HomeMy WebLinkAboutBNB201900008 Permit 2021-09-29Short -Term Rental Registry
Annual Application
Annually following the initial approvals, all operators of short-term rentals must:
• Renew their registration with this form
• Pass afire safety ins e[ •ems
• Renew their business license and remit required taxes
Fields marked with an 'asterisk are the minimum required for registration .....
1. Short Term Rental Information
Albemarle County
p Community Development
3 401 McIntire Rd. North Wing
Charlottesville, VA 22902
" Phone 434.296.5832
t�9<aN>•t' www.albemarleorg
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 S+acres.
'APPROVED HOMESTAY (HS), BED AND BREAKFAST(BNBI, OR ACCESSORY
TOURIST LODGING(Art, CLEARANCE PERMIT NUMBER (IF APPLICABLE}
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'ADDRESS:
'CITY,STATE, ZI
TAX MAP PARGEL.OF KNOWN):
GUESTSEDROOMS: !
t�E,ti,ENFRE'ii ❑YES O
2. Property Owner/Operator Information
NAME. �� �/ //u-FJ"✓/K 1p fit'' .µ'1J^Y I��'. C'��'UC/ __._
HOMEADDRESS
'CITY, STATE ZIP ": �).i/l�1 /i-.. �f� `✓/C cT \ /A {�,
PHONE: �:3>{�9"7 l'u`'/iJi T EMAIL v vr.Ar(iLS/CKA )E?- `�l• i'�'i Q r 2i?/• vV,.l�
3. Responsible Agent Information '
The responsible agent must be available within 30mile of the homestay at all times du ring a homestaY use, and must respond and attempt in good faith to
resolve any complaints within 60 minutes of being contacted.
OWNER/OPERATORISRESPONSIBLE AGENT:
DYES ONO
NAME:
HOMEADDRESS:
CITY,STATE,ZIP:.
PHONE:
�EMA
FOR OFFICE USE ONLY -V ate Paid:—/
Fee Amt: 0$27 0$0 with clearance apptication Gks
Rereipt F: ReceivedbY,_
ai
wvw.albemarle org/homestays
F NO,COM�)i FTF RFSFONYHLE AGENT INFORMPTION BELOW