HomeMy WebLinkAboutHS202100010 Approval - County 2021-04-29Homestay
Zoning Clearance Application
Albemarle County
J:r, r.. Community Development
i 401 McIntire Rd., North Wing
Charlottesville, VA 22902
Phone 434.296. 58321 Faa 434,972.4126
Submit this completed application with the following ur�hlls or to the address above: Application fee: $158
1. Floor plan/property sketch with labeled structures used for the homestay, guest bedrooms, owner's bedroom, outdoor lighting
and signage for the homestay, labeled setbacks, and parking (minimum 2 ♦ 1 spoUguest 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
Residentially zoned and rural area parcels of less than 5 acres may have 2 guest bedrooms by -right. Use of accessory structures lif bugt before August 7, 2019) is
onlypermihed by -not on rural area parcels of 5* acres Whole house rental is onlypermitied an rural area Parcels of 5• acres.
ADDRESS
CITY STATE, 21P
CKATtmiR-5-UfL IX VA- ZZ11 C7 k
C/�
TAX MAP PARCEL iIF I:NO'.ti Nl.
/_
W
ZONING OF KNOWNI.
qh
D
A'. ERTISE D NAME OF HOMESTAY OF APPLICABLE).
ACREAGE OF PARCEL.
NO OF rUEST REDROOMS
(
USING ACCESSORY STRUCTURES'
® YES 10
I WHOLE HOUSE RENTA'
1 ® YES 'O _ i
2 Property Owner/Operator Information
j r�
NAME ��Y�/ f�EL�i �N ��, MICIfNf.Lir"iLf7,Ai��IH- KILUR�
HOME ADDRESS l6 rC1 ."JC /uw/ y w/
CITY. STATE. ZIP. VA (NID�
PHONE NUMBER So3%6ri3, "1ISSi EMAIL elijfy/�jlt killWtl (��rt4y(. oPstt
3. Responsible Agent Information
The responsible agent must be available within 30 miles of the homestay, at all times during a homestay use. and must respond and attempt in good faith to
resolve my complaints within 60 minutes of being contacted
NAME
HOME ADDRESS
10 Y. STATE. 71P
Ak"6vU
PHONE NUMBER EMAIL'
4.5ignature
1 hereby apply for approval to conduct the homestay identified above, and certify that this address is my legal residence, and that 1 own
the property or that 1 have recieved a special exception to operate the homestay as a resident manager. I also certify that 1 have read the
restrictions on homestays, that I understand them, and that 1 will abide by them.
o
.DATE._
FOR OFFICE USE NLy
sar ry arttnw•dn �'3 ®r. , ®F,rl � I p r.,.= ®ERA
VDHF WSeraie 6f raves-.uv1_._ OPRzn li ��. DV
Approved ® Denied
Short -Term Rental Registry
AlbemarleCmnty
Rd e3
Annual Application
PotnB
c;d3I9
www, bemar,eog
Prior to opening for business, all operators of short-term rentals (including and previously approved bed and break fasts and
accessory tourist lodging rentals) must:
• Enroll on the Short -Term Rentals Registry with this form
• Obtain an approved -- (requires VDH and building/fire safety inspection)
• Register for a L'...
Annually following the initial approvals, all operators of short-term rentals must:
• Renew their enrollment on the registry with this form
• Pass a(,,rg p,:,f tYlnsLxouion
• Renew their a I Cl1151. and_FCMIt I EAQ ldt:Q.}au>
Fields marked with an'asted-A are the rninimum reauired for regmr mon.
1. Short -Term Rental Information
A Whole Mum 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(HIS) BED AND BREAKFAST(BNB) OR ACCESSORY
TOURIST LODGING (ATU CLEARANCE PERMIT NUMBER (IF APPLICABLE):
'ADDRESS /fill ?-%VF_Z- INN LN
-CITY,STATE.ZIP, C.WAVtyTTeSV(LLJ:1 VA
TAX MAP PARCELIIF KNOWN)
GUESTSEDROOMS: If
22'Io 1
_ - ZONING pF KNOWN) t
WHOLE HOUSE RENTAL:; DYES
QNO
2 Property Owner/Operator Information
• 'NAME : arr lvrs rrGL f `(.f ✓AUllli K(L(.(rlry
Cry
'HOME ADDRESS: 1#11 jell/M /Ned LAI
'CfTY, STATE, 21P:GN�'f2mit-NU(LLE / VA ?,MO I
--_. _—
PHONE: '303 broom -Itss EMAI L: _ _
--
al � KLfliwi 1 e gf.c<if.
3. Responsible Agent Information
The responsible aoggeennt must be available within 30 tulles of the homestay at all
resolve any complaints within 60 minutes of being concontacted.
times during a lwmestay use, and must respond and attempt in good faith to
I OWNER/OPERATOR IS RESPONSIBLE AGENT: ■YES ONO
IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW li
NAME: -. Sa.rr-a� ft5 '1 fiVE
HOMEADDRESS:
r
CITY STATE.ZIP�
PHONE: EMAIL
FOR OFFICE USE ONLY Date Paid: s/ / ��
[pted Denied
Fee Amr ❑S77 60_thdeara.1p1w.h.n Ck e:V
geviewed bY:
t,,..,,rr,�JVNM
Receipt•: \r'Received by:
Rmistration Datkt—/y�'�Q
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v. 9.17.201 Page 1 of i