Fillable Major Site Plan Application (Polk County)

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Major Site Plan Application (Polk County)

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Page 1 of 4
Major Site Plan Application
A major site plan is required prior to the development of a site for non-residential uses
permitted or conditional or planned residential uses, a site plan shall be submitted and
shall conform to the requirements as outlined in Article 14 of the Polk County Zoning
Ordinance.
1. Subject Property Information
____________________________________________________________
Property Address or Parcel Number
______________________________
Zoning District
_______________________________ _______________________________
Current Use Proposed Use
2. Applicant Information
__________________________________________
Applicant (Print Name)
__________________________________________
Interest in Property (owner, consultant, prospective buyer)
____________________________________________________________________
Address, City, State and Zip
___________________________________ ________________________________
Email Phone
3. Property Owner Information
__________________________________________
Property Owner (Print Name)
___________________________________________ ______________________________________________
Email Phone
4. Consultant Information
__________________________________________ __________________________________________
Company Name Project Contact
____________________________________________________________________
Address, City, State and Zip
___________________________________________ ______________________________________________
Email Phone
(Time stamp)
Official Use Only
5. Written description
Description of the proposed improvements, proposed use or change of use for the property:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
__________________________________________________________________________________
Submittal Requirements:
5
copies of the Site Plan + Electronic Copy
including checklist
Completed Application Form
Application Fee - $423.00
Storm water calculations
Storm Water Pollution Prevention Plan (SWPPP) and/or a National Pollution Discharge Elimination System
(NPDES) Permit, as applicable
Major Site Plan Review Process
A completed application with required documentation and filing fee must be submitted.
Incomplete submittals will not be processed.
Return forms M-F 7am – 4:30 pm to: Polk County Public Works, Planning & Development Division
5885 NE 14
th
Street, Des Moines, IA 50313
Phone: (515)286-3705 Fax (515)323-5295
email: PublicWorks@polkcountyiowa.gov
Forms available online http://www.polkcountyiowa.gov/PublicWorks/
Intake
•Submit completed application, Site Plan, and fee
Review
•5 working day review time by Polk County staff
•E-mail comments to Applicant and Property Owner
Resubmittal
•5 working day review time by Polk County staff
•E-mail comments to Applicant and Property Owner
•Reveiw and resubmittal repeat until all items are addresseed
Admin.
Approval
•2 copies of the approved Site Plan are stamped and retained by Polk County
•Approval e-mail is sent to Applicant and to Property Owner
Page 3 of 4
Major Site Plan Checklist
General Matters
A metes and bounds legal description of the property certified by a land surveyor or, if part of a recorded
plat, the dimensions and plat reference including book/page of subdivision plat or survey.
A vicinity map showing the subject parcel and illustrating its relationship to the nearest major street
intersection and adjacent streets.
North arrow and labeled scale of drawings (Map scale 1”=100’ or as needed to be legible)
Title block including the name and address of the development and the developer, the architect's/engineer's
seal, the date, and the date of all revisions.
Property lines, existing and proposed right-of-way lines, with metes and bounds (bearing and distances)
indicated, and building or setback lines.
Existing and proposed easement lines and dimensions, with the owner's name or a description of facilities
located therein.
Location and size of all existing and proposed structures and other improvements on the property, including,
but not limited to, buildings, existing and proposed parking areas, streets, walkways, drainage structures,
utility poles, fences, retaining walls, sewage disposal system, manholes, water lines, wells, etc.
For nonresidential uses, a description of the general use for which any structure is intended.
For nonresidential uses, the number of employees on the largest work shift; for places of assembly, the
maximum capacity of the meeting or assembly space (if applicable.)
Ownership, land-use, and zoning of adjoining properties.
Submission of permits or other records, if required, proving that the proposed use is located on a legal lot.
Design of all exterior signs, including location and size (both freestanding and attached signs) and
illumination technique.
Location and intensity, in candlepower, of all exterior lighting, including height and spacing of all lighting
standards.
Location of outside refuse collection areas and the type of solid screen to be provided. Refuse containers
must be enclosed from public view.
