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Home My WebLink About19495 Application Summary � lMT Al - .�, � . Community Development F? EVELOPMENT REVIEW APPLICATION PROJECT IMAGE PROJECT INFORMATION VICINITY MAP Project name: Headwaters Academy Zone Map Amendment Project type(s): CUP/Site Plan Application Description: Re-use of existing residential building for school admin., construction of new classroom building and required site improvements. Street address: 1005 Durston Rd. Zip code: 59715 ri b. Zoning: R-5 • Gross lot area: 3.021 acres d dscape '' Block frontage: Lan �, � Number of buildings: 3 - Type and Number of dwellings: N/A i Non-residential building size(s): Admin.-4,984SF,Classroom-7,731SF,Gar.-2,238SF i Non-residential building height(s): 28 - new bldg, 24'- Exist. Admin. Bldg., 21'Gar. (in stories) Number of parking spaces: 52 Affordable housing(Y/N): N/A Cash in lieu of parkland (Y/N): N/A CITY USE ONLY Submittal date: Planner: Application file number: DRC required(Y/N): Revision Date: Development Review Application Al Page 1 of 3 Revision Date:5.16.18 REQUIRED FORMS: Varies by project type, PLS DEVELOPMENT REVIEW APPLICATION 1. PROPERTY OWNER Name: The Headwaters Academy, Inc. Full address(with zip code): 1005 Durston Rd., Bozeman, MT 59715 Phone: 406-580-0434 Email: kevin@genecookrealestate.com 2. APPLICANT Name: The Headwaters Academy, Inc. Full address(with zip code): 1005 Durston Rd., Bozeman, MT 59715 Phone: 406-580-0434 Email: kevin@genecookrealestate.com 3. REPRESENTATIVE Name: Legends Studio- Kira Ogle Full address(with zip code): 3805 Valley Commons Dr., Ste 11, Bozeman, MT 59718 Phone: 406-570-4562 Email: kira@legendsstudio.com 4. SPECIAL DISTRICTS Overlay District: ❑ Neighborhood Conservation ❑x None Urban Renewal District: ❑ Downtown ❑X North 7th Avenue ❑ Northeast ❑ North Park ❑None 5. CERTIFICATIONS AND SIGNATURES This application must be signed by both the applicant(s)and the property owner(s)(if different)for all application types before the submittal will be accepted.The only exception to this is an informal review application that may be signed by the applicants)only. As indicated by the signature(s) below,the applicant(s)and property owner(s)submit this application for review under the terms and provisions of the Bozeman Municipal Code. It is further indicated that any work undertaken to complete a development approved by the City of Bozeman shall be in conformance with the requirements of the Bozeman Municipal Code and any special conditions established by the approval authority. I acknowledge that the City has an Impact Fee Program and impact fees may be assessed for my project. Further, I agree to grant City personnel and other review agency representative's access to the subject site during the course of the review process(Section 38.34.050, BMC). I (We) hereby certify that the above information is true and correct to the best of my(our)knowledge. Certification of Completion and Compliance- I understand that conditions of approval may be applied to the application and that I will comply with any conditions of approval or make necessary corrections to the application materials in order to comply with municipal code provisions. Statement of Intent to Construct According to the Final Plan-I acknowledge that construction not in compliance with the approved final plan may result in delays of occupancy or costs to correct noncompliance. continued on next page Development Review Application Al Page 2 of 3 Revision Date:5.16.18 REQUIRED FORMS: Varies by project type, PLS DEVELOPMENT REVIEW APPLICATION Applicant Signa �d6sStuclio Printed Name: Kira 0 e/Le Owner Signature: Printed Name: The Headwaters Academy, Inc. � Owner Signature:/ n/�il/1Gt rw ` �IrG�vS Printed Name: If signing as a corporation or LLC, please provide the title and position of the individual signing on behalf of the corporation/LLC. Attach separate sheets for additional owner signatures. 6. APPLICATION TYPES Check all that apply,use noted forms. FORM FORM ❑ 1. Pre-application Consultation None ❑ 17. Informal Review INF ❑ 2. Master Site Plan MSP ❑ 18. Zoning Deviation/Departure None X❑ 3. Site Plan SP ❑ 19. Zoning or Subdivision Variance Z/SVAR ❑ 4. Subdivision pre-application PA ❑X 20. Conditional Use Permit CUP ❑ 5. Subdivision preliminary plan PP ❑ 21. Special Temporary Use Permit STUP ❑ 6. Subdivision final plan FP ❑ 22. Special Use Permit SUP ❑ 7. Subdivision exemption SE ❑ 23. Regulated Activities in Wetlands WR ❑ 8. Condominium Review CR ❑ 24. Zone Map Amendment(non-Annexation) ZMA ❑ 9. PUD concept plan PUDC ❑ 25. UDC Text Amendment ZTA ❑ 10. PUD preliminary plan PUDP ❑ 26. Growth Policy Amendment GPA ❑ 11. PUD final plan PUDFP ❑ 27. Modification/Plan Amendment MOD ❑ 12. Annexation and Initial Zoning ANNX ❑ 28. Extension of Approved Plan EXT ❑ 13. Administrative Interpretation Appeal AIA ❑ 29. Reasonable Accommodation RA ❑ 14. Administrative Project Decision Appeal APA ❑ 30. Comprehensive Sign Plan CSP ❑ 15. Commercial Non-residential COA CCOA ❑ 16. Historic Neighborhood NCOA ❑ 31. Other: Conservation Overlay COA CONTACT US Alfred M.Stiff Professional Building phone 406.582.2260 20 East Olive Street 59715(FED EX and UPS Only) fax 406.582.2263 PO Box 1230 planningCbozeman.net Bozeman, MT 59771 www.bozeman.net Development Review Application Al Page 3 of 3 Revision Date: 5.16.18 REQUIRED FORMS: Varies by project type, PLS