HomeMy WebLinkAboutHS202200054 Application 2022-10-19Homestay
Zoning Clearance Application
.ru. Albemarle County
Community Development
401 McIntire Rd., North Wing
Charlottesville, VA 22902
Phone 434.296.5832 1 Fax 434.972.4126
Application fee: $173.76
Submit this completed application with the following online or to the address above: Appii�ti$119+Tednok,,y5urrhar&$4.76+lnspe w$50
I. 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 ID + 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
Residentiallyzoned and mral area parcels of less than 5 acres may have 2guest bedrooms by -right. Use of accessory stnxtures (if built beforeAugust 7, 2019) is
only permitted by -right on rural area parcels of 5+acres, Whole house rental is only permitted on rural area parcels of 5+acres.
ADDRESS:
3
•
�y
CITY, STATE, ZIP:
/1 p ' \,�
"t
TAXMAP PARCEL(IF KNOWN):
ZONING (IF KNOWN):
ADVERTISED NAME OF HOMESTAY (IF APPLICABLE):a
("k p r r+_ ACREAGE OF PARCEL:
OF GUEST BEDROOMS: �1 USING
ACCESSORY STRUCTURES? ❑ YES NO WHOLE HOUSE RENTAL? ❑ YES NO
^1JlNCO.
V& ou
2. Property Owner/Operator InforrnG ati L A -1°�� 33DO
L `1'DOO�iGm3 ,1l �• I 5.917, -rsib-L
NAME:
q
O. \
HOME ADDRESS:
CITY, STATE, ZIP:
PHONE NUMBER:
Jilt—
EMAIL
3. Responsible l M\ht '101� C��l
po Agent Information E� p �.ra - � ��, i C
The responsible agent must be available within 30 miles of the homestay atoll times during a homestay use, and must resp+ dtannd'1attttempt in good faith t resolve any complaints within 60 minutes of being contacted.
NAME:
HOMEADDRESS: A
CITY, STATE, ZIP:
PHONE NUMBER: EMAIL \
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 lJ�
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 I will abide by them.
SIGNATURE:
DATE:
Fee Amt: $169 ++44% Date Paid
Receipt#: Tjj,6Aj,0
C045
Received
�by: ao
HS#- 154
FOR OFFICE USE ONLY
Safety inspection date: ❑ Pass []Fail 2nd inspection date:
VDH Food Service (if necessary): Ian lal%<-8
Notes:
Reviewd By:
Date:
❑ P_ass 13 Fail
��'e
❑ Approved ❑ Denied
Building Official and Fire Rescue Safety Checklist
19 Post the address of the property at the driveway and on all structures, if the property has more than two structures. Each structure
used for sleeping must have its own address. Contact County GIS division at remerick@albemarle.org to obtain additional address
/ numbers if needed.
Install a 2A:10BC fire extinguisher in the kitchen area, preferably on a wall and not in a cabinet Fire extinguisher ratings are located
- A on the fire extinguisher.
7 Post an emergency evacuation floor plan showing direction to the exterior and containing the 911 address of the property in each
guest room. This is similar to the diagram you see on the back of your hotel room door showing where to go in an emergency.
0 Ensure each bedroom has at least one window or second door that can open large enough to permit escape in the case of a fire.
Windows may not be painted shut.
Ensure no extension cords are be used in lieu of permeant wiring. Power strips are allowed if sized properly and contain overcurrent
protection built into the strip.
0 Make access to the electrical panel box available to the guests at all times.
10/ Install and connect smoke alarms per the code sections below:
R314.3 Location.
Smoke alarms shall be installed in the following locations:
1. In each sleeping room.
2. Outside each sleeping area in the immediate vicinity of the bedrooms.
3. On each additional story of the dwelling, including basements and habitable attics and not including crawl spaces and uninhabitable
attics. In dwellings or dwelling units with split levels and without an intervening door between the adjacent levels, a smoke alarm
installed on the upper level shall suffice for the adjacent lower level provided that the lower level is less than one full story below the
upper level.
