HomeMy WebLinkAboutHS202100030 Approval - County 2022-08-11Homestay
Zoning Clearance
FOR OFFICE USE ONLY
Fee Amt: $158
Receipt fi: )lapf )q
1. Applicant/Owner Information
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Albemarle County
Community Development
401 McIntire Rd., North Wing
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Charlottesville, VA 22902
Phone 434.296.58321 Fax 434.972.4126
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Date Paid: By: '�"\, r l_ G 6 - t4Lt3a.
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NAME:
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E-MAILADORESS:
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PHONE: bg6
MAILINGADDRESS:
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2. Homestay Information
TAX MAP AND PARCEL NUMBER
(OR ADDRESS, IF UNKNOWN):
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61 _ 143E
ZONING:
ACREAGE:
HOMESTAY NAME:
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RESPONSIBLE AGENT NAME:
SAMEASABOVEIOWNER)
RESPONSIBLE AGENT EMAIL:
RESPONSIBLE AGENT PHONE:
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RESPONSIBLE AGENT ADDRESS:
3. Verification of Requirements
NUMBER OF GUEST BEDROOMS:
USING ACCESSORY STRUCTURES?
2 FORMS PROOF OF RESIDENCY PROVIDED?
FLOOR PLAN PROVIDED?
YES NO
YES R7 NO I
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YES '2r NO F
PARKING REQUIRED:
TOTAL HOMESTAY USESON PARCEL
Dwelling
Number of Guest Rooms
To1aI0ff Street Parking
2
+'L
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4. Applicant Signature
I hereby apply for approval to conduct the homestay identified above, and certify that this address is my legal residence. I also certify that I have
read the restrictions on homestays, that I understand them, and that I will abide by them.
SIGNATURE OFOWNER/APPLICANT:
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PRINT NAME: N.
DAYTIME PHONE NUMBER:
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Approved Approved with Conditions ❑ Denied ❑
Zoning Official: Date: Z 7-7Z
VDH Approval Date: Building Official Approval Date:
Conditions:
Fire Marshal Approval Date:
SUBMIT THIS PAGE, YOUR SKETCH, YOUR VIIIAA M�OM"UIRED),ANDYOUR$158APPLICATION
FEE TO COMMUNITY DEVE L&I�P,WC44X&MO@tiR?R@ A§LOTTESVILLE,VA22902
www.albemarle.org/homestays Date— 7--I ZZ„ v.3MA0201Page5ofIS
File
Provide Sketch Here or Attach Sketch to This Application
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www.albemarle.org/homestays v. 3/06/2020 1 Page 6 of 13
Homestay m
Zoning Clearance Instructions heclJla
Albemarle County
Community Development
1. Call or email a Zoning staff member at 434.972.4017, Ibrumfield@albemarle.org, or
401 McIntire Rd.
rragsdale@albemarle.org to discuss your application and parcel requirements for your
Charlottesville, VA 22902
zoning district (page 3). If you would like to discuss your application in person, you
Phone 434.296.5832
must schedule an appointment in advance.
Fax434.972.4126
2. If you will be serving food to your guests, or if you have a septic system instead of a municipal
sewer connection, contact the Virginia Department of Health (VDH) for your Transient Lodging
Review approval, at alan maznmwski@vdh.viginia.eov.
3. Submit your application to Community Developement via mail or in person to:
Guar om
Albemarle County Community Development
12Park1n9spots
401 McIntire Road
Ownar's om
Charlottesville, VA 22902
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Your application must include:
3ra Parking spot
❑ Completed homestay application (page 5 only)
❑ A floor sketch plan labeled with (1) all structures used for the homestay, (ii) guest
<Example Floorplan Sketch:
bedrooms and guest spaces; (iii) access to the parcel, on -site parking, outdoor lighting,
signage, and setbacks (basic example at right).
❑ Two forms of identification showing proof of residence (page 3)
❑ Contact information for your responsible agent (page 3)
❑ Approved VDH Transient Lodging Review (if required)
❑ $158 application fee
<A Special Exception maybe
submitted to allow more than
❑ Special Exception application (if you are requesting one)
two guest rooms, the use of
an accessory structure if not
4.
County Zoning staff will email or mail you a list of abutting parcel owners and a notice
otherwise allowed, the use
of resident manager, or to
template. Send mailed notice of your application to the owners on the list and provide a copy
reduce the setbacks required.
of the notice to Albemarle County.
5.
Complete the Fire Marshal and Building Inspector's Homestay Safety Checklist (page 4),
then contact the Building Official at mdellingerraalbemarle.orabor 434.296.5832 x3228 to
arrange for your fire safety and building code inspection.
6.
If deemed necessary, Zoning may contact you to arrange a zoning inspection.
7.
If all inspections and reviews are approved, you will receive an emafled copy of
your approved Zoning Clearance application.
Following approval of your Zoning Clearance, apply for a Business License (see page 6).
Each year following the approval of your application, you will renew your homestay on the
Short Term Rentals Registry and have your homestay inspected by the Fire Marshal's office.
www.albemarle.org/homestays v. 3/06/20201 Page 2 of 13