HomeMy WebLinkAbout001 Development Review Form BOZEMANMT
Community Development
DEVELOPMENT REVIEW APPLICATION
Please remember to obtain owner signature on this form prior to uploading with the rest of your submittal.(Digital signature
acceptable.)
PROJECT INFORMATION
Project Name: 1410 S.3rd Ave.Site Improvements NCOA
Project Type(s): Demolition DEM,Neighborhood Certificate of Appropriateness NCOA
Street Address: 1410 3RD
BUTTE ADDITION,S18,T02 S,R06 E,BLOCK 22.LOT26-29
Legal Description:
The project site currently consists of four lots;the site will be aggregated into
two lots.Proposed improvements include demolition of an existing home and
Description of Project: construction of two separate single family dwellings&two ADUs,one on each
of the proposed lots.
Current Zoning: R-1 Residential Low Density District
Existing Use: Residential
Proposed Use: Residential
Gross Lot Area: 15516
Number of Buildings: INumberofNewBuildingsl
Type and Number of Dwellings: 4
Building Size(SF): 8700
Non-Residential Building Size(SF): 0
Building Height(ft):
Affordable Housing(Y/N): No
Departure/Deviation Request(Y/N): No
PROPERTY OWNER
Company Name: N/A
Name: Thomas&Bronwyn Hennessy
Full Address: 6625 Sourdough Canyon Road,Bozeman,MT 59715
Email: bronwvnhope(�vahoo.com
Phone: 406 570-0745
APPLICANT - ---- - — - - `— -
Company Name: Allied Engineering Services.Inc.
Name: Madeline Good
Full Address: 32 Discovery Drive.Bozeman,Montana 59718
Email: mgood alliedengineering.com
Phone: (406)590-8361
Company Name: Allied Engineering Services,Inc.
Name: Rory Romey
Full Address: 32 Discovery Drive,Bozeman,Montana 59718
Email: rromey(aalliedengi need ng.com
Phone: (406)582-0221
CERTIFICATIONS AND SIGNATUREis
Applicant signature is captured electronically at time of application submittal.This application(PDF)must also be
signed by the property owner(s)for all application types before the submittal will be accepted.The only exception
to this is an informal review application that may be signed bythe applicant(s)only.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 anywork 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 certifythat 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-fiRal Ian may result in delays of pccupancy or costs to correct noncompliance.
Property Owner Signature:
Printed Name: Thomas&Bronwvn Hennessy
CONTACT US
Alfred M.Stiff Professional Building phone 406-582-2260
20 East Olive Street fax 406-582-2263
Bozemn,MT 59715 planning@bozeman.net
www.bone ma n.net/planning