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HomeMy WebLinkAbout20065 Project Summary BOZ E MANMT Al Community Development DEVELOPMENT REVIEW APPLICATION PROJECT IMAGE PROJECT INFORMATION ?ro;ect name: Nielsen Master Suite Projecttype(s): Addition 0 Description: We are adding a master bedroom to our home.This will bring the property in line with the historical nature of the house o Street address: 604 South Black Zip code: 59715 Zoning: Residential m Gross lot area: 8322 sq.feet Block frontage: 73 feet Number of buildings: one i> Type and Number of dwellings: residential home Non-residential building size(s): n/a o. Non-residential building height(s): rtrt (in stories) , Number of parking spaces: 2 Affordable housing(Y/N): j Cash in lieu of parkland(Y/N): N CITY USE ONLY Submittal date: Planner: Application file number: DRC required(Y/N): Development Review Application Al Page 1 of 3 Revision Date:5.16.18 REQUIRED FORMS: Varies by project type,PLS DEVELOPMENT REVIEW APPLICATION 1. PROPERTYOWNER -- Name: Eric Leigh Nielsen and Paula Milano Nielsen Full address(with zip code): 604 South Black Avenue,Bozeman,Mt. 59715 Phone: 949-322-5900 Email: pmilano099gmail.com 2. APPLICANT - - — Name: Eric Leigh Nielsen and Paula Milano Nielsen Full address(withzipcode): 604 South Black Ave. Bozeman,MT. 59715 Phone: 949-322-5900 Email: pmilano09Qgmail.com 3. REPRESENTATIVE Name: Mark Prince Full address(withzipcode): 113 North Davis,Belgrade,MT 59714 Phone: 406-539-9483 Email: map-56@hotmail.com 4. SPECIAL DISTRICTS Overlay District: ®Neighborhood Conservation ❑None Urban Renewal District: ❑Downtown ❑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 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 38.34.050,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 i DEVELOPMENT REVIEW APPLICATION Applicant Signature: Z' ,r Printed Name: Owner Signature: Printed Name: Owner Signature: Printed Name: ( t ��CA l��t`} �✓� �/ ��� 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 ❑ 3. Site Plan SP 1119. Zoning or Subdivision Variance Z/SVAR ❑ 4. Subdivision pre-application PA 1120. Conditional Use Permit CUP ❑ 5. Subdivision preliminary plan PP 1321. Special Temporary Use Permit STUP ❑ 6. Subdivision final plan FP 1322. Special Use Permit SUP ❑ 7. Subdivision exemption SE ❑23. Regulated Activities in Wetlands WR ❑ 8. Condominium Review CR 1124. Zone Map Amendment(non-Annexation) ZMA ❑ 9. PUD concept plan PUDC 1:125. UDC Text Amendment ZTA 1110. PUD preliminary plan PUDP 1126. Growth Policy Amendment GPA 1111. PUD final plan PUDFP 1127. 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 916. Historic Neighborhood NCOA 031. Other: Form N1 Deviation 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 planning@bozeman.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 i i