HomeMy WebLinkAboutHS202300007 Approval - County 2023-01-27APPROVED
by the Albemarle <, Albemarle county
Homestayommunity Development County �9 Community Development Wing
nt
ate epartm Charlottesville,
McIntire Rd., North Wing
Zoning Clearange 2 Z t ,x Charlottesville, VA 22902
• iIR; hM Phone 434.296.58321 Fax 434.972.4126
Application fee: $173.76
Submit this completed application with the following online or to the address above: Application sv9+TechnolopSurcharge$a76+mspemon$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
Residentially zoned and ruml area parcels of less than 5 acres may have 2guest bedrooms by -right. Use of occessorystructures (if built before August 7, 2019) is
onlypermitted by -right m ruml area parcels of S+acres. Whole house rental is onlypermittedon rural area parcels of 5+acres.
,796 BlUfton Rd
:
Crozet, VA 22g932
PARCEL KNOWN):
ENAME
02600-00-00-03800
ZONING(IF KNOWM:
Rural
ME OF HOMESTAY (IF APPLICABLE):
ACREAGE OF PARCEL:
7
BEDROOMS:
2
USING ACCESSORY STRUCTURES?
YES
NO
WHOLE HOUSE RENTAL?
I , YES NO
2. Property Owner/Operator Information
NAME:
Megan Kegley
HOME ADDRESS:
(�
4796 BlUfton Rd
CITY, STATE, ZIP:
Crozet VA 22932
PHONE NUMBER:
276 768 9501
EMAIL:
me ke le @ mail.com
3. Responsible Agent Information
The responsibleagent must be available within 30 miles of the hamestay at all times during a homestay use, and mustrespond and attempt in good faith to
resolve anycomplaints within 60 minutes of being contacted.
Megan Kegley
RESS:
P
4790 Blufton Rd
ZIP:
Cr0MBER:
276 768 9501
EMAIL:
me ke ley@ mail.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 understand them, and that I will abide by them.
SIGNATURE: I / Avol,,.@ I DATE. 1/15/23
FOR OFFICE USE ONLY ^7
Fee Amt: $169 + 4% Date Paid: Safety inspection date: I Z�Z3pass Fa' nd inspection date: — l' Pas Fail l
Receipt N: VDH Food Service (if necessary): Flo plan Parki ID
Ck#: Notes: Reviewd By: v
Received by: Date: —Z
HS# Approved Denied