HomeMy WebLinkAboutHS202100001 Application 2021-02-02 (2);,�<°'^raey Albemarle County
Short -Term Rental Registry J 1_ Community Development
r Charlottesville,
McIntire Rd. VA 229, Wing
Charlottesville, VA 22902
Annual Application Phme434.296.5832
t't�xrrN�'. 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 remitr Guired 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.
HOMESTAY (HS), BED AND BREAKFAST (BNB), OR ACCESSORY
GING (ATL) CLEARANCE PERMIT NUMBER (IF APPLICABLE):
25 ROSI n Hei hRdZIP:
I
Charlottesville, VA 22901
CEL (IF KNOWN):
ZONING (IF KNOWN):
OMS:
1
WHOLE HOUSE RENTAL:
❑YES lb NO
2. Property Owner/Operator Information
NAME`
Amanda L Harrington
'HOMEADDRESS:
25 Roslyn Heights
'CITY, STATE, ZIP:
Charlottesville, VA 22901
PHONE:
414-803-9556
EMAIL
ms.aman a. arrmg on gma .com
3. Responsible Agent Information
The responsible agent must be available within AO 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/OPERATOR IS RESPONSIBLE AGENT:
&ES ❑NO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOMEADDRESS:
CITY,STATE,ZIP:
PHONE:
EMAIL:
FOR OFFICE USE ONLY Date Paid: �/_ ❑Accepted ❑Denied
Fee Amt: 0$27 13$0 with clearance application Ck#:
Reviewed by:
Receipt#: Received by: Registration Date:
www.albemarle.org/homestays V. 9.17.201 Page 1 of 1