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HomeMy WebLinkAboutHS202200020 Application 2022-04-20 rle my Homestay lop nt t o �Ah1 nti d., . ing Charlottesville,VA 22902 Zoning Clearance Application "nrc,N'' Phone 434.296.58321 Fax 434.972.4126 Application fee:$173.76 Submit this completed application with the following cnliaU 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. o g tgockfish p Tut.mp►x� CITY,STATE,ZIP: Cr f / VA 2 2y32 TAX MAP PARCEL(IF KNOWN): 55-IO ZONING(IF KNOWN): ADVERTISED NAME OF HOMESTAY(IF APPLICABLE): &('.Q,(_n Wcd Res ACREAGE OF PARCEL: 1t,�f NO.OF GUEST BEDROOMS: µ USING ACCESSORY STRUCTURES? ❑YES ❑ NO WHOLE HOUSE RENTAL? ❑YES 0 NO 2.Property Owner/Operator Information NAME: Freddie. A. Fech-4-mann _ HOME ADDRESS: CITY.STATE.ZIP: PHONE NUMBER: 4314— g4Q0 - t03 IS EMAIL: LLech+manse jma.,L.c h— 3.Responsible Agent Information The responsible agent must be available within 30 miles of the homestay at all times during a hornesray use,and must respond and attempt in good faith to resolve any complaints within 60 minutes of being contacted. I NAME: 1JJ nor HOME ADDRESS: 6ctme) CITY,STATE,ZIP: PHONE NUMBER: \\\`(544010- E MAIL: 1 (Same) 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. -_SIGNATURE4_ : _ DATE If_22. - FOR OFFICE USE ONLY Fee Amt:$1.69+4°% Date Paid: 4 iaoia . ._ zty inspection claw: OPass El Fail 2nd inspection date: ❑Pass ❑I:,d Receipt#: V 10./ VDH Food Service Of necessary): ❑Floorplan 0 Parking 0 if.) CO. S� C7 n t M��,,(^ Notes: Reviewd By. Received by: n9f I j S toi r .t I -- -- Date: -- -- H S# E"lsaxa — O _ ❑ Approved Denied k isf :`ooC C, BR b te- 4 ) 'CIA/ L'ej'A.1-1 ?grcIti 0 cis\1 i i , I 1-. • 1 . "014'?ofeil 1;514 till vi , 14 v49.na Flioer• t4 —1 0 _....—. \\5,- e Vsi .......-. hi ------re i iitil. • _. 1—e a , _r_ ri ' j�, tam c . A c .1. A d,d,ress•: og l Ro i sli Go.p T'wrn P uke Ccozer, VA 22 R32. c. c� ry.w� i.+ This plat was prepared for: r'• UP i Freddie Ann Fechtmann Q ' ._ UP IF = Iron Found F i!l PF = Pipe Found UP = Utility Pole / L __`_, TP Telephone Pedestal M' /,- \,\\ \s • Structures: gi 4 i ; \\\ • 1) 2 Story Brick w/Basement Dwelling Rex I® r' 5 ,\,' 2) Block Building ; i ' `, 3) Pole Barn I lft-i \ , 4) Frame Shed j- K ', �� 5) Pole Bard I i x_' `, PF ! 5) 1 Story Frame Dwelling ' 3 I I 1 x •-� \ \ I ' ' Ix fence \\`, a 1 Al p,LT H OF . ,,, TMP 55-16,6 I IT 1 ' N m 4- - Tucked Away Farm LLG' I i/ \ \TP m� -\ 0 9 4 0.8.4450 Pg.] I ` \ , o ,t432,14, , -cr ,a --) --, Z IS . III \ `, N v°�' U D n If `, \Zj� 14 Robert W. Coleman, Jr. Ill \ \`, N ' Lic. No. 2007 39A'� ili \ `, n -� 5 f19/i5 ' e I \ ' o ,-. ~<4ND SUR� �� x .303D e�``e �e i Al�� , �,; �. \ , '4.t'91 , lir PF 1 , IF creek- k �� � fi 4, p.• il culvert4.?`--_>-f\ ,. / 03' dia. , , d1 - �'yJ-,,r- ` i i i, cone lid t� paved �. �\ ',!/ i ' driveway >,; ' 4+.` - -� %ii.l�er►�c� d�rareway ' "' in i ' m / /� x UP Tax p55 co I � 18 culvert- It, N F 11 �k 7 31 Acres .� �i 1r` �1, m $ 11 1 Pond \ t L PF __— 1 N , 1 8.43 UP II culvert ,--,P--- 3.39�55 wi 1� _ PF ,� 583'32'08"1— gOU„� 2.�J0 +/- 360' to U.cS.fish Gap furnplke ..---- Bluebird Ln. ;Variable Width R/W) 0 50 10o 200 PLAT SHOWING !!_i_lAMMIOMMIll PHYSICAL SURVEY OF SCALE IN FEET T.M.P. 55 - 18 RESIDENTIAL ADDRESSED AS SURVEYING SERVICES 6768 & 6788 ROCKFISH GAP TURNPIKE (434) 245-8744 ALBEMARLE COUNTY, VIRGINIA 1701D-7 ALLIED STREET MAY 19, 2015 1"= 100' CHARLOTTESVILLE, VIRGINIA 22903 15-062 Ail rt,e Albemarle County 3 7 Community Development Short-Term Rental Registry civil 1 401 McIntire Rd North Wing „.c.y Charlottesville,VA 22902 Annual Applicationha• Phone434.296.5832 8Cit3 www albemarle org Prior to opening for business,all operators of short-term rentals(including nor testays 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 VDI-I and building/fire safety inspection) • Register for a business license and remit required tJxe= Annually following the initial approvals,all operators of short-term rentals must: • Renew their enrollment on the registry with this form • Pass a Inc 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 PERMITh NUMBER(IF APPLICABLE): "ADDRESS: 6`+Q D �1V S c-(c5 i", Toni,pi K e., C ro Let, `�//�Al n �7 L .9 32. 'CITY,STATE,ZIP: TAX MAP PARCEL(IF KNOWN): 155...I8 ZONING(IF KNOWN): GUEST BEDROOMS: WHOLE HOUSE RENTAL: ❑YES 0 NO 2.Property Owner/Operator Information , *NAME: FC121 .�e. Po". c _i ,iL 1 n 'HOME ADDRESS: •S& ne. 'CITY,STATE,ZIP: L PHONE: 4'34-- 91eO- (95 EMAIL: if Cal trna-11fl @Q 5Ilei0Ak• 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: �ES 0 NO IF NO,COMPLETE RESPONSIBLE AGENT INFORMATION BELOW NAME: HOME ADDRESS: CITY,STATE,ZIP: 1 PHONE: EMAIL: - FOR OFFICE USE ONLY Date Paid: / / ❑Accepted ❑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