6.b2 Better Place Forests Application for CUP and ChecklistAuthentisignID: 6C720D84-2BD8.483B-B859.6F7312ED8FC7
File No.
APPLICATION FOR PLANNING AND ZONING REQUEST
City of Scandia, Minnesota
14727 209th Street North, Scandia, MN 55073
Phone 651/433-2274 Fax 651/433-5112 Web http://www.ci.scandia.mn.us
Please read before completing: The City will not begin processing an application that is incomplete. Detailed submission
requirements may be found in the Scandia Development Code, available at the City office and website (www.ci.scandia.mn.us) and in
the checklist forms for the particular type of application. Application fees are due at the time of application and are not refundable.
1. Property Location: (street address, if applicable)
2. Washington County Parcel ID:
3. Complete Legal Description: (attach if necessary)
4. Owner(s):
Phone:
(h)
(b)
Street Address:
E -Mail:
City/ State:
Zip:
5. Applicant/Contact Person:
Phone:
(h)
(b)
Street Address (Mailing):
E -Mail:
City/ State:
Zip:
6. Requested Action(s): (check all that apply)
Variance Administrative Permit
Amendment (Development Code)
Variance Extension (fie)
Amendment (Comp. Plan)
Conditional Use Permit (CUP) Site Plan Review
(type)
Subdivision, Minor
CUP Extension
CUP/ Open Space Subdivision. Site Plan Modification
Subdivision, Preliminary Plat/Major
CUP/ Planned Unit Development Site Plan Extension
Subdivision, Final Plat
Interim Use Permit (IUP) Sign (Permanent)
Environmental Review
Annual Operators Permit
Wetland Review
AuthentisignID: 6C720D84-2BD8.483B-B859.6F7312ED8FC7
7. Brief Description of Request: (attach separate sheet if necessary; include Variance Rationale if
necessary)
8. Project Name:
I hereby apply for consideration of the above described request and declare that the information and materials
submitted with this application are complete and accurate. I understand that no application shall be considered
complete unless accompanied by fees as required by city ordinance. Applications for projects requiring more than one
type of review shall include the cumulative total of all application fees specified for each type of review. I understand
that applicants are required to reimburse the city for all out-of-pocket costs incurred for processing, reviewing and
hearing the application. These costs shall include, but are not limited to: parcel searches; publication and mailing of
notices; review by the city's engineering, planning and other consultants; legal costs, and recording fees. An escrow
deposit to cover these costs will be collected by the city at the time of application. The minimum escrow deposit shall
be cumulative total of all minimum escrow deposits for each type of review required for the project, unless reduced as
provided for by ordinance. The city may increase the amount of the required escrow deposit at any time if the city's
costs are reasonably expected to exceed the minimum amount. Any balance remaining after review is complete will
be refunded to the applicant. No interest is paid on escrow deposits.
PLEASE NOTE: If the fee owner is not the applicant, the applicant must provide written authorization by the fee
owner in order for this application to be considered complete.
