HomeMy WebLinkAboutHS202100009 Permit 2021-04-26Albemarle County
CommunI
�'1 � Rd. North Wing
nt
Short -Term Rental Registry 1 401 McInCharlottesville. VA 22902
----- Annual Application �/ Phone434.296.5832
--- >cr.Ns" 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
• Register with this form
• Obtain an approved zoning clearance (requires VDH and buildingtfire safety inspection)
• Register for a business license and remit renuired taxes
Annually following the initial approvals, all operators of short-term rentals must:
• Renew their registration with this form
• Pass a fire safety inspection
• Renew their business license and remit reouired 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 HOMESTAYIHS), BED AND BREAKFASTIBNBL ORACCESSORV ,1,
TOURIST LODGING(ATL) CLEARANCE PERMIT NUMBER (OF APPLICABLE): 0L(pl(CA0'\.
'ADDRESS: 1 qS IIS VJ
'CRY.$rATE,ZIP: 13WI-v O esO tie I VA aR!5109.,_
TAX MAP PARCEL OF KNOWN): 1 I _ _ ZONING (IF KNOWN): R,Li - -
GUESTBEDROOMS. I I — WHOLE HOUSE RENTAL: OYES *0
Owner/Operator Information
3. Responsible Agent Information
The responsible agent must be available within 0 miles of the fwmestay 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: I RYES 13 NO IF NO, COMPLETE RESPONSI BLE AGENT INFORMATION BELOW
NAME:
HOME ADDRESS:
CITY.STATE. ZIP.
PHONE: EMAIL;
L-- _
FOROFFICEUSEONLY Date Paid:_/_/ 103,p cepted ❑le
Fee Amt: 0827 *0 with clearance application Ckt Reviewed by.
Receipt a: Received by: li 1C11G1N� !
Registration Date:
www.albemarle.org/Mmestays v.9.1Z201 Page 1 of 1