HomeMy WebLinkAboutHO202000127 Application 2020-08-05FOR OFFICE USE ONLY I �J HO #
Fee Amount $Date Paid
Receipt #
Application for
Class A Home Occupation Clearance
IN III
Home occupation, Class A: An occupation, not expressly prohibited by section 5.2, coonduetdeth�r othinproilL g herein prohibits the
unit solely by one or more members of the family residing within the dwelling unit; p d
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: Sunnyside Counseling, LLC
Type of Business: mental health counseling Sernces
Tax map and parcel:
57A-2B-27 Zoning: R4 residential
Applicant I Contact Person (Who should we call/write concerning this project?): Danielle Keller, LPC
1337 Gate Post Lane City
Charlottesville state VA Zip 22901
Address
Daytime Phone 43( 4 ) 9964318
Fax # (.) E-mail dkeller@sunnysidecville.com
Owner of Record Danielle Keller, LPC
City Charlottesville state VA Zip 22901
Address 1337 Gate Post Lane
Daytime Phone (434 ) 996-4318 Fax # ()
E-mail dkeller@sunnysidecville.com
PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ
AND UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE
® LOCATION At AREA
The home occupation shall be conductcd cmircly 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)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 9.2 (d)l
® 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
4/142020 Page 1 of2
® 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
x
VIBRATION
x
GLARE
x
HEAT
x
AIR POLLUTION
x
WATER POLLUTION
x
RADIOACTIVITY
x
ELECTRICAL DISTURBANCE
x
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 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.
t Date 7/30/2020 ure fOwnerlApplican
Danielle Keller
Pr
Rev1e er Print
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
7
434-996-4318
Daytime phone number of Signatory
� 30
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, CLASS A HOME OCCUPATION CLEARANCE
[Name of the application type & if known the assigned application
was provided to Julie Bowns
lname(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:
X Hand delivery of a copy of the application to Julie Bowns
[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]
on 07/30/2020
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]
[ 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
Danielle Keller
Print Applicant Name
7/30/2020
Date
Revised 2/25/2019