HomeMy WebLinkAbout001 Development Review Application.pdf V1 DocuSign Envelope ID:5CF23D6D-34ED-40AC-B3D1-FC4AC1D4271`6
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: Ericson ADU
Project Type(s): Neighborhood Certificate of Appropriateness NCOA
Street Address: 725 TRACY
FAIRVIEW ADD,S07,T02 S,R06 E,BLOCK 7,Lot 20-21,ACRES 0.207,
PLAT C-3
Legal Description:
This protect is a remodel and addition to an existing garage.The existing roof
will be removed and an accessory dwelling unit will be built as a second floor.
Description of Project: A carport will be added off of the alley.
Current Zoning: R-1 Residential Low Density District
Existing Use: Residential
Proposed Use: Residential
Gross Lot Area: 9017
Number of Buildings: rNumberofNewBuildingsl
Type and Number of Dwellings: 1
Building Size(SF): 1155
Non-Residential Building Size(SF): 0
Building Height(ft):
Affordable Housing (Y/N): No
Departure/Deviation Request(Y/N): No
PROPERTY OWNER T
Company Name: Ericson Montana Holdings LLC
Name: Ame Ericson
Full Address: 216 S.Grand Ave.,Bozeman,MT 59717
Email: aericson(a_novoconstructions.com
Phone: (406)5864777
APPLICANT
Company Name: Studio Architects
Name: Kayla Johnson
Full Address: 21 W Babcock,Bozeman,Montana 59717
Email: kiohnson(aD-studioarchitects.net
Phone: (406)5864777
DocuSign Envelope ID:5CF23D6D-34ED-40AC-B3D1-FC4AC1 D427F6
REPRESENTATIVE
Company Name: Studio Architects
Name: Leah Shute
Full Address: 21 W Babcock,Bozeman, Montana 59717
Email: Ishute(a-)_studioarchitects.net
Phone: (406)586-4777
CERTIFICATIONS AND SIGNATURES
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 by the 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 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 complywith 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 pccupancyor costs to correct noncompliance.
9 Property Owner Signature: aw v csaw _
Czeaz
Printed Name: Arne Ericson
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.bozeman.net/planni ng