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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