Gross square footage of all building structures and Floor Area Ratio, if applicable.
A table showing type, size and quantity of all trees and shrubs used in landscaping of the site if not noted
elsewhere on the plan.
Present zoning of the subject tract.
Percentage of green space, Open Space Surface Ratio, per lot not occupied by buildings, structures, or
paving.
Additional Information representing unique characteristics of the site.
Drainage Matters
All existing or proposed ponds, lakes, basins, rivers, streams, or other bodies of water, and their intended
purpose (recreational, retentive, etc.).
Existing and/or proposed storm sewers to serve the site.
Existing and proposed major drainage facilities, such as bridges, culverts, channels, creeks, etc.
The limits of the one hundred (100) year floodplain zone (if applicable).
Site Grading Matters
Existing and proposed contours shall be referenced to LIDAR (Light Detection and Ranging) data or U.S.
Geological Survey datum and normally two (2) foot intervals, for the subject property, extending at least
fifty (50) feet off site. Contour intervals other than the above may be required depending on the topography
of the site. Existing contour lines shall be differentiated from that of proposed contour lines. A varied
frequency of contours and/or spot elevations may be required.
If required to determine drainage patterns, two (2) cross sectional profiles (taken perpendicular to each
other), showing proposed structures and proposed and existing grades through the center of the property
may be required.
Circulation, Parking, and Landscaping Matters
Curb cuts required to provide ingress and egress to and from adjacent streets.
The existing width and proposed widening of all existing adjacent streets and rights-of-way (including the
number and width of lanes and any island or medians) (NOTE: New easements and right-of-way dedications
may be required in conjunction with the proposed development, and must be shown and dimensioned on
the plan.)
All the entrances on opposite sides of existing adjacent streets within the frontage of the development.
The width and location of all internal drives, aisles, parking and loading spaces.
The location of all islands and medians.
The location and dimensions of all existing and proposed curbs.
The number of parking and loading spaces.
The location of spaces to be used for outdoor vehicular and equipment storage, and the location of
screening, existing and proposed.
All proposed deciduous and evergreen trees, ground cover, and other landscaping elements and the
quantity, plant type and initial planting sizes
Wastewater System
Public sanitary sewer main location including existing and proposed manholes, service line connection
location and label the provider of the service if the project is adjacent to or within 300 feet of the property.
Proposed location of on-site wastewater system and type of system and protection of area noted, if public
sanitary sewer is not available.
Proposed Activities
Proposed location of buildings and other structures, including parking and loading areas.
In multiple lot developments, conceptual location and configuration of buildings, approximate locations of
common ground areas, open space, major utility easements, and storm water retention areas shall also be
indicated.
Preliminary plan for storm drainage facilities.
Proposed land uses, lot areas and dimensions, building sizes and heights, and setback distances.
Proposed landscaping, lighting, and screening plans.
Proposed development phasing schedule.
A color photograph and/or rendering of the proposed building(s) as viewed from the front of the lot at the
street lot line, together with elevation views of the remaining sides of the building(s), showing proposed
building materials and appearance.
Existing Natural Resources
A natural resource inventory of the site showing all the natural resources as listed in Natural Resources
section including woodlands, wetlands, drainage ways, floodplain, etc.
Show the approximate location of all isolated trees having a trunk diameter of sixteen (16) inches or more
and all tree masses.
Review will be based on information provided by the developer and will cover landscaping, lighting, setbacks, points of access
and egress, parking, screening, and location relationships of proposed building(s), improvements, phasing, stormwater
controls and any other information which may include off site drainage, other utilities, natural resources, etc. as deemed
appropriate by the Zoning Administrator.
All information shown on a site plan shall be constructed or completed to conform to the approved site plan. Modifications
shall be shown on a revised certified as-built site plan. Additional engineering, site plan documents and site modifications may
be necessary to comply with the requirements of the Polk County Ordinance, if construction is not completed to the approved
site plan. Failure to complete the site plan as approved is a violation of this Ordinance
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Major Site Plan Application (Polk County)

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Completed 14 February 2021

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