HomeMy WebLinkAboutHO202000089 Application 2020-06-17,FOR OFFICE USE ONLY HO #)ill
Fee Amount $ _ Date Paid By who? 41 = rl4 t' c_1 Receipt # %� z C:Ck# / ) f
Application for
Class A Home Occupation Clearance + A;
ome 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: �Yl (at t GQ z Z-M FT
Type of Business: &;-�o " '" �Q-4g-fl
Tax map and parcel: 06;_ DO-07-00-A
Zoning: /L'k
Applicant /IContact Person (Who should we call/write concerning this project?): (�� (i�( ,
Address f �o GN ( il � city�/l VYIIM 1 �i7LJle, State �% _ Lip
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Daytime Phone( �V ) �7i�' �j] Fa, # ( )
E-mail i ��� J �•��K
Owner of Record n
Address 629(a g esv�I�� 11 i` n �q City- �-1"7-'yy , StateVA /ip l
Daytime Phone ( ) Fax # ( )
E-mail
PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ
�/ AND UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE
E APPLICANT
the applicant will conduct the Home Occupation identified above within the dwelling at address listed above.
Lld 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.
0--EXTERIOR
5.2 (b) 1)]
I� EXTERIOR APPEARANCE
There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a home
occupation. [Section 5.2 (c) 1)]
0--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
4/14/2020 Page I of2
u T FFIC
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)]
v YAKKING
All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on -site.
[Section 5.2 (f)]
UPERFORMANCE 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?
NOISE
VIBRATION
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
NON -DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER
YES NO
If YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff).
2 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 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. I also certify that I have read the restrictions on Home Occupations, that I understand them, and that I will abide
by them. This certificate, in conjunction with a business license, represents zoning approval to conduct the Home Occupation
identified above.
Signatu f Owner/Applicant
T)atP
kDYi
Print Name
Reviewer .6;&
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
310 - i
Daytime phone number of Signatory
Date
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4/14/2020 Page 2 of 2
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany any of the following zoning applications if the application is not signed by the
owner of the property. (Home Occupation, Zoning Clearance, Zoning Administrator Determinations or
Appeals, Sign Permits, Building Permits, Special Use Permits, Zoning Map Amendments)
I certify that notice of the application for, "ifknown
��� �� � �
[Name of the application t pe the assigned application #
was provided to kM a-P /1 /x %f p IA /9 „„ ]
[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:
on
Hand delivery of a copy of the application to
Date
[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]
�I Mailing 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
on 4-2-0-2-0
office for that entity]
to the following address (Q e(b
p
-
Date
ffiM V-A zz�
[ address; written notice mailed to the owner 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].
Signat e f Applicant
Calms
Print Applicant Name
Date
Revised 2/25/2019