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HO201900230 Application 2019-08-30
FOR OFFICE USE ONLYIto y Fee Amount S �° 1- Date F'siatV_�L � 3y who'' I S1 A 1Receipt vI� �Ckk 3 I3+ V ' + 1 g Application for Class A Home Occupation Clearance 1 -` Home Occupation Class A Clearance = $27.00 Home Occupation, Class A: An occupation, not expressly prohibited by section 5.2, conducted for profit within a dwelling unit solely by one or more members of the family residing within the dwelling unit.- provided that nothing herein prohibits the occupation from engaging other persons.who work off -site and do not come to the dwelling unit to engage in the occupation. Name of Business: LpGe.� IV t.nf" 4 N 6-1,jor Type of Business: _ V �� Ck• I COS J IN Tax map and parcel: S 7S S —� o�- OQ-IS Zoning: �eS;L� Q� } ``` Contact Person (Who should we callh+Tite concerning this project?): Address J��� �f11�` \ACC Cit_ ►l State v�� �y - -- - - ---- ------ CSw o Lip Daytime Phone M3�1 � 6- 77�`�--- Fax 4 { E-mail 11rL1 J � ^rp1,k,,-,d(kJ ,�t G (• can 7 — �' Owner of Record Address ----- ----------Zip--- Daytime Phone (_) Fax g �---)—_----__.__ E-mail This certificate. in conjunction with a business license, represents zoning approval to conduct the Class A home Occupation identified above. Each home occupation is subject to the following: PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ AND UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE 2 LOCATION & AREA The home occupation shall be conducted entirely within the dwelling unit, provided that not more than twenty-five (25) percent of the gross floor area of the dwelling unit shall be used for the home occupation and further provided that the gross floor area used for the home occupation shall not exceed one thousand five hundred (1500) square feet. Section 5.2 (b) l)] EXTERIOR APPEARANCE There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a me occupation. (Section 5.2 (c) l)] SALES No home occupation shall sell goods to a customer who comes to the site except for goods that are hand-crafted on - site and goods sold that are directly related to a beauty shop or a one -chair barber shop home occupation. [Section 5.2 (d)] Counh of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 l Ii1J2015 Page I oft Ea TRAFFIC The traffic generated by a home occupation shall not exceed the volume that would normally be expected by a welling unit in a residential neighborhood. [Section 5.2 (e)] PARKING All ,ehicles used in a home occupation and all vehicles of customers. clients or students shall be parked on -site. ] ection 5.2 (f)1 PERFORMANCE STANDARDS The home occupation shall comply with the performance standards in section 4.14. (Section 5.2A (k)] Does the use involve procedures, machinery or chemicals that may cause the following? YES NO NOISE � VIBRATION GLARE HEAT AIR POLLUTION WATER POLLUTION RADIOACTIVITY ELECTRICAL DISTURBANCE NON -DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER If ES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff). PROHIBITED USES The following uses are expressly prohibited as home occupations: (1) tourist lodging; (2) nursing homes; (3) nursery schools; (4) day care centers; and (5) private schools. (Section 5.2 (h)] WAIVERS AND MODIFICATIONS: The above standards are eligible for waiver or modification by the Planning Commission. Ask staff for more information about applicable fees and process. (Section 3.5 and Section 5.11 Owner/Applicant Must Read and Sign I hereby apply for approval to conduct the Home Occupation identified above. and certify that this address is my legal residence. I also certify that 1 have read the restrictions on Home Occupations, that i understand them, and that I will abide by t m. �l0", Signature of Owner/Applicant Dat(eJ 7 `( p Print Name 6�" Reviewer ENGINEER'S REPORT ATTACHED: YES CONDITIONS: Daytime phone number of Sign ory Date NO_� ,(ov cW t c& eu-ev S I I'I'2015 Page 2 of2 r FOR OFFICE USE ONLY I10 # U t Fee Amount SDate Paid - 1 3> ++ho' , �� � � Receipt F # 11TAI#-1. 3 By. V _fio I ��t-v-+sz�[' ' Application for Class A Home Occupation Clearance 1 Home Occupation Class A Clearance = $27.00 Home Occupation, Class .4: An occupation, not expressly prohibited by section 5.2, conducted for profit within a dwelling unit solely by one or more members of the family residing within the dwelling unit-, provided that nothing herein prohibits the occupation from engaging other persons who work off -site and do not come to the dwelling unit to engage in the occupation. Name of Business: Type of Business: /� ' Tax map and parcel: � 3 �i5 � v h Z — 0 S— 115 Zoning: 'Ke-s ,-j" Contact Person (Who should we calih+Tite concerning this project?): f�1-a�©� Q0A0 Address 0 'L� L / ��� �]t —`-�--J — ('i� State' !ip /�C-S� L_ Daytime Phone t11K) (----- CL_(i = C/ V�x # �_) E-mail �/ll�Ol � �� �� n-+ Owner of Record ��_A,S dl �� ✓� Address Daytime Phone (__) (m Fax # L_) - E-mail State _ _ zip This certificate, in conjunction With a business license, represents zoning approval to conduct the Class A Home Occupation identified above. Each home occupation is subject to the following: PLEASE CHECK EACH BOX SO THAT IT 1S CLEAR THAT YOU HAVE READ AND UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE &LOCATION & AREA The home occupation shall be conducted entirely within the dwelling unit, provided that not more than twenty-five (25) percent of the gross floor area of the dwelling unit shall be used for the home occupation and further provided that the gross floor area used for the home occupation shall not exceed one thousand five hundred (1500) square feet. (Section 5.2 (b) 1)] L+J EXTERIOR APPEARANCE There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a Me occupation. (Section 5.2 (c) 1)] SALES No home occupation shall sell goods to a customer who comes to the site except for goods that are hand-crafted on - site and goods sold that are directly related to a beauty shop or a one -chair barber shop home occupation. [Section 5.2 (d)] County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 I I/1/2015 Page I oft TRAFFIC The traffic generated by a home occupation shall not exceed the volume that would normally be expected by a dwelling unit in a residential neighborhood. (Section 5.2 (e)] LJ PARKING All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on -site. [Section 5.2 (f)] PERFORMANCE STANDARDS The home occupation shall comply with the performance standards in section 4.14. (Section 5.2A (k)1 Does the use involve procedures, machinery Or chemicals that may cause the following? NO YES NO NOISE VIBRATION / GLARE HEAT AIR POLLUTION / WATER POLLUTION F —_� RADIOACTIVITY ELECTRICAL DISTURBANCE NON -DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER If YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff). 11PROHIBITED USES The following uses are expressly prohibited as home occupations: (1) tourist lodging; (2) nursing homes; (3) nursery schools; (4) day care centers; and (5) private schools. (Section 5.2 (h)] WAIVERS AND MODIFICATIONS: The above standards are eligible for x�aiver or modification by the Planning Commission. Ask staff for more information about applicable fees and process. (Section 35 and Section 5.11 Owner/Applicant Must Read and Sign I hereby apply for approval to conduct the Home Occupation identified above, and certify that this address is my legal residence. 1 also certify that i have read the restrictions on Home Occupations, that i understand them, and that I will abide by them. Signature of Owner/Applicant Date Aarv& wo, 30^1 V "(_. Zo Z . q03 1 Print Name Daytime phone number of Signatory Revie /Date ENGINEER'S REPORT ATTACHED: YES NO ✓ J CONDITIONS: 11!1,2615 Pagc2ofz