4. Smoke alarms shall be installed not less than 3 feet (914 mm) horizontally from the door or opening of a bathroom that contains a
bathtub or shower unless this would prevent placement of a smoke alarm required by Section R314.3.
R314.3.1 Installation near cooking appliance
Smoke alarms shall not be installed in the following locations unless this would prevent placement of a smoke alarm in a location required
by Section R314.3.
1. Ionization smoke alarms shall not be installed less than 20 feet (6096 mm) horizontally from a permanently installed cookign
applicance.
2. Ionization smoke alarms with an alarm -silencing switch shall not be installed less than 10 feet (3048 mm) horizontally from a
permanently installed cooking appliance.
3. Photoelectric smoke alarms shall not be installed less than 6 feet (1828 mm) horizontally from a permanently installed cooking
appliance.
R314.4 Interconnection
Where more than one smoke alarm is required to be installed within an individual dwelling unit in accordance with Section R314.3, the
alarm devices shall be interconnected in such a manner tha the actuation of one alarm will activate all the alarms in the individual dwelling
unit. Physical interconnection of smoke alarms shall not be required where listed wireless alarms are installed and all alarms sound upon
activation of one alarm.
R314.6 Power Source
Smoke alarms shall receive heir primary power from the building wiring where such wiring is served from a commercial source and, where
primary power is interrupted, shall receive power from a battery. Wiring shall be permanent and without a disconnecting switch other than
those required for overcurrent protection.
R314.7 Fire alarm systems
Fire alarm systems shall be permitted to be used in lieu of smoke alarms and shall comply with Sections R314.7.1 through R314.74.
R314.7.1 General
Fire alarm systems shall comply with the provisions of this code and the household fire warming equipment provisions of NFPA 72.
Smoke detectors shall be listed in accordance with UL 268.
R314.7.2 Location
Smoke detectors shall be installed in the locations specified in Section R314.3.
R314.7.3 Permanent fixture
Where a household fire alarm system is installed, it shall become a permanent fixture of the dwelling unit.
R314.7.4 Combination detectors
Combination smoke and carbon monoxide detectors shall be permitted to be installed in the fire alarm systems in lieu of smoke
detectors, provided that they are listed in accordance with UL 268 and UL 2075.
Questions? Contact the Safety Inspection Official at kbradshawlaalbemarle ora or 434-296-5832 x3415
v. 07.8.211 Page 4 of 5
0
1-1
�,t of nra Albemarle County
CommuShort-Term Rental Registry �� fi ' 40I McloltyeRd. North Wmg
Charlottesville, VA 22902
Annual Application Phcne434.296.5832
f'f' t%BCIM* 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 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 5+acres.
'APPROVED HOMESTAY(HS), BED AND BREAKFAST (BNB), OR ACCESSORY
TOURIST LODGING (ATL) CLEARANCE PERMIT NUMBER (IF APPLICABLE):
'ADDRESS:
'Cm.STATE,ZIP
TAX MAP PARCEL (IF KNOWNI:
a aq LA-c
ZONING (IF KNOWN):
GUESTBEDROOMS: f ,W,H2O'LE_ HOUSE RENTAL DYES
> ell; oco j 1"j imp 3 SD ►) I Nct�C,e� ^mot aD, L� Lk
2. Property Owner/Operator Information
*NAME:
'HOMEADDRESS: t,-
-CITY, STATE, ZIP.
PHONE: _ EMAIL- _
(can\ M-\'% ce To d)
3. Responsible Agent Information
The responsible agent must be available within miles of the homestay at all times during a homestay use, and must respond and attempt in good faith to
resolve any complaints within 50 minutes of being contacted
OWNER/OPERATOR 15 RESPONSIBLE AGENT: I OYES *No IF NO,COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME
HOMEADDRESS:
K GIF
CITY, STATE, ZIP.
/� 1 O
PHONE
EMAIL
aA
t l
FOR OFFICE USE ONLY Date Paid:
Fee And; 0$27 0$0 with clearance application Ck#:
Receipt=: Received by:
❑ Accepted ❑ Denied
Reviewed by:
Registration Date:
www-alhenwle-org/homestays v. 9,17.201 Page 1 of 1