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Application Form Last Updated: March 25, 2013
Special Use Permit RECEIVED
Application Form for a Propose Use JAN 0 7xdly4
in a Residential Zone. CITY OF AMES,
I WA INO
(This form must be filled out completely before your appli
1. Property Address for this Special Use Permit: 3300 George Washington Carver Avenue
2. I (We) the undersigned, do hereby respectfully request the Ames Zoning Board of
Adjustment to grant a Special Use Permit for a proposed use in a "Residential Zone" to
allow construction of a 107 unit senior living facility comprised of independent living,
assisted living,and skilled nursing.
at the property address listed above.
3. Legal Description (attach, if lengthy): see attached
4. Property Owner: Heartland Baptist Church
Business: Heartland Baptist Church
Address: 3504 Grand Ave Ames, IA 50010
(Street) (City) (State) (Zip)
Telephone: 515-268-1721
(Home) (Business) (Fax)
5. Applicant: CCRC of Ames, LLC
Business: CCRC of Ames, LLC & 'o mod
Address: 11827 W 112th St, Suite 103 Overland Park, KS 66210
(Street) (City) (State) (Zip)
Telephone: 913-599-5705
(Home) (Business) (Fax)
6. Contact Person: Ryan Hardisty
Business: Civil Design Advantage
Address: 3405 SE Crossroads Dr,Suite G Grimes, IA 50111
(Street) (City) (State) (Zip)
Telephone: 515-369-4400 515-369-4410
(Home) (Business) (Fax)
E-mail address: RyanH@CDA-eng.com
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Legal Description
THAT PART OF PARCEL W IN THE N '/2 OF THE SE '/ OF SECTION 28-T84N-R24W OF THE 5TH
P.M, CITY OF AMES, STORY COUNTY, IOWA, MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTHEAST CORNER OF SAID PARCEL 'K'; THENCE N 00°00'00" E, 344.03
FEET ALONG THE EAST SIDE OF SAID PARCEL W AND ALSO THE WEST RIGHT-OF-WAY LINE OF
STANGE ROAD; THENCE N 90000'00"W, 354.99 FEET; THENCE N 61°17'43" W, 466.76 FEET,
THENCE N 90000'00"W, 392.85 FEET TO THE WEST LINE OF SAID PARCEL 'K'AND ALSO THE
EAST RIGHT-OF-WAY LINE OF GEORGE W. CARVER AVENUE; THENCE S 00°19'02"E, 580.03 FEET
ALONG THE WEST LINE OF SAID PARCEL'K'AND ALSO THE EAST RIGHT-OF-WAY LINE OF
GEORGE W. CARVER AVENUE; THENCE S 89°24'48"W, 1,154.09 FEET ALONG THE SOUTH LINE
OF SAID PARCEL W TO THE POINT OF BEGINNING AT THE SOUTHEAST CORNER OF SAID
PARCEL 'K', CONTAINING 12.35 ACRES MORE OR LESS.
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Application Form Last Updated: March 25, 2013
This Special Use Permit will not be granted unless sufficient facts are presented with
the application, and at the Planning and Zoning Commission and Zoning Board of
Adjustment meetings to support a finding that all the general and specific standards
for granting a Special Use Permit have been met.
Obtaining this Special Use Permit does not absolve the applicant from obtaining all other
applicable permits, such as Building Permits, IDOT access permits, et cetera.
I (We) certify that I (we) have submitted all the required information to apply for a Special Use
Permit and that lire information is factual.
Signed by: L Date:
Property Owner(s)
Print Name
(Note: No other signature may be substituted for the Property Owner's Signature)
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Application Form Last Updated: March 25, 2013
Special Use Permit
Supporting Information for a Proposed Use
in a Residential Zone
(This form must be filled out completely before your application will be accepted.)
The Zoning Board of Adjustment cannot approve a Special Use Permit unless all of the
"General Standards" and the "Residential Zone Standards" are met. In order to facilitate
review of this application for a Special Use Permit, the applicant must address each of the
"General Standards", set forth in Section 29.1503, and in addition, the "Residential Zone
Standards", set forth in Section 29.1503(4)(b) of the Zoning Ordinance.
(Note. The applicant's explanation of how the request meets each standard may be attached
on a separate sheet if sufficient space is not provided.)
1. General Standards. The Planning and Zoning Commission and the Zoning Board of
Adjustment shall review each application for the purpose of determining that each proposed
use meets the following "General Standards", set forth in 29.1503(4)(a), and in addition,
shall find adequate evidence that each use in its proposed location will:
(a) Be harmonious with and in accordance with the general principles and
proposals of the Land Use Policy Plan (LUPP).
