HomeMy WebLinkAboutTS200600056 Application 2022-11-07Homestay
L
Zoning Clearance Application
Albemarle County
Community Development
401 McIntire Rd., North Wing
is
Charlottesville, VA22902
Phone 434.296.58321 Fax 434.972.4126
Application fee: $173.76
Submit this completed application with the following online or to the address above: Application $119 +Technology Surcharge $4.76 + lnsPcfion $so
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 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
Residentially zoned and rural area parcels of less than 5 acres may have 2uuest bedrooms by -right. Use of accessorystructures (if built before August 7, 2019) is
onlypermitted by -right on rural area parcels of 5+acres. Whole house rental is only permitted on rural area parcels of 5+acres.
ADDRESS:
CITY, STATE, ZIP:
TAX MAP PARCEL (IF KNOWN):
ZONING (IF KNOWN):
ADVERTISED NAME OF HOMESTAY (IF APPLICABLE):
ACREAGE OF PARCELt--
NO. OF GUEST BEDROOMS:
USING ACCESSORY STRUCTURES?
❑ YES ❑ NO
WHOLE HOUSE RENTAL?
❑ YES ❑ NO
2. Property Owner/Operator Information
NAME:
HOMEADDRESS:
CITY, STATE, ZIP:
PHONE NUMBER:
EMAIL:
3. Responsible Agent Information
The responsible agent must be available within 30 miles of the homestay of all times duringo homestay use, and must respond and attempt in good folth to
resolve any complaints within 60 minutes of being contacted.
NAME:
HOMEADDRESS:
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
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: I DATE:
Fee Amt:$169+4% Date Paid
Receipt #:
Ck#:
Received by:
HS#
FOR OFFICE USE ONLY
Safety inspection date: []Pass ❑ Fail 2nd inspection date: ❑ Pass ❑ Fail
VDH Food Service (if
Notes:
❑Floorplan ❑ Parking ❑ ID
Reviewd By:
Date:
❑ Approved ❑ Denied
Albemarle County
• p= Community Development
Short -Term Rental Registry Charlottesville,
McIntire Rd. VA 229Wing
Charlottesville, VA 22902
Phone 434.296.5832
Annual Application R ,N•P 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 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:
'CITY, STATE, ZIP.
TAX MAP PARCEL (IF KNOWN):
ZONING (IF KNOWN):
GUEST BEDROOMS:
WHOLE HOUSE RENTAL:
❑YES ONO
2. Property Owner/Operator Information
'NAME:
'HOMEADDRESS:
'CITY, STATE, ZIP:
PHONE: EMAIL:
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 any complaints within 60 minutes of being contacted.
OWNER/OPERATOR IS RESPONSIBLE AG ENT:
❑YES ONO IF NO, COMPLETE RESPONSIBLE AG ENT INFORMATION BELOW
NAME:
HOMEADDRESS:
CITY, STATE, ZIP:
PHONE:
EMAIL
FOR OFFICE USE ONLY
Date Paid:
Fee Amt 0$27 0$0 with clearance application Ck M:
Receipt#:
Received by:
❑ Accepted ❑ Denied
Registration Date: .. J__/_
www.albemarle.org/homestays v. 9.17.20 1 Page 1 of 1