HomeMy WebLinkAboutHS201900018 Application 2022-06-03+or "tA Albemarle County
Jr s Community Development
Short -Term Rental Registry fi 401 McIntire Rd. North Wi
Charlottesville, VA 22902 ng
Annual Application yAmHP Phone 434.296.5832
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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):
/t
/y 0 19000
HS Ll�9O O O
'ADDRESS:
11.0 V
'CITY, STATE, ZIP'.
TAX MAP PARCEL (IF KNOWN):
— 1 --,
Z I FK owN):
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GUESTBEDROOMS:
1 2 1
WHOLE HOUSE RENTAL:
DYES VKNO
2. Property Owner/Operator Information
*NAME:
CQ '!
'HOMEADDRESS:
V
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rrrttt
1 l/
A c
'CITY. STATE, ZIP:
PHONE:
EMAIL:
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o. corn
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:
YES ❑NO
IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOME ADDRESS:
CITV,STATE,ZIP
vr—
VA ),7001
PHONE:
EMAIL:
Wo
/1 r
FOR OFFICEUSEONLY Date Paid: 10 1AQa ccepted ❑Denied
Fee Amt: I$$277I "t ❑,$10with clearance application Ck#: ;/� Reviewed by
1:
Receipt #: If 4 41 C) Receivedby-. t �1a j A d Y L I'M ��,
Registration Date:
www.albemarle.org/homestays v. 9.47.201Page 1 of 1