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HomeMy WebLinkAboutHS201900007 Application 2022-06-17k1f ia! 6frllcu+,Oo FOR OFFICE USE ONLY, zz ' Fee Amount$ I Date Paidl`JI`Iky who? t L Receipt #_It4b C Ck Application for Bed and Breakfast ❑ Bed and Breakfast fee = $108 ❑ Fire Rescue fee = $50 ❑Bed and Breakfast Regulations Checklist. Certification that notice of this application has been provided to the property owner, if owner is different from applicant. A Bed and Breakfast is a use within the Rural Areas zoning district composed of transient lodging provided within a single family dwelling and/or one or more structures that are accessory to the single family dwelling, having not more than five (5) guest rooms in the aggregate, and which also may include rooms for dining and for meetings for use by transient lodging guests of the bed and breakfast provided that the dining and meeting rooms are accessory to the bed and breakfast use. Project Name: Tax map and parcel: Physical Street Address: _ I ©OS� Applicant (who should we contact about this Street Address _ I dl7 < . ) , Phone Email Own Street City_ PhoneI ust Read and I hereby certify that the information provided on h s application a dAaccompanying information is accurate, true and correct to the best of my knowledge and belief. Si re of Owner, Age/nn�t l l.► J, d� �2 /�rc �t�er'� Print Name l , g11J Date _ 1703 - z?6 -66ff Daytime phone number of Signatory 4lL312018 Page 1 of3 BED AND BREAKFAST REGULATIONS CHECKLIST (ZONING ORDINANCE SECTIONS 5.1.48 & 31.5) Each bed and breakfast shall be subject to the following: SKETCH REQUIREMENTS A sketch plan of the site must be provided with requested items shown �-, in relation to the property lines noting compliance with thet6 . 4 Show the location of all structures, including guest room locations, used for the Bed and Breakfast in relation two the property lines. Q__SSht the location of parking spaces to be used for the dwelling and the Bed and Breakfast. 2 Show the location of the access (ex. The driveway) to all structures to be used for the Bed and Breakfast. ❑ Show the location, height, and lumens of any existing or proposed lighting to be used for the Bed and Breakfast. ❑ Show the location of any signs to be used for the Bed and Breakfast. (SEE BELOW JOB S�IGNAGE) ❑ Provide a Boor plan of each building proposed for the bed and breakfast use. k Ji(Tj S T-Residency. The owner of the parcel or a manager of the bed and breakfast shall reside on the parcel. OWNER will reside on the parcel AND/OR ❑ MANAGER will reside on the parcel ❑ Number of bed and breakfast uses. Any parcel may have up to two (2) bed and breakfast uses. (Please mark the appropriate boxes below) Is this the 1st or 2nd Bed and Breakfast on this parcel? 1st Bed and Breakfast or El2nd Bed and Breakfast How many guest rooms will 2 El3 ❑ 4 or ❑ 5 ❑ 1 El 2 El 3 ❑ q or El g each Bed and Breakfast have? Guest room: A room which is intended, arranged or designed to be occupied, or which is occupied by one (1) or more guests paying direct or indirect compensation therefor, but in which no provision is made for cooking. ❑ Required development rights, density and limitation. Each single family dwelling to which a bed and breakfast use is accessory shall comply with the following: (i) on any parcel less than twenty-one (21) acres in size, the single family dwelling shall be authorized by a development right as provided in section 10.3; (ii) on any parcel, regardless of size, the single family dwelling shall comply with the permitted density; and (iii) no single family dwelling shall have more than one bed and breakfast use accessory to it. What is the size of the parcel (in acres) that you propose to have a bed and breakfast? How many dwellings are on the parcel described above? Z Bed and Breakfast Clearance 4�23/2018 Paget nf3 }Goecsnn FIe� gr Working together fora healthy community 1138 nose Hill Drive. PO Box 75,16 COanonesvllle, Virginia 22906 THOMAS JEFFERSON I IEACrH DISTRICT TRANSIENT LODGING REVIEW Operating Name of Business: David Michaelson - Annette Osso Facility Address: 1005 Vineyard Path Road Barboursville, Va. 22923 Tax Map Number: 3U Subdivision: Owner/Agent: David Michaelson Address: 1005 Vineyard Path Rd Barboursville, Va. 22923 Will food be prepared for guests? no Total Number Bedrooms: Water Source (check appropriate): Honle Phone: Cell Phone: Lot: 703-296-6644 Email: david@marion-enterprise.com Owner -occupied: Public Water System Other (please specify): Guest: 2 Private Well X Sewage Disposal (check appropriate): Public Sewer — Private Septic X Will the proposed lodging involve any new construction? No If so, please specify: Signature (owner or agent) ��c %�^�*-t Date: