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HO202100011 Application 2021-01-29
FOR OFFICE USE ONLY HO # .X-a\ OOG \i t 0 �I o Fee Amount $ a i . Date Paid1j_By who? YYa1to Q ��"1C(C_` Receipt q(J Ck# QC Gq By: 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: Katie Richard, LPC, LLC Type of Business: Psychotherapy Services (via telehealth'only- video and phone, NO clients will be seen in person here) Tax map and parcel: G b / (2- — f —6 Zoning: R-2 Residential Contact Person (Who should we call/write concerning this project?): Katie Richard (Catherine) Address 1060 Ramblewood Place City Charlottesville Daytime Phone L. ) 443-414-1811 Fax # (____) Owner of Record Catherine Richard 1060 Ramblewood Place Daytime Phone(__) 443-414-1811 Fax # (__ ) State VA zip 22901 katierichardipc@gmaii.com City Charlotttesville State VA zip 22901 katierichardlpc@gmaii.com This certificate, in conjunction with a business license, represents zoning approval to conduct the Class A Home Occupation identified above. Each home occupation is subject to the following: 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, 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 handcrafted 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 I l/l/2015 Page 1 of2 ® 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)] ® 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). id 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 b Ihem. ��,�, 1 /22/2021 Signature of Owner/Applicant Date Catherine Richard Print Nam Review ENGINEER'S REPORT ATTACHED: YES NOX CONDITIONS: �pht_,2 G G e—t 443-414-1811 Daytime phone number of Signatory l-Z�-21 Date I1/12015 Page2of2