Explain how the request meets this standard.
The proposed use is medium density residential,which is consistent with the
use identified for this site in the Land Use Policy Plan.
(b) Be designed, constructed, operated and maintained so as to be
harmonious in appearance with the existing or intended character of the
general vicinity and that such use will not change the essential character of
the area in which it is proposed.
Explain how the request meets this standard.
The buildings shall meet all required architectural design criteria and
landscaping will be provided per City ordinance. Building materials shall
include masonry, lap siding, and asphalt shingles, consistent with existing
residential construction within the area.
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Application Form Last Updated: March 25, 2013
(c) Not be hazardous or disturbing to existing or future uses in the same
general vicinity.
Explain how the request meets this standard.
The proposed use for the site is residential,which is consistent with existing
adjacent land uses and that identified for future adjacent land uses.
(d) Be served adequately by essential public facilities and services such as
highways, streets, police, fire protection, drainage structure, refuse
disposal, water and sewage facilities, and/or schools.
Explain how the request meets this standard.
This site is located within surrounding development to all four sides,which
are currently being serviced by public streets, police,fire protection, refuse
disposal,and schools. Existing public utilities such as sanitary sewer, storm
sewer, and water main are readily available to serve this project.
(e) Not create excessive additional requirements at public cost for public
facilities and services.
Explain how the request meets this standard.
The project does not create excessive additional requirements at public cost
for public facilities and services.
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Application Form Last Updated: March 25, 2013
(1J Not involve uses, activities, processes, materials, equipment or conditions
of operation that will be detrimental to any person, property or general
welfare by reason of excessive production of traffic, noise, smoke, fumes,
glare, or odors.
Explain how the request meets this standard.
The proposed use of the site is a senior living facility and does not impose as
detrimental to any person, property or general welfare by reason of excessive
production of traffic, noise, smoke,fumes, glare, or odors.
(g) Be consistent with the intent and purpose of the Zone in which it is
proposed to locate such use.
Explain how the request meets this standard.
The proposed use is residential,which is consistent with the existing
Zoning.
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Application Form Last Updated: March 25, 2013
2. Residential Zone Standards. The Planning and Zoning Commission and the Zoning Board
of Adjustment shall review each application for the purpose of determining that each
proposed use in a residential zone meets the "Residential Zone Standards", set forth in
29.1503(4)(b), which are listed below, and shall find adequate evidence that each use in its
proposed location will:
(a) Not create excessively higher levels of traffic than the predominant pattern
in the area and not create additional traffic from the proposed use that
would change the street classification and such traffic shall not lower the
level of service at area intersections.
Explain how the request meets this standard.
A recently performed traffic study for this site concluded that this project's
traffic would produce approximately 72%less trips than what could have
been expected for single family homes on this site.
(b) Not create a noticeably different travel pattern than the predominant
pattern in the area. Special attention must be shown to deliveries or
service trips in a residential zone that are different than the normal to and
from work travel pattern in the residential area.
Explain how the request meets this standard.
Other than typical garbage service,food delivery will occur once a day and
related service vehicles would access the site directly and not through
adjacent residential developments.
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Application Form Last Updated: March 25, 2013
(c) Not generate truck trips by trucks over 26,000 g.v.w. (gross vehicle weight)
to and from the site except for waste collection vehicles and moving vans.
Explain how the request meets this standard.
Truck traffic through the site,excluding waste collection and moving vans,
would be limited to food delivery vehicles,which are typically small trucks
weighing significantly less than 26,000 pounds.
(d) Not have noticeably different and disruptive hours of operation.
Explain how the request meets this standard.
As the use is residential,there are no noticeably different or disruptive
hours of operation.
(e) Be sufficiently desirable for the entire community that the loss of
residential land is justifiable in relation to the benefit.
Explain how the request meets this standard.
A need has been expressed for a senior living facility, such as this, in north
Ames,which remains a residential use.
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Application Form Last Updated: March 25, 2013
(f) Be compatible in terms of structure placement, height, orientation, or scale
with the predominate building pattern in the area.
Explain how the request meets this standard.
The facility is 2 stories,which is similar to the surrounding neighborhoods.
The property is also setback approximately 63' providing plenty of room for
buffers.There is also a proposed sidewalk along George Washington Carver to
allow for pedestrian traffic movement from the south to the north.
(g) Be located on the lot with a greater setback or with landscape buffering to
minimize the impact of the use on adjacent property.
Explain how the request meets this standard.
A 10'L.3 buffer is proposed along the south property line that abuts land
zoned FS-RL, in addition to an existing berm.
