HomeMy WebLinkAboutHS202000021 Application 2022-08-25�y OF .ftBQy Albemarle County
• J2 9g Community Development
Short -Term Rental Registry m Charlottesville,
McIntire Rd. VA 229 Wing
Charlottesville, VA 22902
5832
Annual Application T www.albernarle.org
..org
�taGINFP Phone bemarl ..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:
• Enroll on the Short -Term Rentals Registry with this form
• Obtain an approved zoning clearance (requires VDH and building/fire safety inspection)
• Register for a business license and remit required taxes
Annually following the initial approvals, all operators of short-term rentals must:
• Renew their enrollment on the registry with this form
• Pass a fire safety inspection
• Renew their business license and remit reauired taxes
Fields marked with an *asterisk are the minimum required for registration.
1. Short -Term Rental Information
A whole house rental is a short term rental of a home during which the owner is not required to be present. Whole house rentals are only permitted on Rural
Area parcels of S+acres.
'APPROVED HOMESTAY(HS), BED AND BREAKFAST(BNB), OR ACCESSORY
TOURIST LODGING (An) CLEARANCE PERMIT NUMBER (IF APPLICABLE):
C
62-0
'ADDRESS:
of W o p-c-> 3 O U N b (Zi>
'CITY,STATE,ZIP:
ESvIGK VA 'L
TAX MAP PARCEL (IF KNOWN):
I E
ZONING(IFKNOwN):
GUESTBEDROOMS:
I I
WHOLE HOUSE RENTAL
I 1AYES ONO
2. Property Owner/Operator Information
'NAME:
TA—rk C iA CAS-i-F-L-f_I
'HOMEADDRESS:
V'V W 00D $DUN DD
'CITY, STATE, ZIP:
KE WIG Av ZZ p `(`+7
PHONE:
LI341
997_ t33
EMAIL
Ic-a."
3. Responsible Agent Information
The responsible agent must be available within 39 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.
OWNER/OPERATOR IS RESPONSIBLE AGENT:
),YES ONO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOMEADDRESS:
CITY,STATE,ZIP:
PHONE:
EMAIL
FOR OFFICE USE ONLY Date Paid:_/_/_
Fee Amt: 0$27 0$0 with clearance application Ck#:
❑ Accepted ❑ Denied
Reviewed by:
Registration Date:
I�
www.albemarle.org/homestays v. 9.17.201 Page 1 of 1
8/17/22, 11:33 AM Payments
Payment Receipt
Your transaction has been successfully completed!!
Your Confirmation number is : 1000146465
Transaction ID: 220817103286OE219EB5B22081710328
08/17/2022 11:35:12 [EST]
Account Information
Payment Type: Tax Payment
Bill Payer Details
Patricia Castetti
4803 Woodbound Rd
Keswick, VA 22947
Payment Details
Payment Amount: $27.00
Total Amount: $27.00
Payment Method: "nk
Account Number: XXXXXXXXXXXXX9691
Routing Number: 061000104
Check Type: Checking
https://w .afbemarlewuntytaxes.org/payments/default.aspx 1/1