HomeMy WebLinkAboutHS202000035 Other 2021-04-13Short -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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Phone434.296.5832
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 zonqng clearance (requires VDH and building/fire safety inspection)
• Register for a business license and remit reouiredtaxes
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 insoection
• Renew their business license and remit reouiredtaxes
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 duringwhich the owner is not required to be present whole house rentals are only permitted on Rural
Area parcels of 5+ acres.
'APPROVED HOMESTAY(HIS), BEDAND BREAKFAST(BNB), OR ACCESSORY
TOURIST LODGING(ATL) CLEARANCE PERMIT NUMBER (IF APPLICABLE):
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e2 0a0 3 Sr -
'ADDRESS:
Zq 21) hVN011— Mla— 14
'CITY, STATE,ZIP:
6#f"17rs 64 Gif Vk- as 111
TAX MAP PARCEL (IF KNOWN):
ZONING (IF KNOWN):
GUESTSEDROOMS:
I
WHOLE HOUSE RENTAL
I P1GES ONO
2. Property Owner/Operator Information
'NAME:
InAIWK 60401*0
'HOMEADDRESS:
�� (, M'" lam./
-CITY, STATE, ZIP.
L:C/rifLLviTLjf/1t V+— 2y/11
PHONE:
q3t/ 19,3 17/07
1 EMAIL
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3. Responsible Agent Information
The responsible agent must be available within mie 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 can acted.
OWNEWOPERATOR Is RESPONSIBLE AGENT:
NAME
HOMEADDRESS:
CRY, SrATE, ZIP:
PHONE:
❑ NO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
EMAIL -
FOR OFFICE USE ONLY Date Paid: j J
Fee And: 0$27 6$0with clearance application Ck A:
Received by. Lea Brumfield
KIAccepted ❑Denied
Reviewedby: Lea Brumfield
Registration Date: _4_/_1_3j2_L
www.albemarle.org/homestays v. 9.17.201 Page 1 of 1