HomeMy WebLinkAboutHS202100044 Approval - County 2022-08-16APPROVED
by the Albemarle County
Community Development Department
Date e4� — Ir, 7 .Y-7 ---�
File
Homestay
Zoning Clearance Application
<xe., CommuniAlbemarty County
4"J' Community Development
I- 401 McIntire Rd., North Wing
a Charlottesville, VA 22902
+ °rmas'r Phone 434,296,58321 Fax434.912.4126
Submit this completed application with the following oplin or to the address above: Application fee:$158
1. Floor plan/property sketch with labeled structures used for the homestay, guest bedrooms, owner's bedroom, outdoor lighting
and signage for the homestay, labeled setbacks, and parking (minimum 2+ I spot/guest bedroom).
2. Copies of two forms of verification of residency (one government issued with photo ID 4 one listing the address- acceptable forms
include driver's license, voter registration card, U.S. passport, others as approved by the Zoning Administrator)
1. Homestay Information
Residentiallyzoned and rural area parcels of less than 5 acres may have 2guest bedrooms by -right. Use of accessory structures fif built before August 7, 2019) is
only permitted byrighton rural areapupeels of 5+acres. Whole house rental is only permitted on rural area parcels of 5+acres.
ADDRESS:
IS31 JAMES kllLt.R RolaD
CITY. STATE. ZIP: S� I -[-sv 1' t_L.E \11k&t t)l_A Z4-SGo I
TAX MAP PARCEL (IF KNOWN):
ZONING(IF KNOWN):
ADVERTISED NAME OF HOMES FAY (IF APPLICABLE): S�-I1E7 ,-{C��S GwaoT T/t��
ACREAGE OF PAR,,C��EL
Zt'_,
NO. OF GUEST BEDROOMS: '
USING ACCESSORY STRUCTURES?
I ❑YES ❑NO WHOLE HOUSE RENTAL
prES ❑NO
2. Property Owner/Operator Information p
NAME: DETER T 1TStO�OS
HOMEADDRESS: 90&-7 VA.LL"VINT LA►JC
CITY, STATE.? P: S Cy T S v 1 l.. l l_ V 12 G t N I A Z 4 Sri J
PHONE NUMBER: 6-3t 374 SI3 Z CMAIL_ �AI tj lii wy /C✓ Ci ty\/.4 t 1 �-0M
3. Responsible Agent Information 1 \ J
The responsible agent must be available within 30 miles of the homestay atoll times during hommory we, and must respond and attempt in good faith to
resolve any complaints within 60 minutes ofbeingcontacted.
NAME: 5ESTILL Gt_fAWAYS I .-NMILE
HOME ADDRESS: Dal VkL1.40v�j"r LIw �ji�
CITY, STATE. ZIP: SC-v T T 5C. Y I L L/ G V I - G% t N i A 2$ S 11 o
4" tG �`3b
PHONE NUMBER: 6EMAIL: • t
JQMtMss in, \Ai 11Ma •�on1
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: DATE
_ �.lt. (_y _ I i3OZ- j
I�
Fee Amt$158 Date Paid:
Receipt e: d)�3617
Ck#: 101
i
Received by: Ky e ZKNv
HSI J621 -OOQ(�q
FOR OFFICE USE ONLY
safety inspection date:ss ❑Fail
VDH Food Service (if necessary):
Notes:
2nd inspecbon date: ❑Pass9Fail
vorplan a 1x;arking w/
R,MI By: 0y�' /W� ZO�Z
Date:�—
pproved ❑ Denied
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- _.c<pP Ac;� Albemarle County
Short -Term Rental Registry , r ,f Community Development
r : Col McIntire Development
North nt
I /� } Charlottesville, VA 22902
Annual Application '+: rti+ Phone434.296.5832
i �H°INt� www.albemarle.org
Prior to opening for business, all operators of short-term rentals (including homestays and previously approved bed and breakfasts and
accessory tourist lodging rentals) must:
• Register with this form
• Obtain an approvedzonineclearance(requiresVDHandbuilding/firesafetyinspection)
• Register for a business license and rernit reouiredtaxes �-92 I
Annually following the initial approvals, all operators of short-term rentals must:
• Renew their registration with this forin
• Pass afire safety inspection
• Renew their business license and remit required taxes
Fields marked with an 'asterisk are the minimum required for registration.
1. Short Term Rental Information 5 H ;�- FH cFR D S C t -At-tr
A whole house renta/is a short term rental of a home during which the owner is not required to be present. Whole house renta/sore only permitted on
Rural Area parcels of 5+acres.
'APPROVED HOMESTAY (HS), BED AND BREAKFAST(BNB), OR ACCESSORY
TOURIST LODGING (ATLI CLEARANCE PERMIT NUMBER (IFAPPLICABLE):
'ADDRESS:
•5 �) V ^ "es Q\\i
r`
'CI7V,57ATE,ZIP:
,Q^r1Jy�
PG I K) I
TAX MAP PARCEL (IF KNOWN):
I _, 2�
ZONING(IFKNOWN):
GUESTBEDROOMS:
I
WHOLE HOUSE RENTAL:
,$�qES pN0
2. Property Owner/Operator Information
'NAME:
�TE R, I� n
'HOMEADDRESS:
C —7 A Ifs . , 'rr— i )ii
'CITY,STATE, ZIP:
SC0 T T a V I U (__ef V Q5(N31fj
PHONE:
6 6174 1 EMAIL I 1 k _ ,Q
3. Responsible Agent Information
MEN
Theresponsib/eagentmust be available within mil of the homestay at all times during a homestay use, and must respond and attempt in good faith to
resolve any complaints within 6Dm_ inytgi&of being contacted.
OWNER/OPERATOR IS RESPONSIBLE AGENT:
OYES O
IF NO, COMPLETE RESPONSI BLE AGENT INFORMATION BELOW
NAME:
� UDUJ
E STILL-
G ETA VJ A
HOME ADDRESS:
(
I_' M Q 3T
1) ii
CITY, STATE, ZIP:
JL. 0/� 1
V I ��1..
r� (I /N'
y 11"Gli I N I 2LF—S
PHONE:
S S ✓CP
ENTAIL:
G'(yy� \�S 1 t'\ I O Ma(
C�
FOR OFFICE USE ONLY
Fee Ant: ❑$27 ❑$0with clearance application
Recelpt#:
Date Paid:_/_/_
Received by:
❑ Accepted �0 Denied
Registration Date:
www.albemarle.org/homestays
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