HomeMy WebLinkAboutBNB201700042 Application 2022-04-18 ,sy OF tL. Albemarle County
Z • . 1 . Community Development
i 401 McIntire Rd.North Win
Short-Term Rental Registry °R_o. ,. Charlottesville,VA 22902
g
'.I Phone434296.5832
Annual Application hRcirA-1'. 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.
i
*APPROVED HOMESTAY(HS),BED AND BREAKFAST(BNB),OR ACCESSORY ,, ccf�/� c r7
TOURIST LODGING(ATL)CLEARANCE PERMIT NUMBER(IF APPLICABLE): e_D1V Y I i p 20 .t -o L*L-I L
*ADDRESS: 51 b Co --�cp'1"— (Lo aA
*CITY,STATE,ZIP: e7 ch_„ ]� LT- i yr ZZq(illn
TAX MAP PARCEL(IF KNOWN): l`2G 2__. ZONING(IF KNOWN): p,.AA rCl �����
GUEST BEDROOMS: 3 WHOLE HOUSE RENTAL: ``❑YES I'1N0
2.Property Owner/Operator Information
*NAME: 1�Y t�sray . \-UV n o �t ��(�C—
��*HOME ADDRESS: '�l\�c\�\l� .J
1; \ tkkik._‘ lO 3
*CITY,STATE,ZIP. w�k S `L/,r- ' . 1"C ZLLL�'-� /
PHONE: EMAIL: \/-a, \`\ -c 'A•AEd Cv A. .C-s..0-,\
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. o4❑YES Q'NO IF NO.COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME. L_e- ` L r^ i-c,4-A 4 _05V- \Lv..�Scl HOME ADDRESS: (--)10Co .1.—,r\l5k,1/4— I� _
CITY,STATE,ZIP: 50�ycJ ��(, \J � _2_cCo G k
PHONE: Cj VIDLO lC,(? l —
"`i6 EMAIL: "1. c@. /I ,--OLN` C_C:Sw_
FOR OFFICE USE ONLY Date Paid /'g/aa ccepted 0 Denied
Fee Amt: 2 ) q 7 El$0 with cclearance application Ck#: I u Reviewed by:
Receipt : '5`-'� Received by: Ni(C) Registration Date._J /_
www.albemarle.org/homestays v 9 17 20 1 Page 1 of 1