HomeMy WebLinkAboutHS202000049 Approval - County 2022-06-14Homestay
Zoning Clearance
FOR OFFICE USE ONLY HS#
Fee Amt: $158
Receipt#• ;-AS 5-7
1. Applicant/Owner Information
Date Paid::�i1 )a�%1� - - By:
1
Ck# I 1ILI By:
.a Albemarle County
Community Development
=]" 401 McIntire Rd., North Wing
Charlottesville, VA 22902
il'+mme� Phone 434.296.58321 Fax 434.972.4126
NAMe
Barry and Ellen Moss
EMAILADDRESS:
mossvineyards@gmail.com
PHONE:
757.630.2893-
MAILING ADDRESS:
1849 Simmons Gap Rd.
2. Homestay Information
TAX MAP AND PARCEL NUMBER
(OR ADDRESS, IF UNKNOWN):
00800-00-00-026BO
ZONING:
ACREAGE:
HOMESfAYNAME:
Rural
49.42
Moss Vineyards Guest Cottage
RESPONSIBLE AGENT NAME:
Barry Moss SAME AS ABOVE (OWNER)
RESPONSIBLE AGENT EMAIL
mossvineyards@gmail.Com -
- RESPONSIBLEAGENT PHONE:-
]5].630.2893 .... - -
RESPONSIBLE AGENT ADDRESS:
1849 .Simmons Gap Rd.
3. Verification of Requirements
NUMBER OF GUESr BEDROOMS:
USING ACCESSORY STRUCTURES?
2 FORMS PROOF OF RESIDENCY PROVIDED?
FLOOR PLAN SKETCH PROVIDED?
® NO
® NO
® NO
2
PARKING REQUIRED:
TOTAL HOMESTAY USES ON PARCEL
Dwelling 2
One
Numberof Guest Rooms } 2
- - - - - - - - -
T.WOff-Street Na .g FAI
4. Applicant Signature
I hereby apply for approval to conduct the homestay identified above, and certify thatthis address is my legal residence. I also certify that I have
read the restrictions on homestays, that I understand them, and that I wilt abide by them.
SI NATURE OFOW
ER/APPLICANT:
I DATE:
LM
8/13/20
PRINT NAME:
DAYTIME PHONE NUMBER:
Barry and Ellen Moss
1757.630.2893
APPROVED
by the Albemarle County
Communiq Development Department
Date I- D�6 proved [ I Approved with Conditions [ ] Denied [
File
Zoning Official: D
VDH Approval Date: Building Official Approval Date:
Conditions:
Fire Marshal Approval Date:
SUBMIT THIS PAGE, YOUR SKETCH, YOUR VDH APPROVAL (IF REQUIRED) , AND YOUR $158 APPLICATION
FEE TO COMMUNITY DEVELOPMENT, 401 MCINTIRE ROAD, CHARLOTTESVILLE, VA 22902
www.albemarle.org/homestays v. 3lW'=29I Page 5 of 13