HomeMy WebLinkAboutHS202200049 Application 2022-10-10Homestay
Zoning Clearance Application
Albemarle County
r'+a Community Development
']= 401 McIntire Rd., North Wing
Charlottesville, VA 22902
I�Axa9*� Phone 434.296.58321 Fax 434.972.4126
Application fee: $173.76
Submit this completed application with the following ont[mortothe address above: Awucatwn$119+TmhnowerSurcharge s4.7e+Inspection sso
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 spottguest bedroom).
2. Copies of two forms of verification of residency (one government issued with photo ID + one listling 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 haw 2ueest bedrooms by -right Use of accessorystructures (if built before August 7, 2019) is
only permitted by-rightonrural ores parcels of 5+acres. Whole house rental is onlypermittedon rural area parcels of5+acres.
ADDRESS:
(A V Di (4t,�1Wood
s
0 a
CITY, STATE, ZIP.
ChoLrlotte v'i lie, Vir inia 1 2,7,903
TAX MAP PARCEL (IF KNOWN):
0-4100-00-00—oZI
pI
I ZONING (IF KNOWN):
Kura,
ADVERTISED NAME OF HOMESTAY OF APPLICABLE):
I h Barn
I ACREAGE OF PARCEL
21-61
NO. OF GUEST BEDROOMS:
5
1 USING ACCESSORY STRUCTURES?
❑YES XNO
WHOLE HOUSE RENTAL?
I )(YES ONO
2. Property Owner/Operator Information
NAME:
L/I r a Vli am Kessler
HOME ADDRESS:
,V1
{O 43 O D I t✓ WOO j o
CITY,STATE.ZIP:
CJA lotlVl
V 1 f in(0. 7,2 Q lO3t,
PHONE NUMBER:
15-7 3-7-7
g698
EMAIL:
('0.h AfYi f�eSSI��
`' hot�ma--1 I • eo nn
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 ame complaints within 60minutes of being contacted.
NAME.
M I CIA
V
HOME ADDRESS:
2.1 (0 O O Icl V I a
F, 0O'd
CITY, STATE, ZIP:
vrra-Jott iki
r %M ZZ9
01
PHONE NUMBER:
3
O I Z
EMAIL:
burKe,
cifrus
gmall•COM
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 them, and that 1 will abide by them. I
SIGNATURE
Fee Amt $169 + 4% Date Paid:
Receipt #:
Ck#:
Received by
HS#
I3MA
FOR OFFICE USE ONLY
Safety inspection date: DPass ❑Fail 2nd inspection date:
VDH Food Service Of
0 Flowplan
Reviewd By:
❑ Approved
0 Pass ❑ Fail
0 Parking O ID
Denied
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CENTRALi
ELECTRICITY CONSUMPTION DATA
Mull-
MNa� F tReadag used
0 ELECTRIC
Www.mycvec.com
Reedin Readers
BIII� iter
'I 2676
COOPERATIVE
msQmycvec.com
5090 6015 3139 0aizira-WZ1/22 31
AterweCostper Day a12.54
Thank you for being a
valued memberl
ACCOUNTO •N
AN IMPORTANT MESSAGE FROM
Bill Date
09128I2022
eAnverldg husagelthrou tthis hli rough member portal Is an easy wa to seelhow your
energy receive usage
much you are using. Be sure to sign up to energy
Member Name
GRAHAM KESSLER
alerts by email and text.
Visit hUps:liwww.mycvec.com/myacoDunt/A=unt-Text-Notifications
Member Phone
757-377-9593
to learn more.
Account Number
-
324002-002
BILLING DETAILS
$449.41
Location Number
26838016
Previous Balance
Payment Received 4449.41
Balance Forward $0.00
Service Address
6430 DICK WOODS RD
Basic Charge $30.75
— ENERGY USAGE OVER
•
Distribution Usage Charge ($0.0320000 / kWh) $92.03
Energy Charge ($0.0784900 / kWh) $225.74
Power Cost Adjustment (0.014000 / kWh) $40.26
B
Utility Consumption Tax $4.
o
County Consumption Tax $4.00
U
> Current Charges (due 10/1712022) $397.06
a
TOTAL AMOUNT DUE $397.06
A 1.5%late charge will be applied if not paid by the Due Date.
t
Y
O O
O N
O O O O O
Sep M Nov Dec Jan Feb My
Apr M°y Jun Jul Aug Sep
ACCOUNT
The PCA on your bill has changed. Effective 811122, the
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information, please visit www.mycvec.cem.
Scan this code at any CVEC kiosk to log into
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-- ---------'--'- ----------------------------------
____________________________________________use realm as remMance slip with tour paymanl Thankyout VA4teaaF
ACCOUNT NUMBER
CENTRAL PO BOX247 324002-002
VIRGINIA LOVINGSTONVA 22949-0247 CURRENT AMOUNT DUE DUE DATE
ELECTRIC 0$39706 10M7/2022
COOPERATIVE Address Service Requested .
AMOUNT
ENCLOSED:
If your address or contact information has changed, please let Us know-
we
the will back of your
bill for contact optionswl" your bill without delay.
^—MT0"6-Dlcrr 229U CENTRAL VIRGINIA ELECTRIC COOPERATIVE
J�I�ItI'I"Il�ll�lrll��l�nr'I"II'�II�II�IIIII�II�"II'lll��'ll DEPARTMENT 1340
GRAHAM KESSLER 9 PO BOX 2153
6430 DICK WOODS RD 2191 BIRMINGHAM AL 35287-1340
CHARLOTTESVILLE VA 22903.7419 dlid�'ill''116rII��InllalnduLrllll�nll�ll��11111'llllll
01074 00324002002 8 0000000000 000039706 000039706 5