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HS202100001 Approval - County 2021-05-07
APPROVED by il?e Albemarle County 'Ammunity Deyelopment Department irate ___ t / dII File ice-_- 851 - DI Building Official and Fire Rescue Safety Checklist ❑ Pon III aaame or prod III arwwaY aM ananneceNe.amearocerlvma more than lw atm[Wrct Exnnm[Wre use R,i oom mu at n aeIls rem spares CoMxt rummy LI5&vela% at remerkkOalMmYlear6 to obtain methanol aa]m, umhen N somme, ❑ Install a} IOBC fire reiµuisler Inthe kilNen area peRrablr an a wall and pal F a opneL Fire cllryui,nv rated, an treated on he N. nti qui,Fer. ❑ :Nara ergemy on t11 Pow Plan ,ad gdirectors h lulhe Further and N messing the 911 emeswd ihw.qrn In Hen traom. m 'a,imXvrloN an .m a mmmtko a nata. am.Nxvin n Id mmearae«r. ❑ Ensure,, hb r omnasatleaxamw;neawo,' aMam,tmt... wen lags mwN nme, permit sae In me , ofu. d n wmaoa: mush, re .in led anln. ❑ xm EFou„wt,esio[om lm an he sous 11us1 demaneb ne Win. poae.nrq.xNlawee RaiaM proMmaM,mt,in tmuon built melR strip mmm ❑ Makexaenmlmelenrkn pamlbml wL6hk lalle6umlinall limm ❑Inatalland[Done[ electr alap,sg w4• ttlitngwots mlaa loom%. 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Noun xMln Is smmI,,—I.... feumam11 Mnmt Network move ul IN ewNlle. use. ine'A r¢ngrmtlm M lxtma cmdnalimmrmke am,arN,m.motor Mnbr,ah.p be mh-ted m M lrnlahtllnn,eM1rcnnmryrfamslh Nof um4annlard. '-fam 1N11Mr Nellned inntwdrre wnF VL 268 aM 11L 2075. Questions? COndectthe Building Official at pane 'n..roamm,ren w434-296-5832.3228 wwwabemadear.11wmn4Y. 111.19301 Pap, mS ©Homestay re Zoning Clearance Application _. "'N't this consweL,peRgno,wiln the bllvaairyanlirs o- to theaMrexapove: Aapl'parkadam 515E L FborpkNgegrlVYxr[FwiNlabek]strutIurnusMbrrlx Nynealry,gni be6mm,awneri Werexn,w[amrlgn\Ng o, Ne npnexry.labNM xlhxb, and ghinB lMnimum f .1 apau guL heargml 3. esd Molumsol,n:.I onalrcsihmy(theewemmen[ixpM wiNpldolDesanlNiryrleaaartn-x[Mlate rams imiW a dngrM1!Yams. wbr r[oYnibn card Ds PmaparL %Harr m a.. hV Ne zanin aaminuuamr) I.Nmealryl,brmnwn bL ✓ a�w brhM1rxvdraagaeryrd5�tu¢,M,YMynlnunmryaer�nnNryn pepaurtYslS•xml4 knaqun 25 RDNI n Hei m Rd. Charlottesville, VA 22901 suvIRMTI[exn ssad sraped., 415 1 uslxeaeenscrosrwcrwm, ores •rap _—d,,lplrstepnu. _ n.L. ge_ B Rap•nY Call.parxn lnbmpauc n Amanda L Harrington oa.landirms 121 Roal n Heights Rd. Charlottesville, VA 22901 414-803-9556 ms. manda.hfnrm ton 1Rnpnmml.naeminbrm.11- gmall.eom e. nm aMwmk Mm wvp,.nlemm�m..lmrFn euFraonom•.rtYn..wmwwapw.M.n.nwt:.mlleu,• m w,wrl n mm reaxvtndmra rhan Amanda L Harrington 25 Rosl n Hei hts Rd. Charlottesville, VA 22901 414-803-9556 43i.n•mra gmad.com In.rcbF... I....wrunl tamneu[1ln,Mm.Y....nm•e,ew,•nen Yrmx Nu.denssl. m/Inx mamn,,nauef neplogmn. <n,l ln.nn,Irvea a.p[Ixeaewlml.er..xe MW nem.awxa nW.mmaa.q, I,aoudlh Nxl n,xn.ew aultmpnfirmm•ramx Im,rr,.ne Nnf pant.de•W[Hess. OR arm "I nFro—undamh E D zw.,mmr _ It rom ru. 00 wl2— ❑ e MORS,—no�l of OwNJAhip only 'gyp-4e50L1F5AoftAye0D5 was ffP(Wd �}� Afeel 000i lal1oI15 M� Wliuc. ds ( u6d yt4,M • e"o"rryea Albemarle County Short -Term Rental Registry j _1. = Community Development 32 r Charlottesville, McIntire Rd. VA 229 Wing ,t_ Phone4e4.29 .58 22902 Annual Application www.al3rnarle.org �xc��`` www.alhemarle.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 afire safety insoection • Renew their business license and remitrnuired 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. STAY(HS), BED AND BREAKFAST(BNB), OR ACCESSORYo (ATq CLEARANCE PERMIT NUMBER (IF APPLICABLE):25 Rosl n Hei hRdCharlottesville, IPR VA 22901 F KNOWN): OI_1 ort -�— 0tis V// V 0P1 ING(IF KNOWN): : 1 WHOLE HOUSE RENTAL: ❑YES VINO 2. Property Owner/Operator Information 'NAME: Amanda L Harrington "HOMEADDRESS: 25 Roslyn Heights 'CITY, STATE, ZIP: CharlottesVllle, VA 22901 PHONE: EMAIL: mS.aman a. arring on gmai .coin 3. Responsible Agent Information The responsible agent must be available within �O 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: 6*ES ONO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW NAME: HOMEADDRESS: CITY, STATE, ZIP: PHONE: EMAIL: FOR OFFICE USE ONLY Fee Amt: 0$27 11$0 with clearance application Receipt #: Date Paid: accepted Den' A Reviewedby: 51 f �t Registration Date: 1 oCl v. 9.17.201 Page 1 of 1 <E tJ IDWC s � � 2 _ 5 ,3 La-- 1►�11�-0