Fillable Minor Site Plan Application (Polk County)

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Minor Site Plan Application (Polk County)

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Page 1 of 3
Minor Site Plan Application
A Minor Site Plan is allowed when there is an existing site plan on file and the
following: (please check the appropriate box)
Addition to an existing non-residential building
Expansion of a non-residential use which includes, but is not limited to, the
addition of paved surfaces or outdoor storage areas
Unmanned utility substation
New non-residential use on a property where a change of use permit is
required
Prior to the development of a site for non-residential uses (permitted or conditional), a
site plan shall be submitted and shall conform to the requirements as outlined in Article
16 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
2. Property Owner Information
__________________________________________
Property Owner (Print Name)
___________________________________________ ______________________________________________
Email Phone
3. Consultant Information
__________________________________________ __________________________________________
Company Name Project Contact
____________________________________________________________________
Address, City, State and Zip
___________________________________________ ______________________________________________
Email Phone
(time stamp)
Official Use Only
Page 2 of 3
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
Completed Application Form including checklist
Application Fee - $268.00
Storm water calculations
Storm Water Pollution Prevention Plan (SWPPP) and/or a National Pollution Discharge Elimination System
(NPDES) Permit, as applicable
Minor 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@gmail.com
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 3
Minor Site Plan Checklist
Information Required
Map scale 1”=100’ or as needed to be legible.
A legal description of the property and boundary drawing of the property or area involved.
A vicinity map showing the subject parcel and illustrating its relationship to the nearest major street intersection
and adjacent streets.
North arrow and scale of drawings
Title block including the name and address of the development, the architect's/engineer's seal, the date and the
date of all revisions.
Present titleholder of the property
Number of units, square feet and a description of the use proposed for the addition.
Location of the vehicular entrance to the site.
Method of handling and approximate location of water and sewer (septic) facilities
Location of easements.
Location, dimensions, height, and setbacks of all existing and proposed buildings
Location of existing and proposed parking areas, number of stalls required, and stall dimensions
Location of outside refuse collection areas and the type of solid screen to be provided. Refuse containers must be
enclosed or screened from public view.
Location of landscaping, buffer areas and screening
Existing and proposed contours
Storm water detention areas and calculations
The existing, proposed and maximum Floor Area Ratio (FAR) for the use.
The existing, proposed and minimum Open Space Ratio (OSR) required for the use.
The existing and proposed light fixtures including location, height, details and photometric plan as applicable.
The existing and proposed signage including both freestanding and wall signage, the location, height and size
details.
Changes in all site conditions existing and proposed from previous approved site plan.
Other items from the major site plan requirements that need updated or addressed.
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 this Ordinance if construction 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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Minor Site Plan Application (Polk County)

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Completed 14 February 2021

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