26-04 Application MMW site plan reviewCOMMUNITY DEVELOPMENT DEPARTMENT
Planning Division - 7700 Market Boulevard
Mailing Address - P.O. Box 147, Chanhassen, MN 55317
Phone: (952) 227-1100 / Fax: (952) 227-1110
E Notification Sign lcity to nstall and remove)....
n Escrow for Recording Documents (check all that apply) ........-.
*crTrorc[AI{HAss[il
APPLICATION FOR DEVELOPMENT REVIEW
02t13t2026 PC Date 03t17t2026 cc Date 04t13t2026 60-0ay Revi€w Dale 04t15t2026
Submitta Date
(Retet to the apprcprialo Application Checklist for required submiftal inlumalion lhat musl dccompsny lhis applbation)
E Comprehensive Plan Amendment........................ $700 E Subdivision (SUB)
E Plat 3 lots or |ess.......................................... $500
E Conditional Use Pormit (CUP) n ptat over 3 to1s....,......................................$1250
n Single-Fami|yResidence...............................$400 E Metes & Bounds (2 tots).......,.......................$300
E AII Others .........................$600 fl Consotidate Lots...................__.....................$150
E ,nterim usepermt(,Up)
=
iflT5jf'|':ll* lillllll*llll .: r%'JE ln conjunction with Single-Family Residence.. $400
E Att others ................ ........ $600 E vacation of Easements/Right-olway (vAC)........$300
n Rezoning (REZ)
(Additional recordinq f€es mav apply)
n Planned Unit Development (PUD)..................$750 E Variance (VAR). . . ..........-............, ................$200
E Minor Amendment to existing PUD...... .......$100
n All Others .. ...... . ....... $600 E Wetland Alteration Permit (WAP)
n Single-Family Residence.............................. $1 50
fl sisn Plan Review........................ .......................$150 fl All others...... ...................$275
E Site Ptan Review (SPR) n appeal of Administrative Decision.......................$200
n Administrative .................... $100
E Residential/Commercial/lndustrial Districts.. g750'. n Zoning Ordinance Amendment (ZOA)... ............$500
Ag!E: When multiple apptlcattons are processed concuftenlly, the approp ate lee shall be charged fot each apPlicallon
................$200
$ per document
E Conditional Use Permit - $50 n lnterim Use Permit - $50
! Wettand Alteration Permit - $50 ! Easements ( easements) - $85
D Variance - $50 E Metes & Bounds Sub (2 deeds) - 5250
'lncludes $450 escrow for attorney costs.
'.Additional escrow may be requared for other applications through the development contract
E site Plan Agreement - $85
E Vacation - $85
E Deeds - $100
19141 555. $750 00
Seclion 1: Application Type (ch€ck all that apply)
Section 2: Required lnformation
Description of Proposal:Building addilions with sile modilication and reconstruction 10 lhe exist ng Minnetonka Middle school wesl
Property Address or Location 6421 Hazeltine Blvd. Excelsior, MN 55331
Parcel #2500 33000 Legal Description:Reler to Sheet Vl.0 of the submitted proiect
Total Acreage:
Present Zoning
30.54 Wetlands Present? E Yes E No
O Otfice & lnst tut onal Dtstrict Requested Zoning:Ol -Ottice & lnstilulional District
Present Land Use Designation: Public-Semi Public Requested Land Use Designation Public-Semi Pu blic
Existing Use of Property Middle School
E Ctrect box if separate narrative is attached
Section 3: Property Osrner and Applicant lnformation
AppLlCANT oTHER THAN PROPERTY OWNER: ln signing this application, l, 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. lf this applicatio_n has not been signed by
the pioperly owner, I have attalhed separate documentation offull legal capacity to file the application. This application
should be processed in my name and iam the party wtrom the City should contacl regarding any matter pertaining to this
application. I will keep miself informed of the deadiines for submission of material and the progress of this application. I
further understand that aAditional fees may be charged for consulting fees, feasibility studies, etc. with an estimate prior lo
any authorization to proceed with the study. I certify that the information and exhibits submitted are true and @rrect.
Name Minnetonka lndependent School District 276 Conta 6. Paul Bourgeois
Address:562.1 County Road l0l Phone . 612-240-5997
Minnetnoka MN 55345 6"1q. 612-240-5997
Email
Signa
pau L bourgeois@minnetonkaschools.org p61. 952-501-5032
,ur". Paul Bourgeois oBlaly .lq'.d by Pd Aoo.g@13
D.l.: 2026.02.1 3 09:22:09 -06'00'Date . 12t13t26
pROPERW OWNER: ln signing this application, l, as property owner, have full legal capacity to, and hereby do,
auihorize the filing of this aiplicition. I understand that conditions of approval are binding and.agree to be bound by those
conditions, subjeJt only to ttre right to object at the hearings or during the appeal periods. I will keep myself informed of
the deadlines f;r submission of haterial and the progresJof this application. I furthor understand that additional fees may
U" cnaig"O 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 correcl'
Name Minnetonka lndependenl School District 276'6on1"6. Paul bourgeois
Address 5621 County Road '101 p66n6. 612-240-5997
CityiState/Zip [/in netonka MN 55345 Cell 612-240-5997
Email: Pa ul.bourgeois@minnetonkaschools.org p2x. 952401-5032
Signature Paul Bourgeois D On.r, !q.Ed b, P&r EougeoE
orle:202602 1309223,4'0500 oa:c- 12/13t26
This application must be completed in full and be typewritten or clearly printed ald mull be accompanied by all
iniorrliion and ptans require; by applicable City Ordinance provisions. Before filing this application, refer to the
ippropriate nppii"ation ihecktisi and confer witir the Planning Department to determine the specific ordinance and
applicable procedural requirements.
A determination of completeness of the application shall be made within I 5 business days of application submittal. A
written notics of appticjtion deficiencies sfrall be mailed to the applicant within 15 business days of application.
PROJECT ENGINEER (if aPPlicable)
Name: VM Engineering Conta ct- Andy LaPalme
Address 2300 Berkshire Land N, Suite 200 ph6ns. (763) 587 7312
City/State/Zip Plymouth, MN 55441 6s11. (612) 802-2956
Email. alapalme@vaaeng.com g3r. (763) 559'0378
Who should recoive copias of staff reports?'Other Contact lnformation :
EEE
E
Properly Owner Email
Applicant Email
Paul.Bourgeois@minnetonkaschools.org
E! b.uo.d.enifi rd*c.rsk t!
Name. Bon Spoden
Address a5ai Gol..i vr..y Rd, sd.1d)
Eng ineer Email 'r'cd!o6:'4sm City/State/Zip
Othef Email 6eod€n@'ie@m Email: rcodo@.'" -.
INSTRUCTIONS TO APPLICANT: Complete all necessary.form fields, lhen select SAVE FORI\II to save a copy to your
device. PRINT FORM and deliver- to city along with required documents and payment- SUBMIT FORM to send a dtgital
Section 4: Notification lnfomation
copy to the city for processing
City/State/Zip: