HomeMy WebLinkAboutHS202100042 Application 2022-06-06 (2)Short -Term Rental Registry
Annual Application
1a t�s"r& Albemarle County
Community Development
401 McIntire Rd. North Wing
Charlottesville, VA 22902
tsj Phone 434.296.5832
'bern+st www.aibemarle.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 Zgaiag clearance (requires VDH and building/fire safety inspection)
• Register for a businessIicenseand 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 houserental is a short term rental of a home during which the owner is not required to be present. Whole house rentalsare only permitted on
Rural Area parcels of 5+acres.
'APPROVED HOMESTAY (HS). BED AND BREAKFAST(BNBL OR ACCESSORY
TOURIST LODGING (ATL) CLEARANCE PERMIT NUMBER (IF APPLICABLE):
'ADDRESS:
'CITY,STATE, ZIP:
�(A S\!:k 3�
V _�--
TAX MAP PARCEL (IF KNOWN):
ZONING (IF KNOWN)a
GUESTBEDROOMS:
WHOLE HOUSE RENTAL•.
YES ONO
2. Property Owner/Operator Information
'NAME: // `^ /'� (C7.1 p5, 3 QLC
'HOMEADDRE55: L.t C�-I�-+ Y 1� \/ A ' ��--d��
'CITY, STATE,ZIP. ,5 NJ� 'f -�
PHONE: 1,1-1'444 S- —4 Ci r% EMAIL `h e3C�� ()C O e . t r \4, r_ rv�.-.. r
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.
OWNE WOPERATOR IS RESPONSIBLE AGENT:
NAME:
HOMEADDRESS:
CITY,STATE,ZIP:__-----
PHONE:
FOR OFFICE USE ONLY
❑ NO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
EMAIL —
Date Paid:
Fee Arm: 13S27 I(SO with clearance application Ckg:
❑ Accepted ❑ Denied
Receipt g: Received by: I Registration Date:��_
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