HomeMy WebLinkAboutHS202100049 Approval - County 2021-11-04H�yy ;r* +rare, Albemarle County
®mestay y Community Development
ti401 McIntire Rd., North Wing
Zoning Clearance Apgli&�D s> ' n Phone 434. 96.5A22902
y County "rr •INr' Phone 434.296.5832�Fax 434.972.4126
Fte:
n Development Department Ry _ l,� � � � 1 Application fee: $173.76
Submit this completed application with the-e l—rn e�N�adM2YSSed7[TO% Application$1191TechiwlogySu¢IlwgeE4J6+lnsce�llnn$5o
1. Floor plan/property sketch with Iahel., .. .drnoms, owner's hedronm, outdnnr lighting
and signage for the homestay, labeled setbacks, and parking (minimum 2 + 1 spot/guest bedroom).
2. Copies of two forms of verification of residency (one government issued with photo ID + one listing the address -acceptable rut ITIS
include driver's license, voter registration 5ard.S.passport,othersasap v by the Zoning Administrator)
1. Flomestay Information
Residentially zoned and rural area parcels of less than 5 acres may have 2guest bedrooms by -right. Use of accessory structures (if built before August 7, 2019) is
only permitted by -right on rural area parcels of 5+acres. Whole house rental is only permitted on rural area parcels of 5+ acres.
ADDRESS:
I60 J, CJ (,Qj��`(1J �
CITY. STATE. ZIP:
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TAX. MAP PARCEL (IF KNOWN!:
I I L..,-j) 0 -ou -Uo-0(_('�L.I P
ZONING, (IF kNOWN).
ADVERTISED NAME OF HOMESTAY (IFAPPLICABLE):
ACREAGE OF PARCEL.:
- NO. OF GUEST BEDROOMS:
U5ING ACCESSORY STRUCTURES'
❑`,F5 yal\10
WHOI. F 1100SF RENTAL?
❑YES Imp
2. Property Owner/Operator Information
NAME:
--- - --- - -
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HOME ADDRESS:
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CITY. STATE. ZIP:
S CVUkAS
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PHONE NUMBER:
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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.
—
NAME'
— ----- ,- ---—/—�--..... ---%-- ------- --------------------
(-f,\.c-. S
HOME ADDRFSS:
CITY. STATE. ZIP:
PHONE NUMBER:
EMAIL:
4.Signature
I hereby apply for approval to conduct the homestay identified above, and certify that this address is my legal residence, and that I own
the property or that I have recieved a special exception to operate the homestay as a resident manager. I also certify that I have read the
restrictions on homestays, that I ypderstand them, and thAt+wiltabide by them.
SIGNATURE: I I VkM / I DATE: I' 0 V �I
Fae roll: 3.76'i r U' Darr P�31d /V — �...
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FOR OFFICE USE _ONLY
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Ownby I-IOmestay
fin! I..vactiation Plan
--"^.�J Albemarle County
- • / Community Development
Short -Term Rental Registry 401 McIntire Rd. North Wing
\ / Chadottesville. VA 22902
Annual Application wwwnal emarleorg
��+:�_i �`� www.alhemade.org
Prior to opening for business, all operators of short-term rentals (including and previously approved bed and breakfasts and
accessory tourist lodging rentals) must:
• Register with this form
• Obtain an approved(requires VDH and building/fire safety inspection)
• Register fora
Annually following the initial approvals, all operators of short-term rentals must:
• Renew their registration with this form
• Pass a
• Renew their
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 HOMESTAV (HS), BED AND BREAKFAST (BNB), OR ACCESSORY
TOURIST LODGING (ATQ CLEARANCE PERMIT NUMBER (IF APPLICABLE):
'ADDRESS:
l
'rJ � '
'CITY, srATE,ZIP:
q
. )rd
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TAX MAP PARCEL (IF KNOWN):
ZONING (IF KNOWN):
GUESTBEDROOMS:
V �>kAi <,
WHOLE HOUSE RENTAL
❑VES O
2. Property Owner/Operator Information
`NAME:
'HOMEADDRESS:
'CITY, STATE, ZIP-
_ Jct v
PHONE:
3. Responsible Agent Information
Theresponsibleagent must be available within Omile 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 AGENT:
ES ONO
IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOMEADDRESS:
i
CITV,STATE,ZIP:
r U
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PHONE:
'� 3: j' Y�(
EMAIL:
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FOR OFFICE USE ONLY Date Paid: ❑Accepted ❑Denied
Fee Amt: 0$27 ❑$0with clearance application Ck#:
Reviewed by:
Receipt #: Received by:
Registration Date:—J_J—
www.albemarle.org/homestays v. 9-17.201 Page 1 of 1