HomeMy WebLinkAboutHS202200039 Application 2022-09-07 (2)Short -Term Rental Registry
Annual Application
trot ALB6A Albemarle County
Community Development
m 401 McIntire Rd. North Wing
Charlottesville, VA 22902
+ 7ra Phone 434.296.5832
+ �rRGI Nor 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 fora 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 afire safety inspection
• Renew their business license and remit reouired taxes
Fields marked with an 'asterisk are the minimum required for registration.
I. 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 5+acres.
'APPROVED HOMESTAY(HS), BED AND BREAKFAST(BNB), OR ACCESSORY
TOURIST LODGING IATL)CLEARANNCCE PERMIT NUMBER(IF APPLICABLE):
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'ADDRESS:
b 18 P RA
'CITY, STATE, ZIP:
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TAX MAP PARCEL (IF KNOWN): 03
ZONING (IF KNOWN):
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GUEST BEDROOMS:
WHOLE HOUSE RENTAL• OYES NO
2. Property Owner/Operator Information
-NAME:
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'HOMEADDRESS:
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'CITY, STATE, ZIP:
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PHONE:._ ..
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3. Responsible Agent Information
The responsible agent must be available within 4 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:
OYES Ego IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
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HOMEADDRE55:
50 Id Plan C
CITY, STATE, ZIP:
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PHONE:
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EMAIL
FOR OFFICE USE ONLY Date Paid:— 9j 7 /12 ❑Accepted ❑Denied
Fee Amt: N$27 0$0 with clearance application Ck#: Credit Card
Reviewed by:
Recelpt#:2209061603160924DD18E Recelvedby: Danielle Summers Registration Date:��_
www.albemarle.org/homestays v. 9.17.20 1 Page 1 of 1