HomeMy WebLinkAboutHS202100017 Application 2022-06-03Homestay
Zoning Clearance Application
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Albemarle County
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Community Development
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401 McIntire Rd., North Wing
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Charlottesville, VA 22902
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Phone 434,296.58321 Fax 434.972.4126
Submit this completed application with the following online or to the address above: Application fee: $158
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 accessorystructures (if built beforeAugust 7, 2019) is
ontypermitted by -right on rural area parcels of 5+ acres. Whole house rental is onlypermitted on rural area parcels of 5+ acres.
ADDRESS:
CITY, STATE, ZIP:
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TAX MAP -EL(IFKNOWN): I V 2 D(,— L)o-bo .. oZ.2 OQ
ZONING (IF KNOWN):
ADVERTISED NAME OF HOMESTAY(IF APPLICABLE):
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ACREAGE OF PARCEL:
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NO. OF GUEST BEDROOMS:
2
USING ACCESSORY STRUCTURES?
19 YES ®NO
WHOLE HOUSE RENTAL?
VES ®NO
2. Property Owner/Operator Information
NAME:
S�IIMPS �. 44e<
HOME ADDRESS:
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CITY, STATE, ZIP
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PHONE NUMBER:
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EMAIL:
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3. Responsible Agent Information
The responsible agent must be available within 30 miles of the omestay 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:
S ?S K t) !��'RT y G//VE
HOME ADDRESS:
CITY, STATE, ZIP:
PHONE NUMBER:
EMAIL:
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, apd that I will abide by them.
SIGNATURE: I // /L'4 I DATE: I Y/) k/ 2 /
Fee Amt: $115`8� Date Paid: —rl 3,6J.f,..
Receipt#:
Ck#: v UV C1
Received by: S
FOR OFFICE USE ONLY
Safety inspection date: O Pass O Fail 2nd inspection date:
VDH Food Service (if necessary): ® Floorplan ® Parking
Reviewd By.
Date:
®Pass OFail
®ID
0 Approved ® Denied
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Short -Term Rental Registry
Annual Application
Albemarle County
cCommunity Development
401 McIntire Rd. North Wing
Charlottesville, VA 22902
Phone434.296.5832
�4rrn�� 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:
• Register 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 registration 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 (IFAPPLICABLE):
'ADDRESS:
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'CITY, STATE, ZIP:
/
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TAX MAP PARCEL (IF KNOWN:
C/1d.9-100"00`Q ZZ OO
ZONING(IFKNOWN):
((,�({,I RAGS
GUESTBEDROOMS:
WHOLE HOUSE RENTAL:
I W? 155 ONO
2. Property Owner/Operator Information
"NAME:
giyk PJ
'HOMEADDRESS:
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'CITY, STATE, ZIP:
C or10M- 1`4 Z zfo/
PHONE:
311' 957-- y_t/
EMAIL:vn�4'n
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3. Responsible Agent Information
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The responsible agentmust 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:
S ONO
IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
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HOMEADDRESS:
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CITY,STATE,ZIP:
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PHONE:
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Z EMAIL:
FOR OFFICE USE ONLY
Date Paid: JJ_
Fee Amt: 0$27 0$0 with clearance application Ck#:
Receipt #: Received by:
❑ Accepted ❑ Denied
Registration Date: --/_J_
www.al bemarle.org/humestays v. 9.17.201 Page 1 of 1