HomeMy WebLinkAboutHS202100011 Permit 2021-05-28Short -Term Rental Registry
Annual Application
Albemarle County
,y •
Community Development
401 McIntire Rd. North Wing
Charlottesville, VA 22902
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Phone434.296.5832
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 zoninp 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 registration with this form
• Pass a fire safety inspection
• Renew their business license andremit reauiredtaxes
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 rentalsare only permitted od
Rural Area parcels of 5+acres. _.
'APPROVED HOMESTAY (HS), BED AND BREAKFAST (BNB), OR ACCESSORY
TOURIST LODGING (ATL) CLEARANCE PERMIT NUMBER (IF APPLICABLE):
'ADDRESS: V h f-
'CITY, STATE, ZIP: cozrC
TAX MAP PARCEL (IF KNOWN): 56K-- OLJ- D ZONING (IF KNOWN):
GUESTBEDROOMS: ` WHOLE HOUSE RENTAL: ❑YES KNO
2. Property Owner/Operator Information
'NAME:
'HOME ADDRESS:
O'a v VA"
'CITY, STATE, ZIP:
(o eA2L a
PHONE:
.^) D , Li p • 011H
I EMAIL'
C(1C.ti l •CDM
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3. Responsible Agent Information
The responsible a8entmust 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 any complaints within 60 minutes of be ng con acted.
OWNER/OPERATOR IS RESPONSIBLE AGENT: OYES ❑NO
NAME:
HOME ADDRESS:
I CITY, STATE, ZIP: I
IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
PHONE: — — _
FOR OFFICE USE ONLY Date Paid:J_ /_
Fee Amt 0$27 It$Owlth clearance application Ck#:
Receipt
® Accepted ❑ Denied
Lea Brumfield
Registration Date:—/28/ 21
www.albemarie.org/homestays V. 9,17,201 Page 1 of 1