Property Fee Owner Signature(s)
Date:
A1e1M151Gw
04/03/2020
Ymik e ✓ (� mnatm
A liumit9Signature(s)
Date:
For City Use Only
Application Fees:
Escrow Deposit:
Authentisign ID: 6C720D84-2BD8.483B-B859.6F7312ED8FC7
City of Scandia, Minnesota
Planning and Zoning Applications Fee Schedule
Excerpt of Ordinance No. 195, Adopted March 20, 2018
Application Type
Application Fee
Escrow Minimum
Variance
$200.00
$800.00
• Variance Extension - Administrative
$50.00
$1,000.00
• Variance Extension - City Council
$100.00
$300.00
Conditional Use Permit (CUP)
$50.00
$250.00
• Pre -application Review - Administrative
No Fee
$250.00
• Pre -application Review - Planning Commission
$50.00
$500.00
• Open Space Conservation Subdivision CUP
$750.00
$3,000.00
• Planned Unit Development CUP
$500.00
$2,000.00
• All other Conditional Use Permits
$200.00
$1,500.00
• CUP Amendment
$200.00
$1,500.00
• CUP Extension - Administrative
$50.00
$2,000.00
• CUP Extension - City Council
$100.00
$300.00
Interim Use Permit (IUP)
$200.00
$1,000.00
Annual Operating Permit
•
• Annual Operating Permit Renewal - Administrative
$100.00
$300.00
• Annual Operating Permit Renewal - City Council
$200.00
$1,000.00
Administrative Permits
• Grading/Land Alteration
$50.00
$500.00
• Grading/Land Alteration more than 100 cubic yards
•
PUD Preliminary Plan
material
$50.00
$1,000.00
• Land Clearing
$75.00
$500.00
• Lot Line Adjustment/Lot Consolidation
$50.00
$250.00
• Cell Tower Administrative Permit
$50.00
$250.00
• Sign (permanent)
$50.00
• All other Administrative Permits
$50.00
Site Plan Review
•
Pre -application sketch review, Planned Unit Development
$200.00
$500.00
•
PUD Preliminary Plan
$200.00
$1,000.00
•
PUD Final Plan
$200.00
$2,000.00
•
PUD Amendment
$500.00
$1,000.00
•
Pre -application sketch review, Open Space Conservation
$500.00
$500.00
Subdivision
•
Pre -application sketch review, all other
$50.00
$250.00
•
Site Plan Review, Minor Projects
$100.00
$1,000.00
•
Site Plan Review, Major Projects
$250.00
$2,000.00
•
Plan Modification
$50.00
•
Site Plan Extension - Administrative
$50.00
•
Site Plan Extension - Council
$100.00
$300.00
Amendment
• Rezoning (Map Amendment) $500.00 $1,000.00
• Amendment -Development Code Text $500.00 $1,000.00
• Amendment -Comprehensive Plan Map $500.00 $1,000.00
• Amendment -Comprehensive Plan Text $500.00 $1,000.00
Authentisign ID: 6C720D84-2BD8.483B-B859.6F7312ED8FC7
Application Type
Environmental Review
• EAW (Environmental Assessment Worksheet)
• EIS (Environmental Impact Statement)
Subdivision
• Concept Plan
• Minor Subdivision
• Preliminary Plat/ Major Subdivision
• Final Plat
Park Dedication Fee for each new parcel
Wetland Review
• Wetland Review including No loss exemption /
determination, Delineation approval, Replacement plan
application, Wetland banking application, and other
Mines
• Conditional Use Permit
• Annual Operating Permit
Application Fee Escrow Minimum
$750.00 $2,000.00
$750.00 $10,000.00
No Fee
$100.00 $1,000.00
$250.00 $1,500.00
$200.00 $1,000.00
$3,000.00
$100.00 $800.00
$500.00 $10,000.00
$500.00 $5,000.00
City Staff and Consultant Billing
• For applications that include excessive staff time, services performed by City personnel will be billed at one
and one-half (1.5) times the actual payroll hourly rate. Services provided by City consultants will be billed at
the current consultant rate. All recording fees to be billed at current rates.
Investigation Fee
• Whenever any work for which a city permit is required has commenced without first obtaining a permit, a
special investigation shall be made before a permit will be issued. An investigation fee, in addition to the
permit fee, shall be collected whether or not a permit is subsequently issued. The investigation fee shall be
equal to the amount of the permit fee required by this schedule. The payment of the investigation fee shall not
exempt any person from compliance with all other provisions of this code nor from any prescribed by law.
Payment of Fee and Escrow Deposit
• No application shall be considered complete until the fees have been paid. Application fees are not refundable.
In addition to the application fee, applicants shall be required to reimburse the city for all out-of-pocket costs
that are incurred for processing, reviewing and hearing the application. These costs shall include but are not
limited to: parcel searches; publication and mailing of notices; review by the city's engineering, planning and
other consultants; legal costs, and recording fees. A minimum escrow deposit to cover these costs shall be
collected by the city at the time of application. The Zoning Administrator shall have discretion to increase the
amount of the escrow for any application at any time if the city's costs are reasonably expected to exceed the
minimum amount. The Zoning Administrator shall also have discretion to require an escrow deposit even
where no minimum amount is specified by this ordinance, if authorized by the Development Code.
