HomeMy WebLinkAboutHO202100130 Approval - County 2021-10-29FOR OFFICE USE ONLY - BO #
Fee Amount $ Vlate Paid (y who? Receipt # Ck# By:
Application for
Class A Home Occupation Clearance it
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❑ Home Occupation Class A Clearance = $30 + 4% Technology Surcharge
Home Occupation, Class A: An occupation, not expressly prohibited by section 5.2, 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:
WE
Tax map and parcel:
Zoning:
Applicant / Contact Person (Who should we call/write concerning this project?):
Address 1_6-1c) City C--Vt\fie State VA Zip WRI
W1 -
Daytime Phone 6_) ;!5CJ j — Gy\\ Fax # ( ) E-mail ,C1�
Owner of Record /7 �q\\
Address
Daytime Phone (
Fax # (
City
E-mail
State Zip
PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ
C_f LOCATION & AREA
The home occupation shall be conducted entirely within the dwelling unit at the address listed above and by the noted
applicant, 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 for the home occupation shall not exceed one
thousand five hundred (1500) square feet.
[Section 5.2 (b) 1)]
L�J EXTERIOR APPEARANCE
There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a home
occupation. [Section 5.2 (c) 1)l
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 5.2 (d)]
Ulii�FFIC
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 5.2 (e)]
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
4/14/2020 Page 1 of
PARKING
All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on -site.
,[SSectio�n 5.2 (f)]
IYJ PERFORMANCE STANDARDS
The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (k)]
Does the use involve procedures, machinery Or chemicals that may cause the following?
NOISE
VIBRATION
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
NON -DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER
,,
If YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff).
0 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)1
WAIVERS AND MODIFICATIONS: The above standards are eligible for waiver or modification by the Board of
Supervisors. Ask staff for more information about applicable fees and process. [Section 35 and Section 5.11
Owner/Applicant Must Read 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 certify that I have readthe restrictions on Home Occupations, that I understand them, and that I will abide
by them. This certificate, in con'unctio with a business license, represents zoning approval to conduct the Home Occupation
identifive. O
Signature of Owner/Applicant j Date
h�Qk0 2�ZMCo- �366 - q(A
Print Name Daytime p tone num r of Signatory
Reviewer Date
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
vI JIG
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