HomeMy WebLinkAboutHO202000096 Application 2020-06-17FOR OFFICE USE ONLY Ho#
Fee Amount Date Paido �{
Aj��tJ I j1P11�i Receipt�LI3y: JJ r�`r�y„�l/„1 Lam%
Class A Home Occupation Clearance
Home Occupation Class A Clearance = $27.00
Home Occtyuition. Class A: An occupation, not expressl-, 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 front engaging other persons who work off -site and do not conic to the dwelling unit to engage in the occupation.
Name of Business: Tsukuba Indv LLC
Type of Business: Single Member LLC - Develop and Produce Content for Film & Television
Tax map and parcel: Tax Map 30, Parcel 128 Zoning: (��ii/ ed � In(k IMP 1)
Applicant / Contact Person (who should we cal Vwrite concerning this pn,iect?): Alex N. Iskounen
Address 4515 Mockernut Lane �;n Earl sv111e
- - -- --- - —y - State VA Lip 22936
Dax tine Phone t 808 ) 439 5991 Fax E-mail ani.nye@icloud.com
(hinet• „f Recot•d Mehdi A & Gina L Iskounen Revocable Trust
Address 4515 Mockernut Lane C;t�: Earlysville -
- ---- ---- --- --- State VA ------ __ zip _22936
Daytime Phone(434 ) 2427818__.Fax "() _---------__--E-mail gina@entami.com
PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ
AND UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE
QI APPLICANT
The applicant will conduct the Home Occupation identified above vvithin the dwelling at address listed above.
10 LOCATION & AREA
The ]ionic occupation shall be conducted entirely within the dwelling unit. provided that not more than hvcnt� -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 ]ionic 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 ]ionic
occupation. (Section 5.2 (c) 1)j
® SALES
No lionic occupation shall sell goods to a customer who comes to the site except for goods that are band -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)j
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 of 2
® TRAFFIC
The traffic generated by a home occupation shall not exceed the volume that .vould normally be expected by a dwelling
unit in a residential neighborhood. [Section 5.2 (e)l
® PARKING
All vehicles used in a home occupation and all vehicles of customers. clients or students shall be parked on -site.
Section 5.2 (1)[
® PERFORMANCE STANDARDS
The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (k)l
Does the use involve procedures, machinery or chemicals that may cause the following?
YES NO
NOISE VIBRATION xx
GLARE
HEAT x
AIR POLLUTION x
WATER POLLUTION x
RADIOACTIVITY
ELECTRICAL DISTURBANCE xx
NON -DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER x
If YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff).
® PROHIBITED USES
The following uses arc expressly prohibited as home occupations: (1) tourist lodging: (2) nursing homes; (3) nurser-,"
schools: (4) day care centers; and (5) private schools. [Section 5.2 (h)j
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 5.1]
Owner- Applicant Must Read and Sign
I hcrebN apple 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. This certificate. in conjunction with a business license, represents zoning approval to conduct the Home Occupation
idcntiiicd above.
_ May 14, 2020
$,ignatu le of Owner/Applicant Date
Alex N. Iskounen
Print Name
Rcv
ENGfNEER'S REPORT ATTACHED: YES NO
CONDITIONS:
P
808 439 5991
Daytime phone number of Signatory
—2-t7-2 n
411412020 Page 2 of 2
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This.fornz mast accompany any of the,following zoning applications if the application is not signed by the
o►vner of the property. (Home Ucetrpation, Zoi:ing Clearance, Zoning Adnunistrator Deternunations or
Appeals, Sign Perinits, Building Pernuts, Special Use Pernuts, Zoning Map Amendments)
1 certify that notice of the application for, Class A Home Occupation Clearance
[Name of the application type & if known the assigned application #]
was provided to Mehdi A & Gina L Iskounen Revocable Trust
[name(s) of the record owners of the parcel]
the owner of record of Tax Map and. Parcel Number Tax Map 30, Parcel 128
by delivering a copy of the application in the manner identified below:
Hand delivery of a copy of the application to Mehdi A & Gina L Iskounen
on May 14, 2020
Date
Oil
[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]
Mailing 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]
to the following address
[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
Alex N. Iskounen
Print Applicant Name
Date
14, 2020
Revised 2/25/2019