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Home My WebLink AboutHO202200077 Application 2022-07-21eAlbemarle County Downloaded July 21, 2022 Your Submission Details Submission Number: HO-2022-121 Status: Submitted Message: Applicant Name: Robert Pitsenbarger Applicant Email: clinicalassociatesofvirginia@gmail.com Location: 6325 INDIAN RIDGE DR Submission Type: Home Occupation Clearance Last Updated: July 21, 2022 Q Application Information Home Occupation Application Information Group: Home Occupation Step is Completed By: Applicant Contact the agency for more help 434-296-5832 8 camino@albemarle.org Ib 401 McIntire Road, Charlottesville Fill in the required fields. If the Applicant is the same as the owner you can enter "Same as Owner" in the allowed fieds. The phone number and email address must have a number and address in those fields. 0 Requirements and Restrictions (HO) OTerms and Conditions - Minor Group: Home Occupation Step is Completed By: Applicant Please read the following Terms and Conditions, and mark this step as complete, to confirm that you understand them. 1. HOME OCCUPATION ACTIVITY: All home occupation activity shall be within the home. 2. EXTERIOR APPEARANCE: There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of the home occupation. 3. VISITORS & SALES: Customers, clients, or students MAY NOT visit for a purpose related to the home occupation. The sale of goods or the provision of services by the home occupation to a customer, client, or student at the site is PROHIBITED. (Please make an application for a Major Home Occupation to allow this.) 4. OUTDOOR STORAGE: No outside storage of goods, products, equipment other than vehicles used in the home occupation or any materials associated with the home occupation. (Natural landscaping materials such as mulch and plants are permitted to be stored outside an enclosed building). 5. NUMBER OF VEHICLES/PARKING: All vehicles used in the home occupation and all vehicles of employees, related to the home occupation shall be parked on -site (Maximum of two (2) motor vehicles and two (2) trailers permitted). 6. PERFORMANCE STANDARDS: All home occupations shall comply with Section 4.14 Performance Standards. ht4)s://app.oncarrno.coMalbemariecounty-va/dashboard/134803/guide Prohibited Uses Confirmation - Rural Group: Home Occupation Step is Completed By: Applicant Mark this step complete to confirm that you are not applying for any of the prohibited uses below: • Animal rescue centers • Junk yards • Restaurants • Storage yards • Gun sales (unless made by family occupants) • Onsite pet grooming • Body shops • Rentals of equipment, trailers, vehicles or machinery Shooting ranges • Commercial stables • Not occasional rummage or garage sales • Veterinary clinics or hospitals • Pyrotechnics manufacturing or sales • And other uses contrary to the purpose of rural area home -based business or permitted only by Special Use Permit per Section 10.2.2 0 Signatures and Disclaimers 0 Acknowledgement of Compliance with Home Occupation Regulations Group: Home Occupation Step is Completed By: Applicant I hereby apply for approval to conduct the Home Occupation identified above and cerfify that this address is my legal residence. I also certify that I have read the restrictions on Home Occupations, that I understand them, and that I will abide by them. Certification that Notice of the Application has been provided to the Landowner Group: Universal Application Information Step is Completed By: Applicant Markidthis to as C MPLETE ertifie t a noti e f th s a plic on ill be �arceNumbr t�yode�iv�ring a copy o�tepp�icaton�el�tersbyancfax Map Hand, Email, OR by Mail (D Review Fees Home Occupation Fee Group: Home Occupation Fee: $31.20 _ZONCL-HOME Step is Completed By: Applicant ® Survey ht4)s://app.oncan ino.coMalbemariecounty-va/dashboard/134803/guide 0 Survey Group: Universal Application Information Step is Completed By: Applicant Thank you for using Albemarle County's new permit application system, Camino. Please provide any feedback on the system and suggestions for changes or improvements. Thank you in advance for your assistance and feedback! Please mark this step complete and click below to access the survey. Access Camino Survey (D OFFICE USE ONLY O Home Occupation Approval - MINOR Group: Home Occupation Step is Completed By: Agency a� Once staff will %PTs C at please p the�yeuert o -.na a qu m�e l are er nc�ecking he ht4)s://app.oncan ino.coMalbemariecounty-va/dashboard/134803/guide Questions and Answers 1 Do you reside in the dwelling to be used for your home business? NOTE: You MUST reside in the dwelling you are proposing to operate the business from. Yes I No 2 Will your business involve the preparation of food for sale? Yes No 3 Will the business use MORE than 25% of the total gross square footage of your home? PLEASE NOTE: Using more that 25% of your dwelling square footage will require a Special Exception granted by the Board of Supervisors. Yes No 4 Will the business use MORE than 1500 square feet? PLEASE NOTE: Using