HomeMy WebLinkAboutHS202300004 Approval - County 2023-01-26�qer. Albemarle County
Homestay APPROVED >� Community Development
b the ?Ihemar)e Cottnfi' �. 401 McIntire Rd., North Wing
y t i .� Charlottesville, VA 22902
Zoning Clearance ATADk�ifion_ 'nnfnent Deoarkmen'r ,r, A*' Phone 434.296.58321 Fax 434.972.4126
File -_ Application fee. $173.76
Submit this completed application with the following oniiucortothoaddres:n6ovm AgflkanonIt19+Tach,do{vsurcharres4.74+ImPealon$50
1. Floor plan/property sketch with labeled structures used for the homestay, guest bedroom., owner's bedroom, outdoor lighting
and signage for the homestay, labeled setbacks, and parking (minimum 2+ 1 spot/guest bedroom).
2. Copies ofhvotormsofverificationofresidency(onegovernmentIssuedwithphotoID+onelistingtheaddress-acceptableforms
include dr vo-'s license, voter registration card, U.S. passport, others as approved by the Zoning Administrator)
1. homestay Information
pegidlorKialtymnedand rural area parcelsofless than 5acres mayhave2guestbedrooms byrightUseofoaAssorystmcturesOfbuilt beforeAugust7,2019)fs
only uennitfed by -right on rural area parcels of 5+acm. Whole house rental is onlypermitted on ruralarea parcels of5+aces
ADDREss:
697 Ivry Depot Rd. --- �- ----- -----
CITY. STATE. ZIP:
Charlottesville VA22903
TAX MAP PARCEL(IF KNOWN):
058A2-00-00-01OA0
ZONING (IF KNOWN):
VR
ADVERTISED NAME OF HOMESTAY(IF APPLICABLE):
Hometract Cottage
ACREAGE OF PARCEL
3.2
NO.OF GUEST BEDROOMS:
j
USING ACCESSORY STRUCTURES?
❑ YES ® No
WHO HOUSE RENTAL?
❑YES ®NO
2. Property Owner/Operator Information
NAME: Austin and juh Gerken
HOME ADDRESS: 699 Ivy Depot Rd.
CITY. STATE. ZIP: Charlottesvil)e, VA 22903
EMAIL: gerkeII.dj@gma1l.COm
PHONE NUMBER:
3. Responsible Agent Information _ - - -- - - - --
The responsible agent must be available within 30 miles of the homestay at all times duringa homestay use, and must respond andattempt in good faith to
re,Ive any complaints within 60 minutes of beingcontocted.
NAME Austin and Juli Gerken
HOMEADDRESS: 699 Ivy Depot Rd.
cITY,STATE,ZiP. Charlottesville, VA 22903
PHONENUMBER: 828-337-2238 EMAIL gerken.dj@gmail.com
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,-r understand them, and that I abide by them. DATE; %G —,�L-
SIGNATURE:
7h23/FOR OFFICE USE ONLY
�(�' ass ❑Fan
Fee And: 4t ,9 + 41% Date Pald:
Safety inspection date:
1-k
RecelPt #: _
Ck#: __
Received bY.
H'S# _
VDH Food Service (if necessan'):
Notes:
2nd '. o5gevtjon date: ❑
Pass ❑Fail
Floorylan eparki L31U
,
Revie d By:
Date. J Lt/`
proved Denied