HomeMy WebLinkAboutHS202200070 Application 2022-11-18Homestay
Zoning Clearance Application
f �,w,rq,, Albemarle County
M-% Community Development
=1 m 401 McIntire Rd, North Wing
�?�, r'B?rf' Charlottesville, VA 22902
rAxa�sa 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: Application lii19+7echmmeySurcharge $4.76+inspection $50
1. Floor pla n/property sketch with labeled structures used for the homestay, guest bed rooms, owner's bed room, outdoor light! ng `
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 I D + 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 rural area parcels of less than 5 acres may have 2guest bedrooms by -right.. Use of accessory structures (if built before August 7, 2019) is
only permitted by -right on rural area parcels of5+acres. Whole house. rental is only permitted on rural area parcels of 5+acres.
ADDRESS::
CITY,STATE,ZIP: I
v-q I Q-,�v tl `_I
a_�C O i
n1
TAX MAP PARCEL (IF KNOWN): O��f'�-� '��.._
O 0
ZONING (IF KNOWN):
ADVERTISED NAME OF HOMESTAY(IF APPLICABLE). ,`
t1 -f1
Q �L' 'ii ex vN/ r
ACREAGE OF PARCEL:
NO. OF GUEST BEDROOMS:
laUSING
ACCESSORY STRUCTURES?
OYES EfNO
WHOLEHOUSERENTAL?
❑YES [5NO
2. Property Owner/Operator Information
NAME:
(( IJ... ft�n S
HOMEADDRESS.
CITY, STATE, ZIP:
1, V���-kf
PHONE NUMBER
1.1-�LI ��. "J��
'EMAIL
/ (/ (IG���Iy
3. Responsible Agent Information
The responsible agent must be available within 30milesof the homestayatoll times duringa homestayuse, and must respond and attemptingoodfaith to
resolve anycomplaints within 60 minutes of beingcontacted.
NAME: ^ :
lcj-1/11 'bll
air,v 16
kz f y / --->
HOMEADDRESS
S,�L I�LtU &, -�qw� 0Wd C'V1 tzc-7
CITY,STATE,ZIP:
��Ir iJ 2-'l��
PHONE NUMBER:
1� �a-
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 unqqrstany them, and that I 1 #/de by them.
SIGNATURE. i ,f,., L„x�o• DATE; I
FOR ;OFFICE '.USE ONLY
Fee Amu$169+4%Date Paid Safety inspection date: - []Pass ;,[]Fail I'.2nd inspection date: ❑Pass ❑Fail
Receipt N: VDH Food Service (if necessary): ❑ Hoorplan ❑ Parking ❑ ID
CkP: Notes: Reviewd By:
Received by: Date:
HS# Approved i1 Denied
MYl
i
:[1„
Pl,
it,
W
m
° FFpfQqp#f
c
I FQ
Z
p
S
�
y
L4'3 xy
r:lns�Mrflr= ,. na„Sn. (NIBASEMENTPLAN
11.10.22
Darrick Harris
2405 Northfield Road
Charlottesville, VA 22901
darrickharrisl@gmail.com
Dear William G. Crutchfield,
I'm writing to provide notice to all of my adjacent property owners that I have applied to conduct a
homestay use on my property at 2405 Northfield Road. The purpose of this notice is to identify the
emergency contacttresponsible agent for the homestay.
I want to maintain good neighborly relations, so I will strive to maintain a quiet homestay that does not
impact my neighbors. However, if any issues should arise during a guest's stay, please contact
Terry Bentley, my responsible agent, and we will respond to any issues and attempt to resolve them
within 60 minutes of being contacted.
Responsible Agent:
Terry Bentley
Responsible Agent telephone number:
434.825.1828
Sincerely,
L _
Darrick Harris
11.10.22
Darrick Harris
2405 Northfield Road
Charlottesville, VA 22901
darrickhaffisl@Pmail.com
Dear Quang Vu & Hanh Nguyen,
I'm writing to provide notice to all of my adjacent property owners that I have applied to conduct a
homestay use on my property at 2405 Northfield Road. The purpose of this notice is to identify the
emergency contacttresponsible agent for the homestay.
I want to maintain good neighborly relations, so I will strive to maintain a quiet homestay that does not
impact my neighbors. However, if any issues should arise during a guest's stay, please contact
Terry Bentley, my responsible agent, and we will respond to any issues and attempt to resolve them
within 60 minutes of being contacted.
Responsible Agent:
Terry Bentley
Responsible Agent telephone number:
434.825.1828
Darrick Harris
11.10.22
Darrick Harris
2405 Northfield Road
Charlottesville, VA 22901
darrickharris 1 @gmail.com
Dear Donald and Jane Carpenter,
I'm writing to provide notice to all of my adjacent property owners that I have applied to conduct a
homestay use on my property at 2405 Northfield Road. The purpose of this notice is to identify the
emergency contact/responsible agent for the homestay.
I want to maintain good neighborly relations, so I will strive to maintain a quiet homestay that does not
impact my neighbors. However, if any issues should arise during a guest's stay, please contact
Terry Bentley, my responsible agent, and we will respond to any issues and attempt to resolve them
within 60 minutes of being contacted.
Responsible Agent:
Terry Bentley
Responsible Agent telephone number:
434.825.1828
Harris
11.10.22
Darrick Harris
2405 Northfield Road
Charlottesville, VA 22901
darrickharris I @Rmail.com
Dear Alliance Bible Church of Charlottesville,
I'm writing to provide notice to all of my adjacent property owners that I have applied to conduct a
homestay use on my property at 2405 Northfield Road. The purpose of this notice is to identify the
emergency contact(responsible agent for the. homestay.
I want to maintain good neighborly relations, so I will strive to maintain a quiet homestay that does not
impact my neighbors. However, if any issues should arise during a guest's stay, please contact
Terry Bentley, my responsible agent, and we will respond to any issues and attempt to resolve them
within 60 minutes of being contacted.
Responsible Agent:
Terry Bentley
Responsible Agent telephone number:
434.825.1828
Harris