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Renaissance Senior Care Application MaterialsC1 CA1 3 � � rMT, IT pq �� CONDITIONAL USE PERMIT Email: planning ftalispell.com Website: www.kalispell.com Project Name Property Address Renaissance Senior Care - Liberty 1645 Liberty St, Kalispell, MT 59901 NAME OF APPLICANT Renaissance Senior Care, LLC - Adam Wright - Manager Applicant Address PO Box 1687 Applicant Email Address adam@seniorcaremt.com OWNER OF RECORD Bud Jacobson & Sons INC Owner Address PO Box 850 Owner Email Address Applicant Phone (208) 709-6497 City, State, Zip Idaho Falls, ID 83403 Owner Phone (208) 227-1577 amity, State, Zip Deer Lodge, MT 59722 adam@seniorearemt.com 2011st Avenue East Kalispell, MT 59901 Phone (406) 758-7940 CONSULTANT (ARCHITECT/ENGINEER) Pho e Zach Dowler, ELM Construction 1401 _Q611�' _ i ! i '? POINT MHAr List ALL ov ers (any individual or other entity with an ownership interest in the property): Legai uescrlptlon (please attach a full legal description for the property and a copy of the most recent deed). Before the application will be deemed to be accepted for review, our office must receive an approval of the legal Description from the Flathead County Plat Room. Please submit the legal description to their office ;plat@flathead.mt.gov). CUP Form #4: Proposed Use The proposed use of the facility will be an Assisted Living Facility. The business is already existing and has been for years. We will be converting the existing garage into a 2 bed 2 bath conditioned living space. We will also expand the existing office. No changes will be made to the following: Traffic Flow and Control - Off Street Parking & loading - Refuse/Garbage collection and service areas - Screening and Buffering - Signs, Yards, and open spaces - Height, bulk, and location of structures. - Location of proposed open spaces - Hours and manner of operation - Noise, light, dust, odors, fumes, vibration, glare and heat - Storm Drainage - Fire/Police The following changes are being made to: - Access to and circulation within the property. We will be closing off the existing garage and converting to 2 bedrooms. Our plan is to keep the existing side man door to act as an emergency exit for the 2 additional rooms - Utilities. Within the converted garage space, we will be building (2) small bathrooms (toilet, shower, sink) and will tie into the existing ser drain line within the crawlspace. We will adjust the existing electrical within the space and add basic electrical (duplexes, lights, etc). We will also add a mini split unit within each bedroom. Development Services \ , 2031st Avenue East �� � a R Kalispell, MT 59901 �=' Phone (406) 758-7940 I. Zoning District and Zoning Classification in which use is propsed: 2. Attach a site plan of the affected lot which identifies the following items: a. Vicinity map and surrounding land uses b. Dimensions and shape of lot c. Topographic features of lot d. Size(s) and location(s) of existing buildings e. Size(s) and location(s) of proposed buildings f. Existing use(s) of structures and open areas g. Proposed use(s) of structures and open areas h. Existing and proposed landscaping, screening, fencing, open space & signage i. Exisiting and proposed parking, loading, lighting & traffic circulation j. Exisiting and proposed garbage collection, streets & utilities k. Floodplain if applicable I. Adjacent sidewalks & bike trails 3. Attach Building Elevations - (drawing of any proposed building and/or addition showing views from north, south, east and west ) 4. On a separate sheet of paper, discuss the following topics relative to the proposed use (please elaborate beyond referencing materials listed above): a. Traffic flow and control b. Access to and circulation within the property c. Off-street parking and loading d. Refuse/garbage collection and service areas e. Utilities (water, sewer, electric, etc.) f. Screening and buffering g. Signs, yards and other opens spaces h. Height, bulk and location of structures i. Location of proposed open space uses j. Hours and manner of operation k. Noise, light, dust, odors, fumes, vibration, glare and heat I. Storm drainage m. Fire/Police 5. Attach supplemental information for proposed uses that have additional requirements (consult Planner) I hereby certify under penalty of perjury and the laws of the State of Montana that the