s1/vt/4 twu4 o, sec aj ,lLegal UeSCnpIlOn: co,rrna Oe SE dn S\a/r,1,tgr, ,4 of lec 9 TH 115gr/v 1565 ,!: TH Na6$, I
rying dy ol tne ldtoNing .!6adib.d:
21q lo ths si6.e d t€ta Mnll*sht,
62.10 Wetlands Present? Z ves n l.lo
Rural Residential District (RR)Rural Residential District (RR)
Public/Semi-Public
Total Acreage:
Present Zoning
Existing Use of Property:
Requested Land Use Design
"1;on.
Public/Semi-Public
MAY 17 20ts
Descriotion of proDosal: Demolition of exsiting Dining Hall, construction of new Dining hall in exsiting location.
Connection to city water and sewer, developemnt of access road and drop off.
Requested Zoning:
Present Land Use Designation:
Camp
lCheck box 'rf separate narative is attached.
Sectigl 3: Properly Qwner a nd Applicant lnlormation
APPLICANT OTHER THAN PROPERTY_OWNER: In signing lhis application, l, as applicant, represent to have obtainedauthorization from the property owner to file this applicalion. I agree to be bound by condi0ons oi approval, subdt onty tothe right to obiect at the hearings on the application or duing lhe appeal period. lf ihis application has not Gen-iigneo oylhe property owner, I have attached separate docunentation of full legal ;apacity to file ihe applicalion. rtris ippficationshould be processed in my name and l.am_lhe party whom th€ city should cont;ct regarding'any matter pertiinlng to tnisapplication. I will keep myself informed of the deadlines lor submission of material and the ;roq;ess of this aooticatron. Ifurther understand that additional fees may be charged for consulting fees, feasibility stuote!. eic. wnn a"
".t'i,iai" prio, toany authorization to proceed wlth the sludy. I certify that the informrtion and exhibiG submitted are true "na-*i""t.Tammy Magney, AIA Magney Architecture Tammy Magney
540 Lake Slreet
Contact
Phone:(612t 7 01-7117
Excelsior MN 55331 (6't2) 7 01 -7 1 17City/State/Zip
Email:
Cell:
Fax:
Date
tmagney@mchsi.com
Signature 5/16/19
PROPERTY OWNER: ln ning this application, l, as property owner, hava full legal capacity to, and hereby do,authorize the [iling of this application. I understand that condilions ol approvala re binding and agree to be bound b y thoseconditions, subject only to the right to object at the hearings or duri ng the appeal periods. I witl keep myselt intorm ed ofthe deadlines for submission of material and the progress of this a
be charged for consultiog fees, feasibility studies, etc. wilh an es tim
plication. I further understand that additional fees may
ate prior to any authorization to proceed with the
p
study I certify that the informatiofl and exhibits submitted are true
Camp Fire Minnesota
and conect
Name
Address
City/State/Zip
Email:
st Park, MN 55416
iew@
PROJECT ENGINEER (if applicable)
Name: Carlson Mccain Engineers
Address
Email
Contact Marnie Wells, CEO
Phone: (612) 284-6816
(612) 242-01 41Cell:
Fax:
Date
This application must be completed in full and must b€ accompanied by all lnformation and plans reauired bv
applicable City Ordinance provisions. Before filing this application. refer to the appropriate Application Cn""iti.t
and confer wilh the Planning Department to determine the specific ordinance and applicabte procedural
requirements and fees
A determ inatjon of completeness of the application shall be made wilhin 1 5 business days of application submittal. Awritten notice of application deficiencies shall be mailed lo the applicant within 15 business days oI appficeitn.
Contact
Phone:
Joe Radach, PE
15650 36th Ave N,
Plymouth, MN 55,146
jradach@carlsonmccain.com
(763) 489-7912
(612),73O-226s
Seclion 4: Notification lnformation
Who should receiye copies of staff reports?
E Property Owner Via: E Email
iOther Contact lnformation
Name:Applicant Via: El EmaitEngineer Via: E EmaitOther' Via: E Email
I tvaited Paper Copy
L_l Mailed Paper Copy
LJ Mailed Paper Copy
L_l Mailed Paper Copy
Address
INSTRUCTIONS TO APPLICANT
device -- : -r and deliver
copy to the city for processing
: Complete all necessary form fiolds, lh€n select : \ , : =: i ,,! to save a copy to your
to cily along with required documents and payment. S.Bu:ilp,u-tose;dadigtal
SAVE FORM PRINT FORM SUBMIT FORM
City/State/zip
Email:
N ame
Address.
4829 Minnetonka Blvd Unit 202
Signature:
City/State/Zip:
5t't6120
Cell:
Fax:
A