HomeMy WebLinkAboutHS201900013 Application 2022-06-01 April 29, 2022 Page 3
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Z
, y90 Community Development
Short e r r e n to l Qi3 y �jam® 401 McIntireDevelopment
Northrent Wing
_ Charlottesville,VA 22902
Annual Application ; w :s Phone434.296.5832
1./kcr40" 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): 5
'ADDRESS: � (
fl 1 'I 1 l L\,_�� 1-k-'
*CITY,STATE,ZIP: C— - VIPS �/c1 S��
TAX MAP PARCEL(IF KNOWN): ZONING(IF KNOWN):
GUEST BEDROOMS: WHOLE HOUSE RENTAL: YES 0 NO
2.Property Owner/Operator Information
*NAME: M-1'4 WO t, \v-(1
'HOME ADDRESS: t3° \ .M CCx, .1v GOW A/ 12 n`S Ckl,-- n d
J
'CITY,STATE,ZIP:
PHONE: (\ ° cr-,(„2_ EMAIL: (O\ eV1.C)10 C CI i �• E-i
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: fn YES 0 NO IF NO,COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOME ADDRESS:
CITY,STATE,ZIP:
PHONE: EMAIL:
FOR OFFICE USE ONLY Date Paid: ccepted ❑Denied
Fee Amt7 0$0 with clearance application Ck#: I ` Reviewed by:
Receipt#: L u Received by: Registration Date:___/ /_
www.albemarle.org/homestays v.9.17.20 I Page 1 of 1