HomeMy WebLinkAboutHS202100048 Permit 2022-01-05 (2)APPROVED
by the Albemarle County
CofNfwn tyYelopment De a Albemarle County
Homestay Date i Community Development
F�e _ 401 McIntire Rd., North Wing
Charlottesville, VA 22902
Zoning Clearance Application Phone 434.296.5832 1 Fax 434.972.4126
Submit this completed application with the following online or to the address above: Application fee: $158
1. JFloor plan/property sketch with labeled structures used for the homestay, guest bedrooms, owner's bedroom, outdoor lighting
nd signage for the homestay, labeled setbacks, and parking (minimum 2+ 1 spot/guest bedroom).
2. Copiesoftwoformsofverificationofresidency(onegovernmentissuedwithphotoID+onelistingtheaddress-acceptableforms
include driver's license, voter registration card, U.S. passport, others as approved by the Zoning Administrator)
1. Homestay Information
Residentially zoned and rural area parcels of less than 5 acres may have 2 guest bedrooms by -right. Use of accessorystructures (if built beforeAugust 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:
311 N T 61T &QC.n
CITY, STATE, ZIP:
1O
`t �t
Cha.�r `O Ty (7 G5 V c.L1.c, y A
q
TAX MAP PARCEL (IF KNOWN):
PI k Z-jai P1 26
8 2G15-IO
ZONING (IF KNOWN):
0
ADVERTISED NAME OF HOMESTAY (IF APPLICABLE):
r an f Ott,
CO e E I[ 9 G
ACREAGE OF PARCEL:
o
`..S
NO. OF GUEST BEDROOMS:
'�
USING ACCESSORY STRUCTURES?
ES ONO
WHOLE HOUSE RENTAL?
®YES ®NO
2. Property Owner/Operator Information 'I off? vr Doi 0 b - 00 - 6 O - O Rq 6J 0 RN SQ/IAG
NAME:
HOME ADDRESS:
CITY, STATE, ZIP:
t]
Jh aZq�i
PHONE NUMBER:
— 83
EMAIL: C n
/ e 'Q r%)J.
V Lf
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:
IFi L
HOME ADDRESS:
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 understand them, and that I will abide by them.
I SIGNATURE: I /r tAW10//w ) IDATE: I IT) Vbl th?) -LA-1
Fee Amt:$158 Date Paid: tb
Receipt #: I W J TIteo
Ck#: 1951
Received by: !'
HS# 462ba Y9
FOR OFFICE USE ONLY
Safety inspection date: ' / _? O Pass O Fail 2nd inspection date:
i
VDH Food Service (if necessary): ® Flo
Notes: Reviewd By:
1 M4 iJ. ® Pas ® Fail
O m ®ID
23- W
® Denied
STRan�a,t Qn�.
Short -Term Rental Registry
Annual Application
or niA, Albemarle County
Community Development
1 401 McIntire Rd. North Wing
Charlottesville, VA 22902
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:
• Register 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 registration with this form
• Pass a fire safety inspection
• Renew their business license and remit reouired 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.
T (BNB), OR ACCESSORY
TOURIST LODGING (AMBER (IFAPPUCABLE):
'APPROVED HOMESTF2,
'ADDRESS:
*CITY, STATE, ZIP:TAXMAPPARCEL(IFK
"WZCI
GUESTBEDROOMS:
OLE HOUSE RENTAL: ❑YES ONO
2. Property Owner/Operator Information
�D..
3. Responsible Agent Information
U - v
The responsible agent must be available within 3O 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 RESPONSIBLEAGENT:
❑yE5 ONO IF NO,COMPLETE RESPONSIBLE AGENTINFORMATION BELOW
NAME:
J
HOMEADDRESS:
CITY, STATE, ZIP:
PHONE:
EMAIL
FOR OFFICE US LY Date Paid: �l ax ccepted ❑Denied
Fee Amt: 27 0$0 with clearance application Ck#: C&2 N
' 9 s 9 Reviewed by:
Receipt#: K % Received by:
Registration Dater _(w2
A
www.albemarle.org/homestays V. 9.17.20 1 Page 1 of 1
Virginia Department
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1 (Albem,,,,, �ILLE, VA 22977-6235 1 a
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I ISSUED: 2020-09-0715:53:20
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I ORDER u: 74552926 I E
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