HomeMy WebLinkAboutHS202100016 Approval - County 2021-06-08F-1 Homestay
Zoning Clearance Application
Submit this completed application with the following online or to the address above:
Albemarle County
Community Development
4`
401 McIntire Rd., North Wing
L 17� , f Charlottesvllle,VA22902
Phone 434.296.5832 1 Fax 434.972.4126
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 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
Residentially zoned 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
only permitted by -right on rural area parcels of 5+ acres. Whole house rental is only permitted on rural area parcels of 5+ acres.
ADDRESS:
1045 Quail Hollow Lane
CITY, STATE, ZIP:
Charlottesville, VA 22901
TAX MAP PARCEL IF KNOWN):
I 043000000023E2
ZONING (IF KNOWN):
ADVERTISED NAME OF HOMESTAY BF APPLICABLE):
I NIA
ACREAGE OF PARCEL:
2.98
NO. OF GUEST BEDROOMS:
1 2
1 USING ACCESSORY STRUCTURES?
YES ✓NO
WHOLE HOUSE RENTAL?
VES ✓NO
2. Property Owner/Operator Information
NAME:
Dean Kedes
HOME ADDRESS:
Same as above
CITY, STATE, ZIP:
PHONE NUMBER:
434-242-8602
EMAIL:
deanlCedes@tjmall.Com
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 any complaints within 60 minutes of being contacted.
NAME:
1. Abriana Roberts-Kedes address same as above. 2. Tammy Stewart
HOMEADDRESS:
2. 89 Homestead Hills
CITY, STATE, ZIP:
Afton, VA 22920
PHONE NUMBER:
1. 434-222-6703
EMAIL:
I. abrllCedeslftmall.Com
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 exc ' -on to operate the homestay as a resident manager. I also certify that I have read the
restrictions on homestays, that I under�np X nd that I will abide by them.
SIGNATURE: I W/ 1 111n I DATE: I 4-13-2021
FOR OFFICE USE ONLY
Fee Amt$158 Date Paid:_ 51,1 iSafety inspection date:L��l�j ILI Pass F� 2nd inspection date:
ec2 Pass( Fail
Receipt N: R��R �N� �i �Q�t �e7-e�i VDH Food Service (if necefs�sary)) .\CIM Floorplan VI ✓ ID
CkA: Notes: QLL, ye" .ry, Reviewd By:
Received by: Date: is/.2 11
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