HomeMy WebLinkAboutHS202200014 Application 2022-03-29 • OØLqarIeCOUntYHomestayment
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3��=� 401 McIntire Rd.,North Wing
41%ger. Charlottesville,VA 22902
Zoning Clearance Application 'rites'' Phone 434.296.5832 I Fax 434.972.4126
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 844 Belvedere Blvd
CITY,STATE,ZIP Charlottesville, VA 22901
TAX MAP PARCEL(IF KNOWN) 062G0-01-4A-11500 ZONING(IF KNOWN) NMD
ADVERTISED NAME OF HOMESTAY(IF APPLICABLE). ACREAGE OF PARCEL 0.14
NO.OF GUEST BEDROOMS. 2 USING ACCESSORY STRUCTURES? ❑YES 0 NO WHOLE HOUSE RENTAL", ❑YES ®NO
2.Property Owner/Operator Information
NAME Jaymie and Christina Sheffield
HOME ADDRESS 844 Belvedere Blvd
CITY,STATE,ZIP Charlottesville, VA 22901
PHONE NUMBER. (434) 989-0271 EMAIL: bradsheffield01@gmail.com
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 Jaymie and Christina Sheffield
HOME ADDRESS 844 Belvedere Blvd
CITY,STATE,ZIP. Charlottesville, VA 22901
PHONE NUMBER (434) 989-0271 EMAIL bradsheffield01@gmail.com
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 exceptio to operate e homestay as a resident manager.I also certify that I have read the
restrictions on homestays,that I understand the and t :t I abide by them.
SIGNATURE. DATE. 3/3/2022
Ileo71� Q 2`/J FOR OFFICE USE ONLY
Fee Amt $169+4% Date PI✓' Safety inspection date: ❑Pass 0 Fail 2nd inspection date. 0 Pass ❑Fail
Receipt#a VDH Food Service(if necessary). ❑Floorplan 0 Parking ❑ID
Ck# C, Notes Reviewd By:
Received by. D wo Date.
H S# � Approved Denied
°t 'ceF Albemarle County
Z � y Community Development
Short-Term Rental Registry �j�V® � 401 McIntire Rd Development
Charlottesville,VA 22902
Annual Application A ''.F Phone434.296.5832
��kc�N� 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). Zoning Clearance App Submitted
*ADDRESS: 844 Belvedere Blvd
*CITY,STATE,ZIP. Charlottesville, VA 22901
TAX MAP PARCEL(IF KNOWN): 062G0-01-4A-1 1 500 ZONING(IF KNOWN). N M D
GUEST BEDROOMS. 2 WHOLE HOUSE RENTAL. ❑YES XNO
2.Property Owner/Operator Information
"NAME: Jaymie Sheffield
"HOME ADDRESS: 844 Belvedere Blvd
`CITY.STATE,ZIP: Charlottesville, Va 22901
PHONE. (434) 989-0271 EMAIL. bradsheffield01@gmail.com
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. RYES 0 NO IF NO,COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOME ADDRESS-
CITY,STATE,ZIP:
PHONE: EMAIL.
FOR OFFICE USE ONLY Date Paid._/i_ 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
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