HomeMy WebLinkAboutHS201900020 Correspondence 2022-11-22October 13, 2022 Page 3
2�y OF AIgFi Albemarle County
.) Yp Community Development
Short -Term Rental Registry _l. 401 McIntire Rd. North Wing
r` Charlottesville, VA 22902
Annual Application Phone 434.296.5832
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Prior to opening for business, all operators of short-term rentals (including Iromestivs 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 zoninngclea_ance (requires VDH and building/fire safety inspection)
• Register for abosinesshcenseand remitrequiredtaxes
Annually following the initial approvals, all operators of short-term rentals must:
• Renew their enrollment on the registry with this form
• Pass a fire safetv inspection
• Renew their busin , rcense g.nd remit reouired taxes
Fields marked with an *asterisk are the minimum required for registration.
1. Short -Term Rental Information // _Jd _ Ao `gat
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 (HIS), BED AND BREAKFAST (BNB), OR ACCESSORY
TOURIST LODGING (ATLI CLEARANCE PERMIT NUMBER (IF APPLICABLE):
'ADDRESS:
CITY,STATE, ZIPHe A
: !�
TAX MAP PARCEL (IF KNOWN};"
GUESTBEDROOMS Z
2. Property Owner/Operator Information
ZONING (IF KNOWN):
WHOLE HOUSE RENTAL: j ifYES ❑ NO
'NAME:.
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"HOMEADDRESS:
CITY, STATE, ZIP:
/L AVp{•q�.�. �'v( l'G 1 /M '1 -4 q O2
V
PHONE:
(�/�,�
-/vOv3--Z !7 ' �iii'a I,.rEEMAILL- ... '., �JItA.L�WN.V (M7 VNt1 • ��lyi7
3. Responsible Agent Information
The responsible agent must be available within 30 miles of the homestay at aI I 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 AGENT
NAME:
HOME AODREss:
CITY,-STATE,ZIP —
PRONE
FOR OFFICE USE ONLY
Fee Amt: 7 0$0 with clearance application
Receipt# _
❑ NO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
,
EMAIL.
Date Paid: r(� y6KaQ(
Ck#�,E __ __.---
Receivedb— ..__.—.
❑ Accepted ❑ Denied
yrk�
Reviewed by:___
Registration Date:_/_J_
wwmalbemarle.org/homestays v. 9.17.201 Page 1 of 1