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HomeMy WebLinkAboutHS202200062 Application 2022-11-18APPROVED by the Albemarle County vey. Homesta Commundy gyelopmentDepartm ., Albemarle County V 11 66�7 y Community Development Date �4 v -1 I' 401 McIntire Rd., North Wing - - ' r" Charlottesville, VA 22902 Zoning Clearance Apik---alert--"— — 4rnna`r+ Phone 434.296,58321 Fax 434.972.4126 Application fee: $173.76 Submitthiscompletedapplicationwiththefollowingonlineortotheaddressabove: Applicition$119+Technology Surcharge $4.76+Inspection$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 Residentiallyzonedand rural areaparcels of less than 5 acres mayhove 2 guest bedrooms by -right. Use of occessorystructures (if built before August 7, 2019) is only permittedbyright on rural area parcels of 5+ acres. Whole house rental is onlypermitted on rural area parcels of 5+ acres. ADDRESS: 2810 Penny Lane CITY, STATE, ZIP: harlottesville, Virginia, 22903 TAX MAP PARCEL (IF KNOWN): ZONING (IF KNOWN): ADVERTISED NAME OF HOMESTAY (IF APPLICABLE): ACREAGE OF PARCEL: 10 NO. OF GUU BEDROOMS: 2 USING ACCESSORY STRUCTURES? ❑ YES ® NO WHOLE HOUSE RENTAL? ❑ X YES ❑ NO 2. Property Owner/Operator Information NAME: Ileather Ilastingst John McCauley HOME ADDRESS: 2810 Penny Lane CITY STATE ZIP: Charlottesville, Virginia, 22903 PHONE NUMBER: 434-962-5340 EMAIL Iljh3eq©virginia.edu 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 ingood faith to resolve any complaints within 60 minutes of being contacted. NAME: Heather Hastings HOME ADDRESS: 2810 Penny Lane CITY' STATE, ZIP. Charlottesville Virginia,22903 PHONE NUMBER: 434-962-5340 EMAIL: Hjh3egpvirginia.edu 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.. .. I DATE: 110/262022 FOR OFFICE USE ON Fee Amt $169 + 4% Date Paid: Safety inspection date �fi[j l v/ pass []Fail 2nd inspection date: ❑ Pass ❑ Fail Receipt #: VDH Food Service (if necessary): ❑ Floorplan Panting ❑ To Ck#: Notes: Reviewd�Byy:: 7 Received by: Date: (rl l � ZL Hs# [approved Denied