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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