HomeMy WebLinkAboutHS202100014 Application 2021-04-19Homestay
Zoning Clearance Application
Albemarle County
c'�.' Community Development
401 McIntire Rd., North Wing
Charlottesville, VA 22902
Phone 434.296.58321 Fax434.972.4126
Submit this completed application with the following onli0c or to the address above:
1. Floor plan/property sketch with labeled structures used for the homestay, guest bedrooms, owner's bedroom, oultdoorr ication lighting158
and signage for the homestay, labeled setbacks, and parking (minimum 2 + 1 spot/guest bedroom).
2. Copies of two forms of verification of residency (one government issued with photo ID + one listing the address - acceptable forms
include driver's license, voter registration card, U.S. passport, others as approved by the Zoning Administrator)
1. Homestay Information
Residentiallyzoned and rural area parcels of less than 5 acres may have 2 guest bedrooms by -right. Use of accessory structures (if built before August 7, 2019) is
onlypermitted by -right on rural area parcels of 5+ acres. Whole house rental is
Onlypermitted on rural area parcels of S+acres.
ADDRESS: -7/5/ `�, n�r.9rL.
CITY, STATE, ZIP: f
TAX MAP PARCEL (IF KNOWN): C'
E
''Z ZONING (IF KNOWN):
ADVERTISED NAME OF HOMESTAY (IF APPLICABLE):
ACREAGE OF PARCEL: 41.2 it
NO. OF GUEST BEDROOMS: USING ACCESSORY STRUCTURES? DYES ONO
WHOLE HOUSE RENTAL? ®VES ®NO
2. Property Owner/Operator Information
1
-iz5:
ONAME-
/Lb
:
ZZR:
EMAIL
3. Responsible Agent Information
The responsible f y�
p agent must be available within 30 milesOfthe homesta 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.
d,
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*NAME-j__bA
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/EMAIL:
4.Signature
I hereby apply for approval to conduct the homestay identified above, and certify that this address is my legal residence, and that I own
the property or that I have recieved a special exception to operate the homestay
as a resident manager. I also certify that I have read the
restrictions on homestays, that I understand them, and that I will abide by them.
SIGNATURE:
DATE: -1- 7 Z /
pLLX..VLI„(L.,,FOR OFFICE USE ONLY
Fee Amt:$158 Date Paidlhb ( Wafety inspection date:
®Pass ®Fail 2nd inspection date: ®Pass ®Fail
Receipt #:(' VDH Food Service (if necessary):
Ck#: � k ®Flwd planBy: ®parking ® ID
Notes: Reviewd By:
Received by:
H S #�� Date:
Approved ® Denied
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4/7/2021
Print
Parcel lnfnrma$uc
Owner Infol n, k"ll
Parcel ID
Primary Prop. Address
Other Address(es)
Subdivision
Property Name
Description
Lot
Property Card(s)
Total Acres
04400-00-00-009E2
810 ROAMING BEAR RD
814 ROAMING BEAR RD
N/A
N/A
Residue of44-9E
009E2
1
4.74
Owner BLUTHARDT, DAVID O TRUST
Address 1157 REAS FORD RD EARLYSVILLE VA, 22936-
2220
Owner as of Jan 1st BLUTHARDT, DAVID 0 TRUST
5iOrr PeQe{It As5c05Pn('nt intnrmawin
Year
Assessment Date
Land Value
Land Use Value
Improvements Value
Total Value
'Ylnet j$gaa',Y17 .�:aics 3iAin!,
Previous Owner
Owner
Sale Date
Sale Price
Deed Book/Page
tuber fa.; Ifilor,nxtion m r,t jail isi
State Code
Tax Type
Parcel Level Use Code
: iher Psrcci':...
2021
01/01/2021
$163,100
$0
$553,600
$716,700
BLUTHARDT, DAVID 0 TRUST
BLUTHARDT, DAVID 0 TRUST
11/21/2017
$0
4986/266
Single Fam Res 5.1 to 20 acres
Reg. Taxable
Single Family
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