HomeMy WebLinkAboutHS201900013 Application 2021-03-24Short -Term Rental Registry
Annual Application
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Albemarle County
Community Development
401 McIntire Rd, North Wing
Charlottesville, VA 22902
Phone434.296.5832
www.albemarie.org
Prior to opening for business, all operators of short-term rentals (including nomestays and previously approved bed and breakfasts and
accessory tourist lodging rentals) must:
• Enroll on the Short -Term Rentals Registry with this form
• Obtain an approved zoning clearance (requires VDH and building/fire safety inspection)
• Register for a business license and remit required taxes
Annually following the initial approvals, all operators of short-term rentals must:
• Renew their enrollment on the registry with this form
• Pass a fire safety inspection
• Renew their business license and re nLltre Ui red taxes
Fields marked with an *asterisk are the minimum required for registration
1. Short -Term Rental Information
A whole house rental is a short tens rental of a home during which the owner is not required to be present. Whole house rentals are only permitted on Rural
Area parcels of 5+acres.
'APPROVED HOMESTAY(HS), BED AND BREAKFAST (BNB). OR ACCESSORY
TOURIST LODGING (ATU CLEARANCE PERMIT NUMBER (IF APPLICABLE): J\
'ADDRESS:
'CITY, STATE,ZIP
TAX MAP PARCEL (IF KNOWN): ZONING (IF KNOWN):
GUESTBEDROOMS: 1 14 1WHOLE HOUSE RENTAL- I dYES ONO
2. Property Owner/Operator Information n
'NAME:
'HOMEADDRESS:
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'CITY. STATE,ZIP,
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A (1d-1 Erz�
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PHONE
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EMAIL
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3. Responsible Agent Information
The responsible agent must be available within 30 miles 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 contacted.
OWNER/OPERATORISRESPONSIBLEAGENT: I--Qj,YS ONO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOMEADDRESR
CITY, STATE. ZIP.
PHONE:
EMAIL:
FOR OFFICE USE ONLY Date Paid
Pee Amo 0$27 ❑$0 with clearance application Ck4:_
Receiptte Received by:
❑ Accepted ❑ Denied
Reviewed by:
Registration Date: _/-J_
www.albemarle.org/homestays v. 9.17.201 Page 1 of 1