HomeMy WebLinkAboutHS202000015 Correspondence 2023-01-30Short -Term Rental Registry
Annual Application
,�apP"r,B Albemarle County
Community Development
401 McIntire Rd. North Wing
Charlottesville, VA 22902
Phone 434.296.5832
www.albemarleorg
Prior to opening for business, all operators of short-term rentals (including homestays 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 zoning clearance (requires VDH and building/firesafety inspection)
• Register fora business license and remit required taxes
Annually following the initial approvals, all operators of short-term rentals must:
• Renew their enrollment on the registry with this form
• Pass a fire safety inspection
• Renew their business license and remit required taxes
Fields marked with an *asterisk are the minimum required for registration.
1. Short -Term Rental Information
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(HS). BED AND BREAKFAST(BNB), OR ACCESSORY
TOURIST LODGING(ATL)CLEARANCE PERMIT NUMBER (IFAPPUCABLE):
� t�d �1.1.tU d L area QsF
'ADDRESS:
22-80
'CITY, STATE, ZIP:
V4
2Z'01
TAX MAP PARCEL (IF KNOWN):
ZONING (IF KNOWN):
GUESTBEDROOMS:
WHOLE HOUSE RENTAL:
❑YES ❑NO
2. Property Owner/Operator Information
`NAME:
I 7- U
'HOMEADDRESS:
CL(-HApj
Z
-CITY. STATE, ZIP:
a/`06 V` Y Z2�Q1O
PHONE:
(4314 J2-3 —89 QZ
EMAIL:
5
DX
fP —JvtN
U V v
3. Responsible Agent Information
The responsible agent must be available within A
i es of the homestay at all times during a homestay use, and must respond and attempt in good faith to
resolve any complaints within 60 minutesof being con acted.
OWNER/OPERATOR IS RESPONSIBLE AGENT:
ES ❑NO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOME ADDRESS:
CITY, STATE, ZIP:
PHONE:
EMAIL
FOR OFFICE USE ONLY Date Paid: I ;�a./28
Fee Am 27 0$0 with clearance application Ck#: (-
Receipt,bt30l 3 D I O�56 31-131 `TOReceived b
ccepted ❑ Denied
Reviewed by:
Registration Date:
www.albemarie.org/homestays v. 9.17.20 1 Page 1 of 1