(h) Be consistent with all other applicable standards in the zone.
Explain how the request meets this standard.
The proposed use, building materials, landscaping, parking,and open space
are consistent with all other applicable standards in the zone.
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Application Form Last Updated: March 25, 2013
Special Use Permit
Site Development Plan Checklist for a Proposed Use
in a Residential Zone
(This form must be filled out completely before your application will be accepted.)
The applicant shall provide seven (7) copies of a Site Development Plan, which includes
the information described below, as set forth in Section 29.1502 of the Zoning Ordinance.
® Seven (7) copies of a Site Development Plan, drawn to scale on a sheet not to exceed 24" x
36", and one (1) reduced copy no larger than 11'xl7".
® The Site Development Plan must be prepared by a Civil Engineer, a Land Surveyor, a
Landscape Architect, or an Architect. The site plan must be certified as "substantially
correct" by a Professional Engineer, a Land Surveyor, a Landscape Architect, or an
Architect, licensed by the State of Iowa, showing the following information as of the date
of the application.
Note: With approval by City staff prior to submitting the Site Development Plan, it may be possible to
exclude some of the following items from the Site Development Plan. Please place a check mark in
the box in front of each item that is included as part of the application materials submitted for
approval.
® Name(s) and address(es) of the applicant(s).
® Name(s) and address(es) of the owner(s) of record of the property.
® Name and address of the person or firm preparing the site plan.
® Property address(es).
® Date of preparation.
® North Arrow.
® Scale: The scale shall not be less than 1"=10% and no greater than 1"=60', unless an
alternate scale is approved by the Director of the Dept. of Planning and Housing.
® Legal Description.
® Dimensions of the present lot and lot area, to the nearest tenth of a foot.
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Application Form Last Updated: March 25, 2013
® Size and location of all existing and proposed buildings, additions, structures and uses,
including:
® Setback distance to property lines.
® Exact exterior dimensions of each building.
® Location of entrances.
® Number of dwelling units.
® Square footage of each type of use.
® Zoning designation of the property.
® Proposed use of the property in sufficient detail to determine code compliance.
® Existing and proposed location and size of sanitary sewer mains and service lines, or septic
tank and leaching field.
® Existing and proposed location and size of water mains, service lines and hydrants, and/or
water well.
® Existing and proposed location and size of electrical service (electrical riser diagram) and
the location of high pressure gas lines, high tension transmission lines, and telephone lines.
® Existing and proposed location and size of storm drainage facilities on the property and
adjacent to the property.
® Location, grade and dimensions of all existing paved surfaces and of all abutting streets.
® Existing and proposed location and dimensions of parking areas, individual parking spaces
and drive aisles, driveways, curb cuts, easements and rights-of-way, walkways, transit
stops, bicycle parking areas, loading areas, dividers, curbs, islands, and other parking and
drive improvements.
If the project is located along U.S. Highway 69, access to U.S. 69 shall be reviewed by the
I.D.O.T. and a meeting shall be held that includes 1.D.O.T. staff, the City traffic engineer,
other appropriate City staff, the developer, and the developer's plan preparer to agree on
access prior to the submittal of the site plan.
® Existing and proposed contours at 2-foot intervals, based on City datum, when an
application pertains to any new permanent detached building or structure (principal or
accessory).
® Location of existing and proposed outdoor trash and dumpster areas and methods for
screening such areas.
® Location and type of all existing and proposed signs.
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Application Form Last Updated: March 25, 2013
® Evidence that the proposed work or activity will comply with the Outdoor Lighting Code.
Specifically, the application shall include:
® Plans indicating the location on the premises, and the type of illuminating devices,
fixtures, lamps, supports, reflectors and other devices;
® A detailed description of the illuminating devices, fixtures, lamps, supports, reflectors,
and other devices. The description shall include manufacturer's catalog cuts and
drawings, including sections when requested; and
® Photometric data, such as that furnished by manufacturers, showing the angle of cut off
or light emissions.
❑ Location of waterbodies, watercourses, swamps and flood-prone areas with delineated
channel encroachment lines, wetland boundary lines, 100-year flood plain boundary line,
and floodway boundary line.
❑ When an application is located in a flood-prone area include existing and proposed site
grades, contours and elevations, base flood elevation data, top-of-foundation elevations,
finished floor elevations, and any proposed watercourse relocation.
® When an application for development involves 0.5 acres, or more, of cumulative disturbed
area(s), a Sediment Erosion Control Plan shall be submitted. However, such a Plan may be
required for applications with disturbed land of less than 0.5 acres, if deemed necessary by
the Planning Director.
® Location of natural features including: existing trees, rock outcrops and landslide areas.
