PLANNING DIVISION Community Development Department GROUP HOME CERTIFICATE OF REGISTRATION ZONING PROCESS GUIDE January 20087April 2009 GROUP HOME PROCESS GUIDE FOR ZONING APPROVAL Introduction The City of Peoria has established requirements for those uses commonly referred to as “Group Homes”. As part of the requirements for State Certification, the applicant must obtain zoning approval from the local municipality. Before a zZoning approval Compliance Letter is granted, the applicant must obtain a Certificate of Registration from the City of Peoriaseveral items as identified below in the requirements portion. For those homes that are registered with Maricopa County through the Foundation of Senior Living, zoning approval from the City is required. The following is a guide that outlines the steps necessary to obtain a Certificate of RegistrationZoning Compliance Letter. Additionally, based upon the different types of group homes and the variety of zoning districts within the City, it is recommended that you obtain a copy of the specific zoning regulations for the proposed group home within a specific zoning district. Copies of the applicable regulations can be obtained from the Planning Division counter within the Community Development and Community Services BuildingDepartment, 8401 West Monroe Street 9875 North 85th Avenue, or by contacting the Planning Division at 623-773-7200. NOTE: THIS GUIDE IS INTENDED TO ONLY TO PROVIDE INFORMATION RELATIVE TO THE ZONING PROCESS TO REGISTER A GROUP HOME WITH THE PLANNING DIVISION OF THE CITY OF PEORIA. OTHER ADDITIONAL APPROVALS ARE REQUIRED FROM THE BUILDING SAFETY DIVISION, AND FIRE PREVENTION DEPARTMENT, DIVISIONSAND SALES TAX DIVISION. IT IS RECOMMENDED THAT YOU CONTACT THESE DEPARTMENTS AT THE PHONE NUMBERS BELOW: BUILDING SAFETY DIVISION – Tom Fierros/Jeff Schumaker 623-773-7225, option 1 FIRE PREVENTION DIVISIONDEPARTMENT – Howard Munding 623-773-7279. SALES TAX DIVISION 623-773-7160 Review and Approval Process Upon submittal of a complete application, Planning staff will review the proposed facility for conformance with City of Peoria Zoning Ordinance. The following information is required for to constitute a complete submittal. Planning Application Requirements: A. Application Form. B. Radius Affidavit FormOwnership Verification Form C. Zoning Clearance Form (with building inspector sign off) D. State Zoning Approval FormDepartment of Health License Number E. City of Peoria Business License Number F. Building Safety Inspection (separate from fire inspection). The Planning Division will review application to ensure compliance with the zoning ordinance. The primary review of the application is to determine whether or notif there is another group home or other group care facility within 1,320 feet of the outside parcel boundaries of the proposed location. As part of the application the applicant must submit the Radius Affidavit. In order to complete this affidavit, the applicant must research State and County records to determine whether another group home or other facility exists within 1,320 feet from the subject property. The Planning Division also maintains a map of known group homes which have fulfilled registration requirements which may be consulted. The State, County, and City records must both be researched by the applicant prior to submittal of the application to further ensure compliance with all regulations. In addition, depending upon the type of group home and the number of occupants, there may be additional requirements. License Revocation or Termination In the event that the appropriate state licensing agency revokes or terminates an applicant’s license, the certification of registration filed with the city shall be deemed to be revoked as of the date of the license revocation or termination. In the event that the use is discontinued by the applicant, it shall be the responsibility of the owner/operator to notify the City of the discontinuation of the use. APPROVALS FROM OTHER DIVISIONS, DEPARTMENTS, AND AGENCIES (if not available at the time of registration) MUST BE PROVIDED TO THE PLANNING DIVISION UPON COMPLETION AND NO LATER THAN 90 DAYS AFTER REGISTRATION OF THE HOME OR ELSE REGISTRATION WILL BE REVOKED. Other Approvals After the Planning Division has approved the Certificate of Registrationregistered the home, the applicant shall obtain the appropriate approvals from the Building Safety and and Sales Tax Divisions, Fire Prevention DivisionsDepartment, as well as the Arizona Department of Health listed aboveunder Planning Application Requirements. NOTE: REGISTRATION FEES ARE DUE AT THE TIME OF SUBMITTAL. FEES ARE ASSESSED ON A PER ADDRESS BASIS AND ARE NOT TRANSFERABLE TO OTHER ADDRESSES. PLEASE VISIT THE GROUP HOME MAP ON OUR WEBSITE AT WWW.PEORIAAZ.GOV/PLANNING OR CONTACT THE PLANNING DIVISION TO DETERMINE THE ELIGIBILITY OF A PARTICULAR ADDRESS/HOME BEFORE SUBMITTING THE REGISTRATION APPLICATION. GROUP HOME PROCESS Community Development Department Group Home Registration Planning Division Type of Facility: { }Elderly} Elderly Home {Home { }Juvenile} Juvenile Home {Home { }Recovery} Recovery Home { }Other} Other______________________________________________________ NAME OF FACILITY:_________________________________________________________________ ADDRESS:___________________________________________________________________________ CITY/STATE:___________________________________________ ZIP CODE:_______________ PHONE:____________________________ FAX:____________________ NAME OF APPLICANT:______________________________________________________________ ADDRESS:___________________________________________________________________________ CITY/STATE:___________________________________________ ZIP CODE:_______________ PHONE:____________________________ FAX:____________________ APPLICANT’S SIGNATURE:_: ________________________________________________ PROPERTY OWNER:_________________________________________________________________ ADDRESS:___________________________________________________________________________ CITY/STATE:___________________________________________ ZIP CODE:_______________ PHONE:____________________________ FAX:____________________ OWNER’S SIGNATURE:_: ___________________________________________________ NUMBER OF OCCUPANTS:__________________________________________________________ LICENSING AGENCY: :__________________________________________________________ LICENSE NUMBER:______________________________________________________________ (PLEASE ATTACH COPY/OR PROOF OF APPLICATION TO LICENSING AGENCY) PEORIA BUSINESS LICENSE NUMBER:_____________________ BUILDING SAFETY PERMIT_____________________________ OWNERSHIP VERIFICATION It is requested that a ________________ application be accepted by the Current Planning for property generally located: __________________________________________________ Said property is owned by: AND ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Phone Number: ______________________ Phone Number: ___________________________ The subject property is legally described as:_: ____________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________(or see attached). The subject property contains__________ gross acres (includes right-of-way to the centerline of adjacent street or alley) AND __________ net acres (excludes adjacent perimeter right-of-way). Tax Parcel Number: ___________________ Attached is a map/survey which accurately portrays the parcel configuration and property dimensions, as reflected in the legal description. I hereby certify that the above information and information submitted as part of the requested application is correct, and that I am authorized to file an application on said property, being either the owner of record or authorized to file on behalf of the owner. (If not owner of record, attach written authorization from owner.) ______________________________________________________ __________________ Applicant's Signature Date 9/96 RADIUS AFFIDAVIT FORM I, __________________________, hereby acknowledge that I have determined that there are no group homes or other facilities within One Thousand, Three Hundred (1,320) Twenty Feet, as measured in a straight line to my property located at ___________________________ ._. Attached is a map/survey which accurately portrays the parcel location as reflected in the legal description. I further acknowledge and understand that in the event that a group home or other facility is determined to have existed and/or certified with the State of Arizona within 1,320 feet of the attached described property, on or before the date indicated hereon, shall constitute grounds for revocation of the Certificate of Registration for the attached described property. Dated: ____________________ _______________________________________________ Dated: ____________________ _______________________________________________ ACKNOWLEDGMENT STATE OF ARIZONA )ARIZONA) ) ss. County of Maricopa ) On this date, before me, a Notary Public, personally appeared ________________________ known to me or satisfactorily proven to be the person whose name is subscribe to this instrument and acknowledged that he/she executed the same. If this person’s name is subscribed in a representative capacity, it is for the principal named and in the capacity indicated. The foregoing instrument was acknowledged before me this __________ day of ____________________, 20, 2019______, by _________________________ and/or _________________________ ._. _________________________ Notary Public My Commission Expires: _____________________________ City of Peoria 9875 North 85th Avenue, Peoria, Arizona 85345 ZONING /BUILDING LETTER OF COMPLIANCE This document is to certify that the home of: Facility Name: ______________________________________________________ Street Address: ______________________________________________________ ______________________________________________________ Contact Person: ______________________________________________________ Mailing Address: ______________________________________________________ Phone Number: ______________________________________________________ Type of Home: ______________________________________________________ Number of Residents: ______________________________________________________ The property meets the zoning requirements as required for the type of group home, and maximum of number of residents as listed above. PLANNING STAFF: ____________________________________________ ______________________ Name Date ____________________________________________ ______________________ Title Phone The property has complied with all building code requirements and is approved by the City of Peoria to establish and commence business as a group home for the number of residents as listed above. BUILDING SAFETY STAFF: Sprinklers Required ? YES ? NO ____________________________________________ ______________________ Name Date ____________________________________________ ______________________ Title Phone THIS DOCUMENT IS TO PROVIDE THE DEPARTMENT OF HEALTH SERVICES WITH EVIDENCE THAT A GROUP HOME CAN BE APPROVED IN THE CITY OF PEORIA. COMPLETION OF THE PLANNING & BUILDING SAFETY PORTION OF THIS DOCUMENT IS TO VERIFY THAT THE CITY IS AWARE OF THIS PROJECT AND APPROVES. \\TCFPSAN1\COMMDEV\P&Z\USERS\PLAN TECH\GROUP HOMES\GROUP HOME GUIDE _JAN 08.DOC