HomeMy WebLinkAboutHS202200005 Action Letter 2022-09-12 (2)Homestay
Zoning Clearance Application
w^'n, Albemarle County
Community Development
401 McIntireeRd., NorthNorth Wing
Charlottesville, VA 22902
'nn.Iv" Phone 434.296.5832 1 Fax 434.972.4126
Application fee: $173.76
Submit this completed application with the following
Application g119-TecnrrologysurrnargeE476.m:PenanEso
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 + 1 spot/guest bedroom).
2. Copies of two forms of verification of residency (one government issued with photo I D + 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
Residentially zoned and rural area parcels of less than 5 acres may have 2 guest bedrooms by -right. Use of accessory structures (if built before August 7, 2019) is
onlypermitted by -right on rural area parcels of 5+acres. Whole house rental is onlypermltted on rural area parcels of 5+acres.
ADDRE53
l�� l t C(. ,` 1
CITY, STATE, ZIP
&��
21
MAP PARCEL (IF KNOWN).
E
UC % /I —Ol _ 0j �lD
/ %f
ZONING (IF KNOWN)VERTISEO
NAME OF HOMESTAY (IF A✓PPFLLI/CABLE).
ACREAGE OF PARCEL: 3 6
NO. OF GUEST BEDROOMS:
l
USING ACCESSORY STRUCTURES'
yES ❑ NO
WhOLE HOUSE RENTAL?
❑ of 5)
2. Property Owner/Operator Information
NAME: Ghf1 P W'4 n)
HOME ADDRESS
CITY. STATE. 71P- Graz d A ' )X
- PHONE NUMBER EMAIL
L S-/C Awll, (7M
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 resaondtuWgf> npt in good faith to
resolve any complaints within 60 minutes of being contacted. 'if'YKV }"t-U
NAME. IS ? .,� Community Development Dep aMnent
HOME ADDRESS' 3 Mi( S+
CITY, STATE. ZIP..
PHONE NUMBER: L•t. 7 N9�62 6 �7 `l EMAIL f
/.. _-- _ 1 h��f�.G/Im�il I UIM
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 em, and that I will abide by them
SIGNATURE: ___— DATE
An3,(e FOR OFFICE USE ONLY
Fee Amt 5169 + 4%. DNate�PGaid(:�okk w- �� I Safety Inspection date. �Z-G'2 Pass (Fai:
Receipt # u—�[�p}�; A /r�,Q, II VDH Food Service IIf necessary)
Ck#- _ �Notes. �l)111PI"J �Jt091'2 n'LL_.
Received by.
H S k_n�---=—mac
,q Z3.22
2nd inspection date: 1 yn�j Vss, ❑ Fail
14 Floorplan XParkmg ID
Rev,eed By.
Dale:..--.
❑ Approved E] Denied
.t
Short -Term Rental Registry
Annual Application
Albemarle County
c m
Community Development
-i,
401 McIntire Rd. North Wing
Charlottesville, VA 22902
.'
Phone 434.296.5832
�reclNth
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 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'astensk 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 5+ acres.
-APPROVED HOMESTAY(HS), BED AND BREAKFAST(ENE), OR ACCESSORY r^
TOURIST LODGING(ATL) CLEARANCE PERMIT NUMBER (IF APPLICABLE): J\
'ADDRESS: ' >) h t/' Jt s-f
'CITY, STATE, ZIP: c1ro t- VA
TAX MAP PARCEL (IF KNOWN): _ U ` _ ZONING (IF KNOWN):
GUESTBEDROOMS:
a
WHOLEHOUSERENTAL
❑YES 0<0
2. Property Owner/Operator Information
`NAME:
Li
i-i
'HOMEADDRESS:
I'�)-1 ht(OuIt, S�
'CITY, STATE, ZIP:
C
y
PHONE;
-l) 1-C1 bI--/„/_�
EMAIL
11Y'tC�
AifVt Com —�
3. Responsible Agent Information
The responsible agent must be available within 3Q 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:
9/E5 ❑NO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOME ADDRESS:
CITY, STATE, ZIP:
PHONE:
EMAIL
FOR OFFICE USE ONLY
Fee Amk 0$27 O)kwith clearance application
Receipt a:
Date Paid:
Ck 9: _
Received by:
i'Accepted ❑ Denied
Reviewed
Registration Date:
www.albemarle.org/homesrays v. 9.1720I Page 1 of I
0
_
0
D
4 L
bn
W
C
a
v
C
O
O
OL
N
L
I_
00
3
v
O
X
M
O
Y
O
N
O
x
N
X
co
c-I
c-I