HomeMy WebLinkAboutSE202100010 Application 2022-03-28 S of 4,y Albemarle County
• „ e Community Development
Short-Term Rental Registry V •- Charottesvlle,VA22902�ng
Annual Application h Phone434.2965832
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 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 enrollment on the registry with this form
• Pass a fire safety inspection
• 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),OR ACCESSORY
TOURIST LODGING(ATL)CLEARANCE PERMIT NUMBER(IF APPLICABLE). $E Z 1_ pool D -
*ADDRESS: 3555 Ke- erg 4040 did 3557 Kesrr,a. rad 4+ AI &•st- 1144.d.
1 d��
"CITY,STATE,ZIP: 494/1 Cr(/ V4 2,Z1417
TAX MAP PARCEL(IF KNOWN): 0
7T -O°-O)g - QO�4VONING(IF KNOWN):
GUEST BEDROOMS: C" � WHOLE HOUSE RENTAL ID YES jit140
2.Property Owner/Operator Information
*NAME: 5b-n4 CHOI�EL .. 4E4j-/
'HOME ADDRESS: ;55 5 /4-54//cK ES�J
*CITY,STATE,ZIP: 0511/,Alt ZZ11i7
PHONE: Z//-Q 2 Z '7D/ Z (5 70mAII: TH• C-FIOKC _6 /L •Cc",
3.Responsible Agent Information �Q
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.
OWNER/OPERATOR IS RESPONSIBLE AGENT: ES ❑NO IF NO,COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOME ADDRESS:
CITY,STATE,ZIP:
PHONE: EMAIL: - — -
FOR OFFICE USE ONLY Date Paida 11: 0 Accepted 0 Denied
Fee Apt`gJ$27 0$0 with clearance application Ck
Reviewed by:
Receipt#: r 509 L03 Received by:
Registration Date:_J-1—
www albemarle.org/homestays v.9.17.20 1 Page 1 of 1
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