Applications for projects requiring more than one type of review (for example, a Conditional Use Permit and a
Preliminary Plat) shall include the cumulative total of all application fees specified for each type of review.
The minimum escrow deposit shall be the cumulative total for each type of application required for the project,
unless the Zoning Administrator determines that this amount would significantly exceed the city's reasonable
expenses to review the applications, in which case the amount of the escrow deposit may be reduced. After
review of the application has been completed and all costs have been paid, any costs exceeding the escrow
balance shall be invoiced to the applicant. Any escrow balance remaining shall be refunded to the applicant.
No interest shall be paid on escrow deposits. Amendments to previously approved applications shall require
the payment of the same fees as for the initial permit application, except for Plan Modifications not requiring
review by the Planning Commission and City Council or as otherwise provided by the Development Code.
AuthentisignID: 6C720D84-2BD8-483B-B859.6F7312ED8FC7
To: City of Scandia
From: Janice Riermann
Re: Better Place Forests CUP Application
I, Janice Riermann (Owner), authorize Better Place Forests (BPF) and its representatives to apply for a
Conditional Use Permit with the City of Scandia for their proposed memorial conservation forest on parcels
2103220330004, 2803220220001, 2803220210001, 2803220120003, 2803220240002.1 currently own
this property and am under contract with BPF for its sale.
r Authenti
Signature: �7a I&e Riex�
4/3/2020 9:59:04 AM CDT
Printed name: Janice Riermann
Date: 04/03/2020
CONDITIONAL USE PERMIT (CUP) OR INTERIM USE PERMIT (IUP)
APPLICATION CHECKLIST
City of Scandia, Minnesota
7/31/2013
14727 209th Street North, Scandia, MN 55073
Phone 651/433-2274 Fax 651/433-5112 Web http://www.ci.scandia.nm.us
GENERAL REQUIREMENTS:
INCLUDED IN SUBMITTAL
1.
Application Form
❑ YES
❑ NO
2.
Fees
❑ YES
❑ NO
3.
Escrow
❑ YES
❑ NO
4.
Complete legal description
❑ YES
❑ NO
5.
A description of the request, including type of business or activity and proposed number
❑ YES
❑ NO
of employees
6.
Aerial photo of site and 1/4 mile vicinity
❑ YES
❑ NO
7.
Survey/Site Plan (2 full size and 2 copies reduced to 11" by 17". Electronic files also
❑ YES
❑ NO
preferred)
Plan Sheet Requirements:
— Signature
— Name, address, phone number for owner, developer, surveyor, and engineer
— Date of preparation and revision dates
— North Arrow
— Graphic scale not less than 1:100
SITE PLAN REQUIREMENTS, EXISTING AND PROPOSED:
INCLUDED IN SUBMITTAL
1.
Property lines and dimensions
❑ YES
❑ NO
2.
Area in acres and square feet
❑ YES
❑ NO
3.
Existing and proposed building locations and dimensions
❑ YES
❑ NO
4.
Lowest floor elevation of proposed structure(s)
❑ YES
❑ NO
5.
Setbacks, including front, side, rear, wetland, shoreland, and right-of-way
❑ YES
❑ NO
6.
Buildable area
❑ YES
❑ NO
7.
Driveway location
❑ YES
❑ NO
8.
Landscaping Plan
❑ YES
❑ NO
9.
Grading, Drainage and Erosion Control Plan
❑ YES
❑ NO
10.
Soil conditions and types
❑ YES
❑ NO
11.
Building floor plan
❑ YES
❑ NO
12.
Building elevations
❑ YES
❑ NO
13.
Sanitary sewer and water plan
❑ YES
❑ NO
14.
Wetlands
❑ YES
❑ NO
15.
Wetland delineation report
❑ YES
❑ NO
16.
Waterbodies and Ordinary High Water Level
❑ YES
❑ NO
17.
Slopes (over 50 feet horizontal distance). 12% or greater in St. Croix River district,
❑ YES
❑ NO
18% or greater in Shoreland, and 25% or greater on all properties.
18.
Topographic contours at 2 -foot intervals and Bluff line, if applicable
❑ YES
❑ NO
19.
Any other improvements to the property
❑ YES
❑ NO
7/31/2013