Loading...
HomeMy WebLinkAboutHO202000108 Application 2020-06-17FOR OFFICE USE ONLY HO # Application for Class A Home Occupation Clearance ❑ 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: Counselinq for Wellness Type of Business: Counselin�g� Tax map and parcel: W/—�a Zoning: Applicant / Contact Person (Who should we call/write concerning this project?): Rosemary Cosselmon Address 2515 Northfield Rd Daytime Phone (434 J 906-8636 Fax # () Owner of Record Rosemary Cosselmon Address 2515 Northfield Rd Daytime Phone (434 ) 906-8636 Fax # ( ) city Charlottesville City Charlottesville state VA zip 22901 E-mail rosemary. cosselmon com( State VA zip 22901 E-mail rosemary. cosselmon@com( PLEASE CHECK EACH BOX SO THAT IT IS 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 at the address listed above and by the noted applicant, 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)] © 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)] © 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)] © 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)] 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 PF RFOR MA'WE STAN 10A RDS IV ltt,W0,01 rUKIP '11.141 Cow pl*ux.lhkvIVrfrmuu*;.t0,01dardsin-.<Ztkni,i.ld.Iseabon5114ki Iwo the it-w initiho procedures. machinery or chemicals itm maciawe ilhe wilik'vitn" YES NO x Ri" It I ION to %R1 x kilt IN I I I 1, 1110% A 111, 14 Pt H. I I I it I t 1- 1 1 RH "I IIIS I I IMAM F \0N1IJ`0AI1 SM " N'1111: DISCARCUP10 ASE11"I'lf V14,141OR IfIt F'% Own v1pplicallok- sIavdonf, trIT111 he A.111-1,l1d ".01, U Ct'rtirftj Vopartli-r'% RtPatt (til.ilahl, ff'w(J "Afl), lit, it ccw,'f,; mdiSi p?i,drt 'I'k tI%PRS AND MOMFO Al'IUNS; U.'AN'Ic Ilo-'Tdof o"fis"filw4v lee'And rr,":d— jSAvfifjM35MDd SWC110115.11 OwnirriApplicsist Hurt Read and Sirn ILITIC O"uNlron liciz I'll's wfdfln- kpl =v,,dor�c I d,,cvnifl -lull. f hAxv rvxi tire rvAric6o:qi—w lb—, I "3trtknljnf thoti. -KI thi; I udl abide /'4Il'jlV JgIjv"Ijl A", C "--9 ? pl*,lwnumf..df of %imil"r" ' ',I ANH A", RITOR I A 1' VA4 IR 0 1 C 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)] 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 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) 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 Board of Supervisors. 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. Signature of Owner/Applicant Rosemary Cosselmon Print Name Revie ENGINEER'S REPORT ATTACHED: YES CONDITIONS: C t v4 c� 7 NO June 09, 2020 Date 434-906-8636 Daytime phone number of Signatory Z-0 Date 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, was provided to [Name of the application type & if known the assigned application #] [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 Mailing a copy of the application to on to the following address 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] [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] [ 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]. Signature of Applicant Print Applicant Name June 09, 2020 Date Revised 2/25/2019