HomeMy WebLinkAboutHS202200004 Application 2022-10-05 (2)-" or at
• �;y Albemarle County
yShort-Term Rental Registry � Community Development
o , 402 McIntire Rd. North Wing
Annual Application �, ,"'m Phone4e4.29,5832902
- f Chone434.29e,VA2
rRr.IN��� www.albemarle.org
Prior to opening for business, all operators of short-term rentals (including homestay and previously approved bed and breakfasts and
accessory tourist lodging rentals) must:
• Enroll on the Short -Term Rentals Registry with this form
• Obtain an approvedZoninec_ learannc(requires VDH and building/fire safety inspection)
• Register fora bu iness ligrnse and remit reouir9dtax
es
Annually following the initial approvals, all operators of short-term rentals must:
• Renew their enrollment on the registry with this form
• Pass a hie saf tv inspection
• Renew their business license and remit r ' Saxe
Fields marked with an'astelsk are the minimum required for registration.
1.Short-Term Rental Information
A whole (rouse 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
LODGING
(HSI. BED CLEARANCE PERMIT
T NUMBER
ACCESSORY
TOURIST LODGING (ATu CLEARANCE PERMIT NUMBER (IF APPLICABLE):
968 Burnley Lane
UGUESTSEDROOms;
Barboursville, VA 22923
TAXKNOWN);
02200-00-00-02600
ZONING (IF KNOWN):
agricultural
2
WHOLE HOUSE RENTAL: OYES 09 NO
2. Property Owner/Operator Information
'NAME:I Christina Saylor
'HOMEADDRESS: 4968 Burnley Lane
•CITY, STATE. ZIP: Barboursville, VA 22923
PHONE' 727-288-6586 EMAIL: moonfirefarmVA@gmail.com
3. Responsible Agent Information
The responsible agent must be available Within 30miles of the homestay at all times during a homestay use, and must respond and attempt in good faith to
resolve any complaints within 6060 minutes being contacted. p
NAI OWNEIVOPERATOR IS RESPONSIBLE AGENT: I BYES ❑NO IF NO COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
ME Stuart Savior
HOMEADDRESS: 1 4968 Burnley Lane
CITY,STATE,ZIP. Barboursville, VA 22923
PHONE: 727-373-8178 1 EMAIL: mnnnfrof�r trAr, :r ___
FOR OFFICE USE ONLY Date Paid:--/_J_
Fee Amt 13$27 0$0 with clearance application Ck#:
Receipt#;
Receivedby:
Ell -Accepted ❑ Denied
Reviewed by 11-4�!&22
Registration Date:
wwmalbemarle.org/homestays
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