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HomeMy WebLinkAboutATL201800003 Application 2019-07-29"tPPROVED .,y iiieftemr1p. County Application for X� t Accessory 1 ourist Lodging Z'11-1 ❑ Tourist Lodging fee = $108 ❑ Fire Rescue fee = $50 ❑ Tourist Lodging Regulations Checklist. ❑Certification that notice of this application has been provided to the property owner, if owner is different from applicant. A Tourist Lodging -is a use within a residential zoning district composed of transient lodging provided within a single family dwelling having not more than five. (5) guest rooms, located where the single family dwelling is actually used as such and the guest rooms are secondary to the single-family use, whether or not the guest rooms are used in conjunction with other portions of the dwelling. Project Name: L _ �O f t I nil le Parcel ID Number: - - J—,p'� j� /Zoning: n i �C Physical Street Address: A 3 ® �-1 //%7 V ,& Contact (who should we contact about this project) Street Address 9Z.3 R II e4- Dr l r City C ,�f L ���5 V Unk State V A Zip Code Z z 4 D Z Phone Number q3 y - 9. 01' - 10 l S" Email W,.U1 C I-i s &— !Ty 6ti L C©.-t Owner of Record e1c 1 4 ,A- Street Address &a2- '1-0y-<- City State Zip Code Phone Number Email Applicant JL—r Street Address C—ze 01d✓t. City State Phone Number Email Code Owner/Applicant Must Read and Sign I hereby certify that the information provided on this application and accompanying information is accurate, true and correct to the best of my knowledge and belief. L';' � L�4— Signatuu�re of Owner, Agent Print Name 02 Date �3y` ?c)6/U%-S7 Daytime phone number of Signatory County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 REVISED 4/23/2018 Page 1 of 2 TOURIST LODGING REGULATIONS CHECKLIST (ZONING ORDINANCE SECTIONS 5.1.17 & 31.5) Each tourist lodging shall be subject to the following: L SKETCH REQUIREMENTS A sketch plan of the site must be provided with requested items shown: q/J Show the location of the dwelling unit used for the Tourist Lodging in relation to the property lines. Show the location of parking spaces to be used for the dwelling and the Tourist Lodging. D Show the location of the access (ex. The driveway) to be used for the Tourist Lodging. 483 - how the location, height, and lumens of any existing or proposed lighting to be used for the Tourist Lodging. --Show the location of any signs to be used for the Tourist Lodging. L" Provide a floor plan of the single family dwelling proposed for the Tourist Lodging. A?(Residency. The single family dwelling unit used for the tourist lodging will be occupied by a resident of that same dwelling. VNumber guest rooms. The Tourist Lodging may have up to five (5) guest rooms within the single family dwelling. How many guest rooms will the Tourist Lodging have? y f1 b� ❑ 1 El2 ❑ 3 J 4 or El 5 Parking. In addition to the parking required for a single family dwelling, the number of off-street parking spaces required by section 4.12.6 shall be provided. (SEE SKETCH REQUIREMENTS) # of single family dwellings on the parcel X 2 = # of guest rooms on the parcel X I Total number of parking spaces required for this Tourist Lodging Building code, fire and health approvals. Before the zoning administrator approves a zoning clearance for a tourist lodging use under section 31.5, the owner of the parcel shall obtain approvals of the use from the building official, the fire official and