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Home My WebLink AboutHS202100053 Plan - Approved 2022-03-25 APPROVED Homestayby the Albemarle County A " Albemarle County ^,,..,,�.' Departme 1111111�% Community Development Community Development Departme ® ` 401 McIntire Rd.,North Wing Z 3 s ' „ - ._"s" Charlottesville,VA22902 Zoning Clearance plicafion Phone434.296.5832IFax434.972.4126 Application fee:$173.76 Submit this completed application with the following online or to the address above: Application$119+Technology Surcharge$4.76+Inspection$50 1. Floor plan/property sketch with labeled structures used for the homestay,guest bedrooms,owner's bedroom,outdoor 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 forms 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 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. 3 /3/J e__ /4evA/ IT4// /1/ b, ^7 q /I CITY,STATE,ZIP: /'v/ 3—/l L/Y5� /v1'/ll�L ,/V V 7 G3 V TAX MAP PARCEL(IF KNOWN). 0 3 w JI D 0� 5 t li ZONING(IF KNOWN) L fc5 U Qv K J✓ 5f ADVERTISED NAME OF HOMESTAY(IF APPLICABLE) I 44 i N (nrAtt, ACREAGE OF PARCEL: NO.OF GUEST BEDROOMS. I USING ACCESSORY STRUCTURES' BYES 0 NO WHOLE HOUSE RENTAL? 'YES ❑NO 2.Property Owner/Operator Information /� ' NAME. :)t'f JIc i//Db/' L'2/ 2__ HOME ADDRESS. if)Vat---- 44/12//1/ 4/A/ /RD, CITY,STATE,ZIP: !2 / _Y V/! t&/ ,1 ` " 2 7// _3 /' PHONE NUMBER: 77 /3zi---- /3J� ,_I/q!/ L/v7 EMAIL �_/ L. \772-JDf/ Vi( id2—e NOWt4, a)) 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 1of being Acontacted. /� NAME. i U7/lam' /2. //)1&iVfl'i _/ /� HOME ADDRESS l/E,f /1�'V / 71/!V 0'' CITY,STATE,ZIP: PAW /(/v( f I -i. , VA 2 /If 3C6 PHONE NUMBER.773v—/3 e1 Y-t/f-_/3.9 EMAIL Q) /,.'�J/7,i, �/,JL// 14 jr�/ p41 4.Signature INV /I v C. 1/ I hereby apply for approval to conduct the homestayiidentified 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 understan d the a t at I will abide by them. SIGNATURE: DATE. I/}//'�v/ 2.../ r6• FOR OFFIC6 USE ONLY, Fee Amt.$169+4`Y�CDate Paid. I Z i t I�I Safety inspection date: Wass ❑Fail 2nd inspection date. ElPass ❑Fail Receipt 2�--{�p I VDH Food Service(if necessary)• loorplan 1 arki g ^ ID Ck# L n— CC.. ..____ Notes Reviewd By: Received by' l l et Surr linens Date 2 2 S -Z.0 2_,I H S# 2_02.1 03 1/! •pproved ❑Denied I/ /IS 20? l ads 75 .s°f Atgs. Albemarle County • •2 �r� \� Community Development Short-Term Rental Registry c�i�1r1 401 McIntire Rd.North Wing /� A Charlottesville, 22902 Annual Application \: ` Phone434.296.585832 \i �' www.albemarle.org Prior to opening for business,all operators of short-term rentals(including hornestays 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 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 owne, 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): /� Se 2 P 2/ A� e Z "ADDRESS: 4 W �� i/V AD, 'CITY,STATE,ZIP: (J F/NIA'S VI �/" / V4 2 2 /�( TAX MAP PARCEL(IF KNOWN): D 3/0DO 2OO�J £ 77✓ ZONING(IF KNOWN): /(ff�J i ✓ 2. r GUEST BEDROOMS: WHOLE HOUSE RENTAL: (ES d NO 2.Property Owner/Operator/ raJ Information/� / /� `NAME: I��C�I k/�/2- HOME ADDRESS: b�f f( /�/) vilTA-J� ,Q n `CITY,STATE,ZIP: p VV/ �V�//[ I///`�(i(/(/ J /v_JA ' !`�,/5 PHONE: 7 7 / t�301 113L/ EMAIL: fDE 2 / / 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. OWNER/OPERATOR IS RESPONSIBLE AGENT: ;AS 0 NO IF NO,COMPLETE RESPONSIBLE AGENT INFORMATION BELOW NAME: HOME ADDRESS: CITY,STATE,ZIP: PHONE: EMAIL FOR OFFICE USE ONLY ,' Date Paid: / / ccepted 0 Denied Fee Amt: ❑$27 ❑$0 with clearance application Ck#: y /�,/rv� Reviewed by://�7 Receipt#: Received by: � "`i� Registration Date:) /G6 L7 L� www.albemerle.org/homestays v.9.17.20)Page 1 of 1 44 24'24 244 • CLOSET BATH EMMPH LOFT SISMER �1 _ e o o e LEVEL 02 KITCHEN O MING ROM LEVEL 01 SCALE: 1/8"=1'-0"