HomeMy WebLinkAboutHS202000044 Plan - Approved 2020-12-11-----�
Short -Term Rental Registry
Annual Application
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Albemarle County
401 McIn�Rd.eNortrthent Wing
CludatteMI,, VA 22902
832
PhonAbenii9leorg
Phone 4re4.2965rg
Prior to opening for business, all operators of short-term rentals (including homestays and previously
approved bed and breakfasts and
accessory tourist lodging rentals) must:
• Register with this form
• Obtain an approved zoning clearance (requires VDH and building/fire safety inspection)
• Register for a business license
Annuallyfollowing the initial approvals, all operators of short-term rentals must:
• Renew their registration with this form
• Pass a fire safety inspection
• Renew their business license and remit taxes
1. Short Term Rental Information
A whole house renta/is a short term rental of a home during which the owner is not required to be present. Wholehouserentals are only permitted can
Rural Area parcels of 5+acres.
APPROVED HOMESTAY(HS), BED AND BREAKFAST (BNB), OR ACCESSORY
TOURIST LODGING(ATLI CLEARANCE PERMIT NUMBER (IF APPLICABLE):
Lh/fa (i1t-
STREETAODRESS:
6708 Scottsville Rd.
crrY,STATE,ZM
Scottsville, VA 24590
TA%MAP PARCEL (IF KNOWNE
12100000007100
ZONING (IF KNOWN):
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GUESTBEDROOMS:
2
WHOLE HOUSE RENTAL
AYES ONO
2. Property Owner/Operator Information
NAME:
Robert A. and Jeanette R. Sutherland (aka Jeanette R.Pereira)
HOMEADDRE55:
6710 Scottsville Rd.
CITY, STATE ZIP:
Scottsville, VA 24590
PHONE:
571-217-0134
EMAIL
bubbasuth@yahoo.com
3. Responsible Agent Information
Theresponsibleagentmustbeavailablewithin d of the homestay at all times during a homestay use, and must respond and attempt in good faith to
resolve any complaints within 60 minutes of being con acted.
OWNER/OPERATORISRESPONSIBLEAGENT:
I OYES ONO IF NO. COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOMEADDRESS:
CITYSTATE,ZIP:
PHONE:
EMAIL:
FOROFFICEUSEONLY
Fee Amf O$Uwithclearanceap
Receipt 0:
w albemarleorg/homestays
Date Paid:__/__/_ Acc, pted -13 Dignied
plicatm 0$27 Cka: Reviewedlry: Wr�]�n
R Y Registration Date: —
, 9.15.201 Page 1 a