HomeMy WebLinkAboutHS202300008 Approval - County 2023-02-22APPROVED •"rro, Albemarle County
'-7l Homestay by the Albemarle County ,�+,� 9 Community Development
Comm ty l . M 401 M[Intlre Rd., North Wing
jL tfnitY Development De 4 , `
-- artmen,', ' Phone 434.296.58arlottesvIlle, VA 22902
Zoning Clearan it �pplicabon Z�'3 nn.N Phone 434.296.58321 Fax /34.972.4128
__--------- Application fee: $173.76
Submit this completed application with the following nnlineortothe address above: Appliwtlpn$1194TKI�IMg rlha,rera.7e. niMmm SW
1. Floorplan/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
Residentiollyzorted and rural arm parcels of less than 5 acres may hove 2guest bedrooms by -right Use of accessorysfructures (if built before August 7, 2019) is
only permittedby-righton rural arm parcels of 5+acres. Whole house rental is onl ypermitted on rural area parcels of 5+acres.
ADDRESS:
11051 Hopkins Court
CITY.STATE.ZIP:
I Charlottesville, VA 22901
TAX MAP PARCEL (IF KNOWN):
I 046A2-03-00-00400
ZONING(IF KNOWN):
I Reside
ADVERTISED NAME OF HOMESTAY (IF APPLICABLE):
ACREAGE OF PARCEL:
0.30
NO. OF GUEST BEDROOMS:
1
USING ACCESSORY STRUCTURES?
YES NO
WHOLE HOUSE RENTAL?
YES
NO
2. Property Owner/Operator Information
NAME:
Helen Dempsey-Henofer
HOMEADDRESS:
1051 Hopkins Court
CITY, STATE, ZIP:
Charlottesville, VA 22901
PHONE NUMBER:
803-206-4625
1 EMAIL:
helen@cocoonandcompany.inf
3. Responsible Agent Information
The responsible agent must be available within 30 miles of the homestayotoll timesduring a homestay use, and must respond and attempt in good faith to
resolve anymmploints within 60minutes of tleing contacted.
NAME:
Helen Dempsey-Henofer
HOME ADDRESS:
1051 Hopkins Court \
CITY. STATE, ZIP:
Charlottesville, VA 22901
PHONE NUMBER:
803-206-4625
1 EMAIL:
helen@cocoonandcompany.inf
4. Signature
I hereby apply for approval to conduct the homestay identified above, and certify that this address is my legal residence, and that 1 own
the property or that 1 have recleved a special exception to operate the homestay as a resident manager. I also certify that I have read the
restrictions on homestays, that I undergAnd them„apd that I will III by them.
SIGNATURE: I 7 . l4 d dl,12-�,In f I DATE: I 01/16:2023 1
Fee Ame $169. 4% Date Paid:
Receipt r:
FOR OFFICE USE ONLY
Safety inspection date:Iueo-0 Pass
VDH Food Service lit necessary):
Lkx: Nolen
R�ewed by:
Fail
2nd inspection date: Pass F/ail
Floorplan Parking ID V
Reviewd By:
Date: O^
Approved Denied
filial