HomeMy WebLinkAboutHO202200088 Application 2022-08-12Homestay
Zoning Clearance Application
os rrae4 Albemarle County
Community Development
401 McIntire Rd., North Wing
'? Charlottesville, VA 22902
a I'rRatN[P Phone 434.296.5832 i Fax 434,972,4126
Application fee: $173.76
Submit this completed application with the following online or to the address above: Application $119+ Technology Surcharge $4.76+Inspection $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
Residentially zoned and rural area parcels of less than 5 acres may have 2 guest 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:
5648 Frys Path
CITY, STATE. ZIP:
Esmont, VA 22937
TAX MAP PARCEL (IF KNOWN):
ZONING (IF KNOWN):
ADVERTISED NAME OF HOMESTAY(IF APPLICABLE):
ACREAGE OF PARCEL
40
NO. OF GUEST BEDROOMS: T-27
USING ACCESSORY STRUCTURES?
❑ YES ®NO
WHOLE HOUSE RENTAL?
®VES ❑ NO
2. Property Owner/Operator Information
NAME:
Steven Harris
HOME ADDRESS:
5650 Frys Path
CITY, STATE ZIP:
Esmont, VA 22937
PHONE NUMBER:
404-667-0868
EMAIL:
varletyeQmindsprin9.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:
Steven Harris
HOME ADDRESS:
5650 Frys Path
CITY, STATE, ZIP:
Esmont, VA 22937
PHONE NUMBER:
404-667-0868
EMAIL:
variety@mindspring.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 I will abide by them.
SIGNATURE: I �. 9 I DATE: I 08/11/2022
FOR OFFICE USE ONLY
Fee Amt: $169 +4% Date Paid: Safety inspection date: ❑ Pass ❑ Fail 2nd inspection date: ❑ Pass ❑ Fail
Receipt #: VDH Food Service (if necessary): ❑ Floorplan ❑ Parking ❑ ID
Ck#: Notes: Reviewd By:
Received by: Date:
HS# [:] Approved Denied