HomeMy WebLinkAboutHS202100013 Permit 2021-09-30Short -Term Rental Registry
Annual Application
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Albemarle County
Community Development
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401 McIntire Rd. North Wing
Charlottesville, VA 22902
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Phone 434.296.5832
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:
• Enroll on the Short -Term Rentals Registry with this form
• Obtain an approved zoning clearance(requires VDHand building/fire safety inspection)
• Register for a business l icense 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 afire safety insoection
• 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 HOMESTAY(HS), BED AND BREAKFAST(BNB), ORACCESSORV
TOURIST LODGING(ATL) CLEARANCE PERMIT NUMBER (IF APPLICABLE):
'ADDRESS:
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'CITY, STATE, ZIP:
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TAXMAPPARCEL(IFKNOWN):
ZONING(IFKNOWN):
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GUESTBEDROOMS:
WHOLE HOUSE RENTAL:
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2. Property Owner/Operator Information
'NAME:
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'HOMEADDRESS:
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`CITY, STATE, ZIP:
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PHONE:
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EMAIL:
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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.
OWNERIOPERATOR IS RESPONSIBLE AGENT:
YES El NO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOMEADDRESS:
CITY, STATE, ZIP:
PHONE:
EMAIL
FOR OFFICE USE ONLY
Fee Amt: 0$27 $0 with clearance application
Receipt#:
Date Paid: _J_/_
Ck#:
Received by:
Accepted ❑ Denied
Reviewed by: g,Jgg`���
Registration Date: pp I W cal
www.albemarle.org/homestays v. 9.17.20 i Page 1 of 1