HomeMy WebLinkAboutHO202100071 Application 2021-07-285/18/2021 6:24 PM FROM: Staples TO: +14349724126 P. 1
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Application for -�
Class A Home Occupation Clearance
Home Occupation Class A Clearance = $27.00
Home Occupation, Class A: An occupation, not expressly prohibited by section 5 conducted for profit within a dwelling
unit solely by one or more members of the family residing within the dwelling unit; provided that nothing herein prohibits the
occupation from engaging other persons who work off -site and do not come to the dwelling unit to engage in the occupation.
Name of Business:
Type of Business:
'tax map and parcel:
Contact Person (who should we call1write concerning this project?):
dw11frC �fi(�f, 1 t �lx \�C7(�U
Addrell\'C)• \-7�, �b13 City CNVyk0k�tL\1\V0 cc++ \state M_ C.rp922 n
Daytime Phone An Q[' Fax fl(...__._)E-mail i`(Ut\Aofiy Cane s. iYt
Owner of Record 0nf,(Y% Jn""t'U....._--------._..-._.----``---
Address �.l //� pa Q lix'fli2, Lp r� city Crlt.(\bV C k1 it State\A Lip a
Daynimc PhoncgSq)._Q9..Lf-. ViL.f.5_._ I"" B (---) F.-mail "tlBr4L(3 G wv 'Jj-i-
This certificate. in conjunction with a business license, represents zoning approval to conduct the Class A Home Occupation
identified above. Each home occupation is subject to the following:
PLEASE CHECK EACH BOX SO _THHAT IT IS CLEAR THAT YOU HAVE READ
AND UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE
LOCATION & AREA
'file home occupation shall be conducted entirely within the dwelling unit, provided that not more than twenty-five
(25) percent of the gross floor area of the dwelling unit shall be used for the home occupation and further provided
that the gross floor area used forthe home occupation shall not exceed one thousand five hundred (1500) square feet.
[Section 5.2 (b) 1))
I1 EXTERIOR APPEARANCE
There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a
Z
ome occupation. [Section 5.2 (c) 1))
ALES
No home occupation shall sell goods to a customer who comes to the site except for goods that are hand-crafted on -
site and goods sold that are directly related to a beauty shop or a one -chair barber shop home occupation.
[Section 51(d))
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville. VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
1I112015 Page l of2
5/18/2021 6:24 PM FROM: Staples
TO: +14349724126 P. 2
�AFFIC
The traffic generated by a home occupation shall not exceed the volume that would normally be expected by a
dwelling unit in a residential neighborhood. [Section 52 (e)]
❑ RKING
All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on -site.
[Section 5 (f)]
RFORMANCESTANDARDS
The home occupation shall comply with the performance standards in section 4.14. ISeetion 5.2A (k)]
Does theme involve procedures, machinery or chemicals that may cause the following?
NOS-
VIBRATION
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
NON -DOMESTIC WASTE, DISCHARGED TO A SEPTIC FIELD OR SEWER
YES
NO
v
v
✓
t/
r/
If ,then applicable standards must be addressed with a Certified Engineer's Report (available from staff).
PROHIBITED USES
The following uses are expressly prohibited as home occupations: (1) tourist lodging; (2) nursing homes; (3) nursery
schools; (4) day care centers; and (5) private schools. [Section 5.2 (h)]
WAIVERS AND MODIFICATIONS: The above standards are eligible for waiver or modification by the Planning
Commission. Ask staff for more information about applicable fees and process. [Section 35 and Section 5.11
Owner/Applicant Must Rem[ and Sign
1 hereby apply for approval to conduct the Home Occupation identified above, and certify that this address is my legal
residence. I also certifv that I have read the restrictions on Home Occupations, that I understand them, and that I will abide
by them
¢na/ `
Signature of Owner/Applicant`s (_ —
Print Name
Revie%cr
Date
Daytime phone numbe of Signatory
Date
"'NGINEER'SREPORT ATTACHED: YES NOS
CONDITIONS:
11/0015 Paae2of2