® Storm water management plan, including storm water calculations supporting the design.
Such plan shall show grades and/or elevations, direction of surface flow, detention and/or
retention areas, outlet control structures and devices.
® A landscape plan showing:
® The location of plants.
® A plant list that includes:
® The plant species;
® The quantity of each type of plant; and,
® The size of each plant at the time of planting.
® The location of fences and walls.
❑ Traffic impact studies, soil tests, utility capacity analysis, and other similar information if
deemed necessary by the Department of Planning and Housing to determine the feasibility
of the proposed development.
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Application Form Last Updated: March 25, 2013
® Two (2) copies of architectural drawings of all new buildings or structures, or alterations, at a
scale not to exceed 1"=8% showing the following information:
® Name(s) of the applicant(s) and the owner(s) of record;
® Legal description and street address of the property;
® Numerical scale and date;
® All exterior wall elevations, indicating floor heights, overall building height and
fenestration; and,
® Building floor plans indicating existing and proposed usage, interior floor area and/or
patron floor area.
® For Village Residential projects, Suburban Residential projects, or Planned Residence
District projects that are to develop in phases, the applicant shall provide a phasing plan
indicating areas to be developed in each phase and the time frame for the development of
each phase.
® A note to be placed on all site plans to read as follows: "All construction materials,
dumpsters, detached trailers, or similar items are prohibited on public streets or within the
public right-of-way."
❑ Size of electrical service and one line drawing of the metering and electrical service.
❑ Number of meters at each location.
❑ Preferred voltage required for the building.
® Preferred location of the electrical service.
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Application Form Last Updated: March 25, 2013
Special Use Permit
(Proposed Use in a Residential Zone)
Permission to Place a "Zoning Action Pending" Sign
on Private Property
(This form must be filled out completely before your application will be accepted.)
Section 29.1500(2)(d)(iii) of the Zoning Ordinance, requires that notice shall be posted by the
City on signs posted on the subject property. One sign shall be posted for each public
street frontage. Required signs shall be posted along the perimeter of the subject property in
locations that are highly visible from adjacent public streets not less than seven (7) days prior
to the meeting or hearing, unless otherwise prescribed by statute.
The owner of property at 3300 George Washington Carver Avenue hereby grants the City of Ames
permission to place "Zoning Action Pending"signs on the property for the purpose of informing
interested persons of the request for action by the City of Ames.
I understand that the signs will be placed on the property several days prior to action on the request by
the Planning and Zoning Commission, Zoning Board of Acj ustmew, or the City Council, crud may renlain
on the property until the request has been approved or•denied by the City.
Signed by: - > J44Date: 4�3
Property Owner ,
rint Name
(Note: No other signature mciv be substiluted,for the Property Owner's Signature.)
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Effective Date: October 6, 2010
Minor Site Development Plan �� � u -
Completeness Checklist
-Z.SA - I�r-o l
Property Addres ` Case # 44&Df�
Date: Checked by:—lwjJI—
Items crossed out are on the application form but not required by Ordinance for a complete submittal.
Seven (7) copies of a Site Development Plan, drawn to scale on a sheet not to exceed
24" x 36", and one (1) reduced copy no larger than 11" x 17".
The Site Development Plan must be prepared by a Civil Engineer, a Land Surveyor, a Landscape
Architect, or an Architect. The site plan must be certified as "substantially correct" by a Professional
Engineer, Land Surveyor, Landscape Architect, or Architect, licensed by the State of Iowa
Name(s) and address(es) of the applicant(s).
Name(s) and address(es) of the owner(s) of record of the property.
Name and address of the person or firm preparing the site plan.
--3P Property address(es).+�c�d add deck#V14S
Date of preparation.
North Arrow.
Scale: The scale shall not be less than 1"=10', and no greater than 1"=60', unless an alternate scale
is approved by the Director of the Department of Planning and Housing. (-
�L Complete legal description. lmk � �Zi -mot l S� t'�5 9• �7 �
Dimensions of the present lot and lot area, to the nearest tenth of a foot. �OYe�
Size and location of all existing and proposed buildings, additions, structures and uses, including:
Setback distance to property lines;
Exact exterior dimensions of each building;
;
U-Nu4�q�—of dwelling units; ,
(11 Square footage of each type of use.
Date: October 6, 2010
1 Proposed use of the property in sufficient detail to determine code compliance.
Existing and proposed location and size of sanitary sewer mains and service lines, or septic tank and
leaching field.
�1 Existing and proposed location and size of water mains, service lines and hydrants, and/or water
well.
