HomeMy WebLinkAboutHS202000041 Approval - Agencies 2022-08-30August 25, 2022 Page 3
Short -Term Rental Registry
Annual Application
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Albemarle County
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Community Development
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401 McIntire Rd. North Wing
Charlottesville, VA 22902
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Phme434.296.5832
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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:
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 licence and remit required taxes
Annually following the initial approvals, all operators of short-term rentals must:
e 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
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 (ATL) CLEARANCE PERMIT NUMBER (IF APPLICABLE):
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'ADDRESS:
2� Kw SOh A;%� Vi%
'CITY. STATE, ZIP:
Gr oydt ` J k 2Z93z
TAX MAP PARCEL (IF KNOWN):
ZONING (IF KNOWN):
GUESTBEDROOMS:
A
WHOLE HOUSE RENTAL
BYES ❑NO
2. Property Owner/Operator Information
-NAME:
'HOME ADDRESS:
'CITY. STATE, ZIP.
001-0t A k 11,WL-
PHONE:
A3 Z S
EMAIL•
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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.
OWNER/OPERATORISRESPONSIBLEAGENT:
ES 13NO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOMEADDRESS:
CITY,STATE,ZIP:
PHONE:
EMAIL:
FOR OFFICE USE ONLY Date Paid:_J__J
Fee Am,<: 7 r❑$0 with clearance application Ck#:
Receipt#:%YJ��O� Received by:
eepted ❑ Denied
ewewed by y�t'
Registration Date:�`i Jy _?�Z_
www.al bemarle.org/homestays v. 9.17.20 i Page 1 cf 1