HomeMy WebLinkAbout20276 Application Summary DocuSign Envelope ID:3A3A58DF-7C2A-4E34-8CE9-DFBC109DFBF4
BOZ E MAN MT Al
Community Development
DEVELOPMENT REVIEW APPLICATION
PROJECT IMAGE
` L
PROJECT INFORMATION VICINITY MAP
Project Name: PatzResidence
Project Type(s): Residential
Street Address: 503 North Bozeman Avenue
BEALL 2ND ADD,S07,T02 S,R06 E,BLOCK C,ACRES 0.257,LOT 1 LESS N 4'&S 50'
Legal Description: PROPERTY LOCATION L
BEALL 2ND ADD,S07,T02 S,R06 E,BLOCK C,ACRES 0.257,LOT 1 LESS N 4'&S 50'
Description of Project: Residential Remodel&New Construction
Current Zoning: R-3
Gross Lot Area: 0.257Acres '
Block Frontage(s): Short Street,North Bozeman Avenue
Number of Buildings: 2
Type and Number of Dwellings: (1)Residence,(1)Garage
Building Size(s): Residence(4,753 SF),Garage(814 SF)
Building Height(s): 25'-6"
Number of Parking Spaces: 3 PLUS ON-STREET
Affordable Housing (Y/N): "
Cash-in-lieu Parkland (Y/N): "
Departure/Deviation Request (Y/N): "
SPECIAL DISTRICTS
Overlay District: m Neighborhood Conservation ❑ None
Urban Renewal District: ❑ Downtown North 7th Avenue ❑ Northeast LI North Park ❑ None
Development Review Application Page 1 of 3 Revision Date:June 2020
DocuSign Envelope ID:3A3A58DF-7C2A-4E34-8CE9-DFBC109DFBF4
DEVELOPMENT REVIEW APPLICATION
PROPERTY OWNER
Name: Michael&ShariPatz
Full Address: 2110 Wiltonwood Road,Stevenson,MD 21153-2057
Email: mpatz@KLNB.com
Phone: 410-707-1575
APPLICANT
Name: 'osey Hasson
Full Address: 81211 Gallatin Road,Suite E Bozeman MT 59718
Email: Jhasson@studiohdesigninc.com
Phone: 406-587-9968
REPRESENTATIVE
Name:
Full Address:
Email:
Phone:
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 applicant(s) 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 38.200.050, 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.
DocuSigned by:
Applicant Signature:
Printed Name: ,bStr� (�aSSbin
BDEA2B72D29546A..Josey Hasson
DocuSigned by:
Owner Signature: ADocu.� chael Patz
Printed Name: 4395A7Bc3460446...
Representative Signature:
Printed Name:
Development Review Application Page 2 of 3 Revision Date:June 2020
DocuSign Envelope ID:3A3A58DF-7C2A-4E34-8CE9-DFBC109DFBF4
DEVELOPMENT REVIEW APPLICATION
APPLICATION TYPE
Check all that apply FORM FORM
L_ 1. Administrative Interpretation Appeal AIA L 16. PUD Preliminary Plan PUDP
[ 2. Administrative Project Decision Appeal APA [ 17. PUD Final Plan PUDFP
[ 3. Annexation and Initial Zoning ANNX [ 18. Reasonable Accommodation RA
❑ 4. Commercial/Nonresidential COA CCOA [ 19. Site Plan SP
❑ 5. Comprehensive Sign Plan CSP [ 20. Special Use Permit SUP
E16. Condominium Review CR [ 21. Special Temporary Use Permit STUP
❑ 7. Conditional Use Permit CUP [ 22. Subdivision Exemption SE
❑ 8. Extension to Approved Plan EXT [ 23. Subdivision Pre-Application PA
❑ 9. Growth Policy Amendment GPA [ 24. Subdivision Preliminary Plan PP
❑ 10. Informal Review INF [ 25. Subdivision Final Plat FP
❑ 11. Master Site Plan MSP [ 26. Wetland Review WR
❑ 12. Modification/Plan Amendment MOD [ 27. Zone Map Amendment ZMA
Q 13. Neighborhood/Residential COA NCOA [ 28. Zone Text Amendment ZTA
[ 14. Pre-application Consultation None [ 29. Zoning/Subdivision Variance Z/SVAR
[ 15. PUD Concept Plan PUDC [ 30. Zoning Deviation/Departure None
[ 31. Other:
REQUIRED FORMS
Varies by project type
APPLICATION FEE
Varies by project type
CONTACT US
Alfred M. Stiff Professional Building phone 406-582-2260
20 East Olive Street fax 406-582-2263
Bozeman, MT 59715 planning@bozeman.net
www.bozeman.net/planning
Development Review Application Page 3 of 3 Revision Date:June 2020