HomeMy WebLinkAboutHS202100028 Permit 2021-08-26Albemarle County
• p= Community Development
Short -Term Rental Registry Charlottesville,
McIntire Rd. VA 229Wing
Charlottesville, VA 22902
Phone 434.296.5832
Annual Application R ,N•P 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:
• 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 a fire safety inspection
• Renew their business license and remit required 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.
'APPROVED HOM ESTAY (HS), BED AND BREAKFAST(BNB), OR ACCESSORY
TOURIST LODGING (ATL) CLEARANCE PERMIT NUMBER (IF APPLICABLE):
HS202100028
'ADDRESS:
'CITY, STATE, ZIP.
TAX MAP PARCEL (IF KNOWN):
71-40
ZONING (IF KNOWN):
RA
GUEST BEDROOMS:
WHOLE HOUSE RENTAL:
❑YES ONO
2. Property Owner/Operator Information
*NAME:
'HOMEADDRESS:
'CITY, STATE, ZIP:
PHONE: EMAIL:
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.
OWNER/OPERATOR IS RESPONSIBLE AG ENT:
❑YES ONO IF NO, COMPLETE RESPONSIBLE AG ENT INFORMATION BELOW
NAME:
HOMEADDRESS:
CITY, STATE, ZIP:
PHONE:
EMAIL
FOR OFFICE USE ONLY
Date Paid:
Fee Amt 0$27 00$0 with clearance application Ck M:
Receipt#:
www.al bemarle.org/homestays
Received by:
13 Accepted ❑ Denied
De ;a„e k.,. Lea Brumfield
Registration Date: 8-J26/ 21 '
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