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HomeMy WebLinkAboutHS202200067 Application 2022-11-09Homestay Zoning Clearance Application Albemarle County Community Development 401 McIntire Rd., North Wing Charlottesville, VA 22902 Phone 434.296.5832 1 Fax434.972.4126 Application fee: $173.76 Submit this completed application with the following Qnl ine or to the address above: Application $119.Teeh.lo S,,,harge$4.76+nspedton$50 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 2 guest bedrooms by -right. Use of accessory structures fif built before August 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: S ..r_ CITY, STATE. ZIP: ZZ O 2— TAX MAP PARCEL (IF KNOWN): l (Q (P t—� --( ZONING (IF KNOWN):—y ADVERTISED NAME OF HOMESTAY (IF APPLICABLE): ACREAGE OF PARCEL: r 4 0 NO. OF GUEST BEDROOMS: 3 — :NO WHOLE HOUSE RENTAL? ❑ YES O 2. Property Owner/Operator Information NAME: r HOME ADDRESS: S ,� CITY, STATE. ZIP: 1 > > Q Z PHONE NUMBER: �� EMAIL: 3. Responsible Agent Information The responsible agent must be available within 30 miles of the homestay at all times during homestay use, and must respond and attempt in good faith to resolve any complaints within 60 minutes of being contacted. NAME HOME ADDRESS: 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: DAIL �1 �Z Fee AmC$169+4% Date Paid I L` Per, f,t S I 10' .$1 (W Hsy;oaa- 11PI FOR OFFICE USE ONLY Safety inspection date: ❑ Pass ❑ Fail 2nd inspection date: V )H Food Service lif Notes: ❑Flomolan ❑ Parking Reviewd By: Date: ❑ Pass O Fail O ID ❑ Approved ❑ Denied o?aS 5`,VC "-4 Cellike,dA- Z-2,9 oz fM6- 5'r4e -Q?,LA �J vJ LD ask � nd r—I one, ©„UQAg 1�k PL AC- �M wvj vJ i. ek I au, 3 A-T r+ Y Z SYYY �� Yg m �^ � g Crryyyy� yC Y��D C o�OY 1j_�.re�o�y `�ni�raric-a_ Owe e1r�i*i� -)fi,k,�y �Oy�+ vJ )fi Hzo s + ol'R� �wn4-�� Qio��-coo K Ij I 'FJ1\ '—,Vonace eiz �. ,J,J 1 ,l a +e- v ,\&AA 5 kc`vS f:3 Short -Term Rental Registry Annual Application n °t I/k(, Albemarle County f Community Development t- 401 McIntire Rd. North Wing Charlottesville, VA 22902 ' Phone434.296.5832 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: • Enrol Ion the Short -Term Rentals Registry with this form • Obtain an approved zonine I a� r ranee, (requires VDH and building/firesafety inspection) • Register for a business license and remit req iy_red 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�ection • Renew their business Iicenseand 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 (ATU CLEARANCE PERMIT NUMBER (IF APPLICABLE): 'ADDRESS: I 'CITY, STATE, ZIP: TAX MAP PARCEL (IF KNOWN): ) �(e A 'E ZONING (IF KNOWNk GUESTBEDROOMS: 1 3 —`I WHOLE HOUSE RENTAL It IZAJ..rr tcrv,� vZ 2. Property Owner/Operator Information mil_ � r ' .' 1 3. Responsible Agent Information The responsible agent must be available within 3p ritillass 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. I OWNER/OPERATOR IS RESPONSIBLE AGENT: YES ❑NO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW NAME: HOMEADDRESS: CITY, STATE, ZIP. PHONE: EMAIL: FOR OFFICE USE ONLY Fee Amt 0$27 0$0 with clearance application Date Paid: 1XIT ^' 0 Accepted ❑ Denied Reviewed by: Registration Date:.. www.albemarle.org/homestays v. 9.17.201 Page 1 of 1