HomeMy WebLinkAboutHS202100040 Application 2022-08-29Albemarle County
�2 7y Community Development
Short -Term Rental Registry $ 401 McIntire Rd. North Wing
Charlottesville, VA 22902
Pho5832
Annual Application E` ww a4ernarl .org
rRGINFr wvnv.alhemaNe.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 VDHand 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 required taxes
Fields marked with an'asterisk are the minimum required for registration.
1. Short -Term Rental Information IR eNe
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 5+acres.
'APPROVED HOMESTAY(HS), BEDAND BREAKFAST (BNB), OR ACCESSORY
TOURIST LODGING (ATU CLEARANCE PERMIT NUMBER (IF APPLICABLE):
'ADDRESS:
'-/_7O I wU-_S l C./
�4
'CITY, STATE, ZIP:
.Y
l iQ , U N 1 0./- ` V r ( R_ &(x/ qLt O
TAX MAP PARCEL (IF KNOWN):
ZONING (IF KNOWN):
GUESTBEDROOMS:
1 '3
WHOLE HOUSE RENTAL:
RYES ❑NO
2. Property Owner/Operator Information
*NAME:
S S
'HOMEADDRESS:
'703 uj p_S ue- 'f Ci Rozo
'CITY, STATE, ZIP:
\ /�
ee u/Vu ii 1Ir/1 , 6d NvT a«-/i0
PHONE:
`
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%„3t.f'
EMAIL
3. Responsible Agent Information
The responsible agent must be available within 3p 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/OPERATORISRESPONSIBLEAGENT: I
t<YES ONO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOMEADDRESS:
CITY, STATE, ZIP:
PHONE:
EMAIL
FOR OFFICE USE ONLY Date Paid: P'//P� �et:epted ❑Denied
Fee Amt:; 27 ❑$0 with clearance application Ck#: —G __
Reviewed by:
Recelpt#: Received by: Reglstratlan Date:l,�/.1Y.,
wwWalbemarleorg/homestays v. 9.17.201 Page 1 of 1