HomeMy WebLinkAboutBNB201700041 Application 2022-01-26 January 13, 2022 Page 3
Albemarle County
Z Short-Term Rental Registry ;� Ch McIntire Rd..�-+. enarmnesville.vA229o2
Annual Application ` :' wedwPhon 4 -29le_org
• wwwalbemarte_ercg
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 VIDH 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
F retch 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(H51.BED AND BREAKFAST(BNB).OR ACCESSORY
TOURIST LODGING(ATLI CLEARANCE PERMIT NUMBER(IFAPPIKMUEt
'ADDRESS: L t�l�c C.LA f (s/-r2A-c,-r
'CVTY.STATE.ZIP Kg d id(C•�r v 4 Z 2*}L
TAX MAP PARCEL(IF KNOWN): MAP go/ PAteljt. Igg ZONING(IF KNOWN):
GUEST BEDROOMS: I WHOLE HOUSE RENTAL. I ❑YES ❑NO
2.Property Owner/Operator Information
'NAME: L IF.41141 ✓ pH iutps >!- JE.A-& 1 6 trierPt{(Lc.,(n5
'HOME ADDRESS: 21 e i—24 S
'CITY.STATE.ZIP: k€.6 J i C.44- t VA Z i 4'1 11
PHONE, 4 3 aQ2 g l{-7 I J EMAIL I Lt-t N mat) . NN ILLI Ps I Z t i mai' coAl
3.Responsible Agent InformationJv
The responsible agent must be available within 39 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+OPERATORIS RESPONSIBLE AGE NI YES ONO IF NO.COMPLE TI RESPONSIBLE AGENT INF ORMA T ION BELOW
NAMEL`n
HOME ADDRESS:
CITY.STATE.ZIP
PHONE
FOR OFFICE ysE ONLY DatePaid:1__ro�QI pZ Cepted 0 Denied
Fee Amt. S27 ❑$O with c➢earanceapplkation Ck N:
p y ( ( ) /p Reviewed bv. 40/
Receipt O. I c)V1 Li `tL Li Recewed by:J L-I.fL- (,M..71•-.I��rO
Registration Date:
16Iv6ot77
www.alhemarteorebomestats v.9.17.20I Pacge 1 of➢