HomeMy WebLinkAboutHS202300010 Application 2023-01-31H o estay
Zoning Clearance Application
iW Al
Albemarle County
Community Development
401 McIntire Rd., North Wing
Charlottesville, VA 22902
Phone 434.2.96.5832 l Fax 434.972.4126
I
Appllcation fee: $17176
Submit this completed application with the following it e or to the address above: A47pttr_atkin $119 + TechnoMgy 5urchars*e $4 76 Inspection Ssu
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)
I. Homestay Information
Res►dentiolly zoned and rural area parcels of less than 5 ocres may have 2 guest bedrooms by -right. Use of accessory structures (if built before August 7, 2019) is
only permitted by -right on rural area parcels of 5+ acres. Wholehous:e rental is only permitted on rural area parcels of 5+ acres.
ADDRF�S. t 638 Rocky Hollow Rd
OT-Y STATE 7JP Charlottesville , VA 22911
TAX MAQ rAPC FI. OF KN0*N�:
AD'vlRTiSED hANAE O� HOME STAY OF- APPL[CABLEi_
'�'�- O G�.�EST BEDROOMS. 2 USING AC�ill-.,;ORY' STRUCTURES'
2. Property Owner/Operator Information
Ili Adriana Tuerk
Fi0tt.- ADDRESS: 640 Rocky Hollow Rd
CITY. STATE, 21W
i Charlottesville , VA 22911
_ 561_-706-3402
3. Responsible Agent Information
ZONING OF rJQlil 41
AC REAGE OF PARCEL I 47
❑ YES ❑ Nij 1. HOI E 1-10US17 RENTAL? ®' ❑
LMAIL; -
adri3387@yahoo.com
The responsiW agent must be available within 30 miles of the homestay at all times during a homestay use, and muss respcmd and attempt in good faith to
re' hoe arvy compiatryts within 60 minutes of being contacted
Jonathan Birdsey
HQMF ArX tAf. aS 640 Rocky Hollow Rd
(A y ����� ���� Charlottesville VA 22911
P140Nr rYUMBEP 434-249-6911 rMAII jbirdsey a@gmail.00m
4. Signature
1 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 t 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 , and tha 1 will abide by them.
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Payment Receipt
Your transaction has been successfully
completed!!
Your Confirmation number is 0
:10008 51228
Transaction ID: 230131090697787DDD89923013104069
01 /31 /2023 10:08:09 [EST]
Account
Information
Payment Type: Tax Payment
BI*11 Payer
Details
Adriana Tuerk
640 ROCKY HOLLOW RD
CHAI2LOTTESVILLE, VA 22911
Payment
Details
Payment Amount:
$17336
Convenience Fee: $4.34`
Total Amount: $178.10
Payment Method:
Card Number:
XXXXXXXXXXXXX4534
Expiration date: 03 /2027