more than 1500 square feet will require a Special Exception granted by the Board of Supervisors. Yes No 5 Will you have employees and/or customers coming to the property, or use an accessory structure like a detached garage or shed? Yes No 6 What is your Payment Method? Pay Now by Credit Card 7 Your input is valuable to us. Would you be interested in completing a short survey about your experience today? Yes I No Data Fields OFFICE USE ONLY - Payment Type Payment Method Pay Now by Credit Card Project Information Tax Map and Parcels 01 8AO-00-00-021 00 Home Occupation Details 1 Accessory Structure - Not Permitted I understand that use of an accessory structure with my proposed Home Occupation is not permitted unless I apply for a Major Home https ://ap p. on c amino. c om/albe mar lec ou nty-va/das h board/134803/guide Occupation or apply for a Special Use Permit. 2 Customers Clients or Students I WILL NOT have customers, clients or students coming to my home. 3 Business Name Clinical Associates of Virginia, LLC 4 Business Type Telehealth provider - psychiatry 5 Description of Use No vehicles. One provider (Robert P. Pitsenbarger, MD). No other employees. Hours of operation are 7:30 a.m. until 7:30 p.m. (infrequently slightly earlier or later). 6 Area to be used for your Home Occupation am 7 Home Occupation Square Footage - CLASS A or MINOR 200.0 8 Traffic Generated - CLASS A or MINOR MINOR - I understand that I am not permitted to have customers, clients, or students come to my home, thus no traffic will be generated. 9 Employees Customers Accessory Structures No Owner Information (not agent or consultant) 1 Property Owner Name Pitsenbarger, Robert Paul and Jennifer 2 Property Owner Street Address 6325 Indian Ridge Drive 3 Property Owner City Earlysvil le 4 Property Owner State Virginia 5 Property Owner Zip 22936 https://app.oncarrno.coMalbemariecounty-va/dashboard/134803/guide Property Owner Phone Number 757-879-0746 7 Property Owner Email clinicalassociatesofvirginia@gmail.com Applicant Information 1 Applicant Name Robert Paul Pitsenbarger, MD 2 Applicant Street 6325 Indian Ridge Drive 3 Applicant City Earlysville I Applicant State Virginia 5 Applicant Zip 22936 6 Applicant Phone Number 757-879-0746 7 Applicant Email clinicalassociatesofvirginia@gmail.com For agency use (GIS Queries) 8 This submission location does not have the attribute "ZoningPrimary" equal "Rural Areas" in the "Parcels" layer. EH] 9 This submission location does not have the attribute "ZoningPrimary" equal "Rural Areas" in the "Parcels" layer. EH] 10 This submission location has the attribute "Zoning Primary" equal "Rural Areas" in the "Parcels" layer. true 11 This submission location has the attribute "Zoning Primary" equal "Rural Areas" in the "Parcels" layer. true https://ap p. on camino. c on✓albe mar lec ou nty-va/das h board/134803/guide 12 This submission location does not have the attribute "Zoning Primary" equal "Rural Areas" in the "Parcels" layer. EH] https ://ap p. on c amino. c on✓albe mar lec ou nty-va/das h board/134803/guide Disclaimer This PDF was generated on July 21, 2022 and may be out of date. ht4)s://app.oncan ino.coMalbemariecounty-va/dashboard/134803/guide 401 McIntire Road, North Wing Charlottesville, VA 22902-4579 County of Albemarle Telephone: 434-296-5832 V COMMUNITY DEVELOPMENT DEPARTMENT WWW.ALBEMARLE.ORG HOME OCCUPATION Mx. Robert Paul Pitsenbarger, MD you have been APPROVED for the following type of Home Occupation: MINOR The following Terms & Conditions apply to the noted Home Occupation type above: 1. HOME OCCUPATION ACTIVITY: All home occupation activity shall be within the home. 2. EXTERIOR APPEARANCE: There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of the home occupation. 3. VISITORS & SALES: Customers, clients, or students MAY NOT visit for a purpose related to the home occupation. The sale of goods or the provision of services by the home occupation to a customer, client, or student at the site is PROHIBITED. 4. OUTDOOR STORAGE: No outside storage of goods, products, equipment other than vehicles used in the home occupation or any materials associated with the home occupation. (Natural landscaping materials such as mulch and plants are permitted to be stored outside an enclosed building). 5. NUMBER OF VEHICLES/PARKING: All vehicles used in the home occupation and all vehicles of employees related to the home occupation shall be parked on -site (Maximum of two (2) motor vehicles and two (2) trailers permitted). 6. PERFORMANCE STANDARDS: All home occupations shall comply with Section 4.14 performance Standards. Application Number: H02022-00077 To operate at: 6325 Indian Ridge Drive Earlysville as Clinical Associates of p irginiTI Ii C to engage in Address Business Name the following: No vehicles. One provider (Robert P. Pitsenbarger, MD). No other employees. Hours of operation are 7:30 a.m. until 7:30 p.m. (infrequently slightly earlier or Telehealth provider - psychiatry later). For Office Use: Tax Map & Parcel ID: 018AO-00-00-02100 PAID: $31.20 DATE: 07/21/2022