HomeMy WebLinkAboutHS202000018 Correspondence 2021-04-01Short -Term Rental Registry
Annual Application
Albemarle County
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Community Development
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401 McIntire Rd. North Wing
Charlottesville, VA 22902
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Phane434.296.5832
www.albemarle.org
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:
• 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 rem it reau!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 term 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 (ATL) CLEARANCE PERMIT NUMBER (IF APPLICABLE):
'ADDRESS:
7887 V O//174
Y
'CITY, STATE.ZIP.
C'W r7U Ile r ✓i 16p JIB ZK2Gc�.
TAX MAP PARCEL (IF KNOWN):
�(2 Q pp — 00-60 — 088AO
ZONING(IFKNOWN):
GUESTBEDROOMS:
2
WHOLE HOUSE RENTAL-
)JYES ONO
2. Property Owner/Operator Information
'NAME:
J�'man�ficL. a
'HOMEADDRESS:
ny-gnu
1993 CIS � ✓O//!f
'CITY,STATE,ZIP
CA a — Id f%fJ ✓• //e 114t_ 7z9/7
PHONE:
Z/& S16) /7/3
EMAIL:
JJr00!/En Ud S` �77L+i 7. !c+'yy
3. Responsible Agent Information
The responsible agent must be available within mil `of the homestay at all times during a homestay use, and must respond and attempt in good faith to
resolve anycomplaints within 60 minutes c f being contacted.
OWNER/OPERATOR IS RESPONSIBLE AGENT:
�'JYES ❑NO IF NO,COMPLETE RESPONSIBLEAGENTINFORMATION BELOW
NAME:
HOME ADDRESS:
CITY,STATE,ZIP:
PHONE:
EMAIL
FOR OFFICE USE ONLY
�p Date Paid. �-8 /al ❑Accepted ❑Denied
FeeAmt: R'$27 AT.th clearance application Ck#:
Reviewed by -
Receipt#: (F?fi'4� 1F�{f7.�ti) ) Received by:
Registration Date: __J_/_
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