HomeMy WebLinkAboutHS202200028 Application 2022-07-06Albemarle County
Homestay ,?� _ ry_ Community Development
i< 401 McIntire Rd., North Wing
Charlottesville, VA 22902
"E. Zoning Clearance Application +rna>* Phone 434.296.58321 Fax 434.972.4126
Application fee: $173.76
Submit this completed application with the following online or to the address above: Applicatim$119+Technology s rmaMe$4.76+m.Pedion$50
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
Residentiallyzoned and rural area parcels of less than 5 acres may have 2guest bedrooms by -right Use of accessory structures (if built before August 7, 2019) is
only permitted by -right on rural area parcels of 5+acres. Whole house rental is only permitted on rural area parcels of 5+acres.
ADDRESS:
1699 Colle Lane
CITY, STATE, ZIP:
I Charlottesville, VA 22902
TAX MAP PARCEL (IF KNOWN):
TM 92-45 Parcel 09200000004500
ZONING (IF KNOWN):
Rural
ADVERTISED NAME OF HOMESTAY (IF APPLICABLE):
ACREAGE OF PARCEL:
205.93
NO, OF GUEST BEDROOMS:
r)
USING ACCESSORY STRUCTURES?
❑ YES L5[NO
WHOLE HOUSE RENTAL?
® YES ❑ NO
2. Property Owner/Operator Information
NAME'
WNG, LLC (Philip Garland; Manager)
HOME ADDRESS:
310 4th St. NE, Suite 102, Charlottesville, VA 22902
CITY, STATE, ZIP:
Charlottesville, VA 22902
PHONE NUMBER:
434-326-6970
1 EMAIL:
pogarland@gmail.com
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.
NAME:
Attila Woodward
HOME ADDRESS:
1682 Colle Lane
CITY, STATE, ZIP:
Charlottesville, VA 22902
PHONE NUMBER:
415-297-3896
EMAIL
attila.woodward@gmail.com
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, and that 1 will abide by them.
SIGNATURE
Fee Amt: $169 + 4% Date Paid:
Receipt #:
Ck#:
Received by:
HS#
DATE:
FOR OFFICE USE ONLY
Safety inspection date: ❑ Pass []Fail 2nd inspection date: _ ❑ Pass ❑ Fair
VDH Food Service (if necessary): ❑Floorplan ❑ Parking ❑ ID
Notes: Revimd By:
Date:
❑ Approved M Denied
Provide Sketch Here or Attach Sketch to This Application
GROSS IMERN464F6
ROM 3: 26)3 sp R, iLOOR 2'. 139) W h
E%C=EO ARm , REWCEO HEAD. EELOW I.SM: 160 sq N
TOT4 4068 p N
POWERED BY
e matterport
www.albemarie.org/homestays v. 3/06/2020 1 Page 6 of 13