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Home My WebLink AboutHS202200012 Application 2022-03-29 _ t c- --- Albemarle County ar; 9� Community Development �O m esta y c ®�M 401 McIntire Rd,North Wing Charlottesville,VA 22902 _.. Zoning Clearance nici Phone434 296 5832 1Fax434.9724126 FOR OFFICE USE ONLY HS#'I Z/C)a —000IQ Fee Amt:$T - )7 3. 74 Date Paid:t L! av% By4 91" L- - Receipt#:0I a l 01 Ckt 91 a B;e4141 11 1.Applicant/Owner Information f7 NAVE t/V �FZL E-MAIL ADDRESS V 4 LE t %wI L V,,PHONE ZJ c �ci, € '�t� MAI_INGADDRESS 1 CI Z5 0I s.1 1� 2. Homestay Information IN(MAP AND PARCELNUMBER 0/A 00 O D o o O IL 00 ,OR ADDRESS,IF UNKNOWN), ZONING ACREAGE `OMESTAY NAME .//1 r tN\ Qe I 1u-A gzALA co I.t'Fes. RESPONSIBLE AGENT NAME 'e L. CAN-Cr-- ,l-t---- 1 SAME AS ABOVE(OWNER) RLS?ONSIBLLAGENT EMAIL el�iT—c t,(>1 0 ,rrAC r,. 5 nmksL11AGLN l PI1r,N_ �,0.7j )1.s,5 9 1 Z "E RESPONSIBLE AGENT ADDRESS Gt cgr-A- Fi--L S-v" c /V z 7`/ `/s Oz --e 3.Verification of Requirements NUMBER CF GUESTBEDROOMS USING ACCESSORY STRUCT ' 2 FORMS PROOF 0=RESIDENCY PROVIDED' FLOOR PLAN SKE-CH PROVIDED" ^ /'�( YES NO YES NO YES NO PARKING RI QUIRE D 101AL•OMLSIAYUSESON-ARCL. Dwelling 2 Number of Guest Rooms +. Total Off-Street Parking 1-41++i- 4.Applicant Signature I hereby apply for approval to conduct the homestay Identified above,and certify that this address is my legal residence I also certify that I have read the restrictions on homestays,that I understand them,and that I will abide by them. SIGNATURE OFOWNE LICANT J DATE �► �� PRINT NAME PC t DAYTIME PHONE PJUId EP. 9 I Approved[ ] Approved with Conditions [ ] Denied[ ] Zoning Official. Date. VDH Approval Date. Building Official Approval Date•_ Fire Marshal Approval Date: Conditions• SUBMIT THIS PAGE,YOUR SKETCH,YOUR VDH APPROVAL (IF REQUIRED) ,AND YOUR $158 APPLICATION FEE TO COMMUNITY DEVELOPMENT,401 MCINTIRE ROAD, CHARLOTTESVILLE,VA 22902 www.albemarle.org/homestays v.9/17/19 I Page 5 of 13 Provide Sketch Here or Attach Sketch to This Application www.albemarle.org/homestays v.9/17/19 I Page 6 of 13 r Albemarle County ? '�9 Community Development . Short-Term Rental Registry = 40arlott vill , A22902ng wF Phone 434.2196 5 8 3 22 902 Annual Application t>ecn 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): 'ADDRESS: (9 2" 0 W'E N S V S 1...tz 7-2-1 'CITY,STATE,ZIP: ( -. A)_� L-Es-1 , V/A o 1 TAX MAP PARCEL(IF KNOWN): OH 3 0 0 o0 0o 01 b 00 ZONING(IF KNOWN): GUEST BEDROOMS: Z WHOLE HOUSE RENTAL ❑YES "MO 2.Property Owner/Operator Information *NAME: fW GA3-1TaRLL 'HOME ADDRESS: 1O LC) 0‘^If.14. T`5�J)1 VL•E OA P `CITY,STATE,ZIP: r AR.►�5-WC'SV1 - VA 2?.`'i 01 t71 , A PHONE: -134 1l-1 q7 1"J O 1EM AIL l`1�LQ P �1 i{-'A , C�GI v1 3.Responsible Agent Information J� 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: .USES 0 NO IF NO,COMPLETE RESPONSIBLE AGENT INFORMATION BELOW RE NAME: fi CAN - LLB- /"T A Pi[ -►I/t p i 0• �0 HOME ADDRESS: 4`3S .P-A 1.A.Mt i 5r. CITY,STATE,ZIP: G z PHONE: o'S o i 7 .J,/ t o EMAIL �j� 7 I/t P I O. O V 1, T CAA • C \J FOR OFFICE USE ONLY Date Paid:�_J_ 0 Accepted 0 Denied Fee Amt: 0$27 0$0 with clearance application Ck#: Reviewed by: Receipt#: Received by: Registration Date: / /_ www.albemarle.org/homestays v 9.17.20 I Page 1 of 1 N -J „t .f Albemarle County • , Homestay j Community Development �� 401 McIntire Rd.,North Wing = ` Charlottesville,VA 22902 Zoning Clearance Application ,rtci Phone 434296.5832IFax4349724126 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: CITY,STATE,ZIP: TAX MAP PARCEL(IF KNOWN): ZONING(IF KNOWN): ADVERTISED NAME OF HOMESTAY(IF APPLICABLE): ACREAGE OF PARCEL: NO.OF GUEST BEDROOMS: USING ACCESSORY STRUCTURES? ❑YES ❑ NO WHOLE HOUSE RENTAL' 0 YES ❑NO 2.Property Owner/Operator Information [NAME: HOME ADDRESS: CITY,STATE,ZIP. PHONE NUMBER: EMAIL: 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: 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. SIGNATURE: r I DATE. FOR OFFICE USE ONLY Fee Amt.$169+4% Date Paid: C7,I 1139 Safety inspection date: 0 Pass ❑Fail 2nd inspection date: ❑Pass ❑Fail Receipt#: t VDH Food Service(if necessary). 0 Floorplan 0 Parking ❑ID Ck#: Notes' Reviewd By. Received by: Date: HS# _ � Approved El Denied