information submitted herein, on all other submitted forms, documents, plans or any other information submitted as a part of this application, to be true, complete, and accurate to the best of my knowledge. Should any information or representation submitted in connection with this application be incorrect or untrue, I understand that any approval based thereon may be rescinded, and other appropriate action taken. The signing of this application signifies approval for the Kalispell City staff to be present on the property for routine monitoring and inspection during the 1 approval and development process. - j aun wflf �- nnw tt k�ld� rnxx s y"� t k�uY t 2006655 ! 3q (oO 8y _ �5- J, ( PAGE5 3 By PAULR ROBIN50N Fi ATNEAb COUNTY, ONTANft SrK- io3j�:'7 Return To: �"' P�Utt. 1Ac�hs n•r5 n5 7rpri.rdyP m�- �i�2Z WARRANTY DEED FOR VALUE RECEIVED, RENAISSANCE ASSISTED LIVING, LLC, as Idaho C Limited Liability Company, of GRANTOR, does hereby grant, bargain, sell and convey unto: W > BUD JACOBSON & SONS, INC., a Montana Corporation P.O. Box 850 Deer Lodge, MT 59722 Q GRANTEE, its successors and assigns, the following described premises in Flathead County, State of Montana; Lot 4 of Liberty Village, according to the map or plat thereof on file and ofrecord in the office of the Clerk and Recorder of Flathead County, Montana. TO HAVE AND TO HOLD the said premises, with its appurtenances and easements apparent or ofrecord, unto the said GRANTEE, its successors and assigns, forever. SUBJECT TO: (A) All reservations, exceptions, covenants, conditions and restrictions ofrecord and in patents from the United States or the State of Montana; (B) All existing easements, rights of way and restrictions apparent or of record; (C) Taxes and assessmems for die current year and subsequent years; (D) All prior conveyances, leases or transfers of any interest in minerals, 20000ss 3� o including oil, gas and other hydrocarbons; (E) Building, use, zoning, samtary, and environmental restrictions; (F) Terms and provisions contained in Resolution No. 4096, regarding annexation to the City of Kalispell, Montana and zoning, recorded December 14, 1993 as Document No. 9334815040, records of Flothead County, Montana; (G) Provisions and conditions contained in Certificate ofApprovat by the State of Montana Department ofHealth and Environmental Sciences as attached to the plat of Liberty Village; (H) Liberty Village Subdivision Improvement Agreement, filed with the plat of Liberty Village on February 24, 1994 as Document No. 9405514150, records of Flathead County, Montana; and (1) Terms and provisions contained in Administrative Conditional Use Permit No. 03-03, regarding expansion of residents, recorded May I6, 2003 as Document No. 200313613580, records ofFlathead County, Montana. GRANTOR covenants with GRANTEE that GRANTOR is now seized in fee simple absolute of said premises; that GRANTOR has full power to convey same; that the same is free from all encumbrances excepting those set forth above; that GRANTEE shall enjoy the same without any lawful disturbance; that GRANTOR will, on demand, execute and deliver to GRANTEE, at the expense of GRANTOR, any further assurance of the same that may be reasonably required; and, with the exceptions set forth above, that GRANTOR warrants to GRANTEE and will defend for it all the said premises against every person lawfully claiming all or any interest in same_ DATED this � day of February, 2006. RENAISSANCE ASSISTED LIVING, LLC ' By: vr! ,Is 200GOSS r2/t<o� STATE up :W4 d-o ) ss. County ofD,L On this -23 day ofFebmary, 2006, before me, the undersigned, a Notary'Public for the State of --t>4petsonaliy appeared T6lZart-r LL�gi +6 4 7 , known to me to be the 04A)ALfe of Renaissance Assisted Living, LLC, and a6mowledged tome that he/she executed the same. IN WITNESS WHEREOF, I have hweuklo set my hand and seal the day and year first above written. Pnn No P. lie for the State of �d H c7 Residing at: .>400 {SEAL) My Commission Expires: 6 7 b RENAISSANCE SENIOR CARE 'Fnlighlened Eider Cure" To: City of Kalispell - Development Services Department I, Adam Wright (Authorized Agent of Renaissance Senior Care, LLC) authorize Zach Dowler and Misty Howell to complete all necessary permit paperwork on the behalf of Renaissance Senior Care, LLC for this repurposing project. Sincerely, Adam Wright Renaissance Senior Care