`14L Existing and proposed location and size of electrical service (electrical riser diagram) and the location
of high-pressure gas Imps, high teD i9�n transmission lines, and telephone lines.
❑ Existing and proposed location nd size of storm drainage facilities on the property and adjacent to
the property.
U LGGatien, grade, and dirneRGions of all existing paved lsurfar_,es and of all abutting streets.
Existing and proposed location and dimensions of parking areas, individual parking spaces and drive
aisles, driveways, curb cuts, easements and rights-of-way,
areas, leading areas, dividers, GUFbs, Islands, and Gther parking and dri i
Existing and proposed contours at 2-foot intervals, based on City datum, when an application
pertains to any new permanent detached building or structure (principal or accessory).
EJ LOGation of existing and proposed outdoor trash and durnpster areas and methods fe
� +rooninn ci IGh areas
rroorinrr ci inh areas
U LGGatiGR and type of all exiSt'Rg and proposed .
Evidence that the proposed work or activity will comply with the Outdoor Lighting Code, set
forth in Section 29.411 of the Zoning Ordinance
Specifically, the application shall include:
❑ Plans indicating the location on the premises, and the type of illuminating devices,
fixtures, lamps, supports, reflectors and other devices;
❑ A detailed description of the illuminating devices, fixtures, lamps, supports, reflectors, and
other devices. The description shall include manufacturer's catalog cuts and drawings,
including sections when requested;
❑ Photometric data, such as that furnished by manufacturers, showing the angle of cut off
or light emissions.
❑ Location of waterbodies, watercourses, swamps, and flood-prone areas with delineated
channel encroachment lines, wetland boundary lines, 100-year flood plain boundary line, and
floodway boundary line.
2
a �
Date: October 6, 2010
❑ When an application is located in a flood-prone area include existing and proposed site
�n grades, contours and elevations, base flood elevation data, top-of-foundation elevations,
finished floor elevations, and any proposed watercourse relocation.
❑ When an application for development involves 0.5 acres, or more, of cumulative disturbed
area(s), a Sediment Erosion Control Plan shall be submitted. However, such a Plan may be
required for applications with disturbed land of less than 0.5 acres, if deemed necessary by
the Planning Director.
�$f Storm water management plan, including storm water calculations supporting the design.
Such plan shall show grades and/or elevations, direction of surface flow, detention and/or
retention areas, outlet control structures and devices.
A landscape plan showing:
❑ The location of plants.
❑ A plant list that includes:
❑ The plant species;
❑ The quantity of each type of plant; and,
❑ The size of each plant at the time of planting.
.
❑ Traffic impact studies, soil tests, utility capacity analysis, and other similar information if
deemed necessary by the Department of Planning and Housing to determine the feasibility
of the proposed development.
�( Two (2) copies of architectural drawings of all new buildings or structures, or alterations, at a
scale not to exceed 1"=8', showing the following information: 7/*jeS 'e'("4e-L
❑ Name(s) of the applicant(s) and the owner(s) of record; ""7
❑ Legal Description and street address of the property;
❑ Numerical scale and date;
❑ All exterior wall elevations, indicating floor heights, overall building height and
fenestration; and,
❑ Building floor plans indicating existing and proposed usage, interior floor area and/or
patron floor area.
❑ For Village Residential projects, Suburban Residential projects, or Planned Residence
District projects that are to develop in phases, the applicant shall provide a phasing plan
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Date: October 6, 2010
indicating areas to be developed in each phase and the time frame for the development of
each phase.
Ell- A Rote to be plaGed en all site plans te read as fellews: "All GenStFUGtien Materials,
dumpsters, detaGhed trailers, or similar items aFe prehibited on publiG stFeets er within the
publiG right of way."
Ell- Size of eleGtFiGal seRliGe and ene line drawing of the meteFing and e!eGtF*Gal SeFV!Ge.
lAI,,ether of meters at each IGGation
Preferred voltage required for the building.
Dreferred Inootion of the elortrinel ceriine
In addition to Minor or Major Site Development Plan submittals, a Use Analysis Report shall be
prepared by the applicant, for all properties located in a G-1 (General Industrial) or in a P-1
(Planned Industrial) zoning district, that shows the following:
❑ Approximate number of employees;
❑ Approximate utility needs and effect upon existing systems, e.g., projected water demand
(GPM/GPD), waste water generation (GPD + COD/BOD), electricity demand (KW), storm
water increase (CFS), solid waste generation (tons); and
❑ Possible nuisance factors and means for alleviating those factors, such as noise, odor,
smoke, dust, fumes, vibration, or heat.
SAPLAN_SHR\Departmental\Forms Templates\Completeness Check- AASDP.doc
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