HomeMy WebLinkAboutHO201900331 Application 2019-09-03............ . . .. . — -------
1, 0 R 0 FF1 CE I S E 0 INA y 110
L Receipt
I cc Amount S I
, , , "", :- - - — 13.1 who" --- I -l- - - ,k Hy
Application for
Class A Home Occupation Clearance
orne Occupation Class A Clearance = S27.00
Hoene Occuj?cvion, Class A.- An occupation, not expressly prohibited by section 5.2, conducted for profit within a dwelling
unit solely by one or more members ofthe farnily 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: Cx
Type of'Business; r i F V
Tax map and -_-a?
parcel: ov64, 0 Zoning:
2 S
Contact Person (Who shOU]d We call/write concerning this projeci?):
r- - --------- -
Address 16 �
C its **?s V stale j P-\ 1P1
------- - -- -- --- -111--l- /--
),\jjne Phone P1 (:,� , ,
Fax
Q
Owner of Record
-
City
C Address S - - -----
sy............ ...
Phon,� 14`34 —(I—t3— Prix -- ----- ---- F -inai I
fyUm
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 THAI' IT IS CLEAR THAT YOU 14AVE READ
AND UNDERSTAND T RANCE
"I
19 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)]
dll-�XTERIOR APPEARANCE
There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of
home Occupation. [Section 5.2 (c) 1)]
el
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 Corninunity Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
I 1/1 /2015 Page I of 2
Eh'RAFFIC
The traffic generated by a hone OCCUP,10011 shall not CXCCCd the VOlUrne that would normally be expected by a
dwelling unit in a residential neighborhood. [Section 5.2 (c)]
a"I""A"RIKING
All vehicles used in a 110111C occupation and all vehicles of cuslorners, clients or students shall be parked on -site,
[Section 5.2 (1)1
PERFORMANCE STANDARDS
The home occupation shall comply with the perforinance standards in section 4.14. [Section 5.2A (h))
Does the use involve procedures, machinery or chemicals that may cause the following?
NOISE
VIBRATION
GLARE
H EAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
NON -DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER
YES
NO
k
—Y
If YES, 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) nUt'Sing homes; (3) nursery
schools; (4) day care centers; and (5) private schools, [Section 5.2 (h)l
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 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 illy legal
residence. I also certify that I have read the restrictions on Home Occupations, that I understand them, and that I will abide
by them.
u.
Signature of'Owner/Applicant Date
Print Name
. .... .....
Revie
ENGINEER'S REPORTATTACHED: YES NO
CONDITIONS:
Daytime phone number of Signatory
Date
L
e
I 1/ 1/2015 Page 2 of2
CERTIF1 CATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form inicst acconilmny zoning al;plications (Home Occtipation, Zoning Clearance, Zoning
Administrator Determinations or Apj)ea1.v,,Sign Permits, Building Permits) Y'the qpjWcation is not the
owner.
I certify that notice of the application,
was provided to
[County application name and number]
[name(s) of the record owners of the parcel]
the owner of record of Tax Map
and Parcel Number __-by delivering a copy of the application in the
manner identified below:
Hand delivering a copy of the application to
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
HE
Date
Mailing a copy of the application to " 'r D 0
-L\ �f -av, r10 PAA
�(A()__
[Name of the record owner Wthe record /owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
ME
"W.
to the following address:
Q I I
[address; written notice mailed to the 6wner at the last known address of the owner as shown on
the Current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
Signature of'4Apeicant
__
Print Applicant Name
Date