the Virginia Department of Health. Attach Building Official approval of the use A(P'-,4 % `2 r7-ol 1 Attach Fire Official approval of the use i"rPP-'VveC( % I Zf l Zol / Attach Virginia Department of Health approval of the use Are-ove4 -7 (Z,S / ZOl 9 APPROVAL INFORMATION KApproved as proposed [ ] Approved with conditions [ ] Denied Conditions Zoning Official %� Date Z Y Z / FOR OFFICE USE ONLY ATL # (jY() L Fee Amount $l5 Date Paid�y��By who? Receipt # IzKqUCk# By: Accessory Tourist Lodging REVISED 4/23/2018 Page 2 of 2 cn I� 0 G C 4b a 102279OW118 3D � 48 �� 12'__- 0" 24'- 0" b 1 4'- 0" 24'- 0" 1/2" T2 X 12 < > I- 24" 0. C. o 11'- 7" CA 2 X 12 o < > rn 24" O.C. o cn O m 0 D D / - z / CA u (_ / N I I I N 4'— 7" �a 2'-0" 6'— 3 1 /2" I /r 4 I Z D O w \o D _ _ �` cn ' DROP HEAD \ u WOOD RAIL \� co rlN cn in O Z o O rnfn O m 41 1Lnv1U) _ I - ----- r �] r- - II 1 `\ I1➢ O Ilm- �6" 1I^ 1 I t m j td I / cli o c) M Z Z 1' O0 cp �% 24/ 27 N u 00 O I o O / CA r o Ul O 2 X 12 1 1 5 'R N O L I <Tw- N 9-31 "" 115D 30 3 O.C. p 11'— 5 1/2" Yl, O O 6/8 p � /8 ° 7'- 11 1 /2" Z Co _ N ►"����p O ZDl0 x r 4A N I T w I co 8/1i1/Y7a,4LzZoxk m UwAourU4 1 - I -T I ss sImm Hof, a� co T T for a heolth), comr1 imfty 1138 Rose Hill Drive. PO Cox 7545 Chcrio:tesvJle, Virginia 22905 Operating fame of Business: J'IL2SH19 Ch2dcitiesvilleiAlbemarle Healih Depa t nent By THOMAS JEFFERSON HEALTH DISTRICT TRANSIENT LODGING REVIEW Facility Address: ? J r- 1�� CA" t (a C'. v , 0, rv!{ Z 2 `t (' Z Tax Map (dumber: C) I — C)� Subdivision: ; L1 0u61 it Section: 1.1 0Lot: --j Owner/Agent: Cs i 5 G3 I- J rL'r Home Phone: /J/.4 Address: Z 3 i s r1_) f Cell Phone: 1S— ���uC �L C- Z Email: Will food be prepared for guests? Iv C Total Number Bedrooms: Owner -occupied: 1 Guest: L Water Source (check appropriate): Public Water System �� Private Well Other (please specify): Sewage Disposal (chock appropriate): Public Sewer 1/ Private Septic Will the proposed lodging involve any new construction? 1—� L If so, please specify: 4 Signature (owner or agent) 6t,f� �t�r��< Date: Health Department Use VDH PERMITTING REQUIRED: B&B Permit Hotel Permit 'None Required SEWAGE DISPOSAL SYSTEM: vPOADEQUATE A review of our records and/or assessment by a licensed professional, and all other information available, has indicated that the existing sewage disposal system (SDS) and reserve area (where indicated) appears to have been designed with adequate capacity for the proposed use. This does not imply that the existing SDS will continue to function properly for any minimum period. A site visit and inspection may not have been performed. ® Note: For optimum preventative care, septic tanks should be pumped out by a licensed sewage hauler every 3 to 5 years. _ INADEQUATE A review of our records and/or assessment by a licensed professional, and all other Information available, has indicated that the existing sewage disposal system is not adequate for the proposed use. WATER SOURCE: Approved Not Approved C B&B (w/ food service) & Hotel: coliform bacteria & nitrate testing required initially, then annually thereafter, prior to permit renewal. 6 Transient lodging w/o food service: coliform bacteria & nitrate testing recommended Initially, then annually thereafter. COMMENTS: r>G✓i�i if _ CUtvtFc /.c( �o DPI i Irc_ , �Ig /�°� Health Department O Ida Date tt�Y•�3.fFf� a��'``��.• s _ r A. i LLJ z {' t Z ` aO ffiiiai.a o �. S � G CA L �..09.0—A-%_01vN