HomeMy WebLinkAboutHS201900012 Correspondence 2023-03-03February 6, 2023 Page 3
s+or'`r_W.r Albemarle County
pJ_ �r Community Development
Short -Term Rental Registry r F 401 McIntire Rd NorthWing
Charlottesville, VA 22902
5832
Annual Application wwwal ernarl .ong
"rxcrN�° Pho.e bemarle.org
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/fire safety inspection)
• Register fora business license and remit reauired taxes
Annually following the initial approvals, all operators of short-term rentals must:
• Renew their enrollment on the registry with this form
• Pass afire safety inspection
• Renew their business l icense and remit reoui red 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 HO MESTAY (HS), BED AND BREAKFAST(BNB), OR ACCESSORY
TOURIST LODGING (ATL) CLEARANCE PERMIT NUMBER (IF APPLICABLE):
`�
20 / Zt QO D J 2
'ADDRESS:
30 7 5 V h ed
'CITY, STATE, ZIP:
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TAX MAP PARCEL (IF KNOWN):
ZONING (IF KNOWN):
p
F(Jir—
GUESTSEDROOMS:
WHOLE HOUSE RENTAL:
I )(YES ❑NO
2. Property Owner/Operator Information
`NAME:
Ckn SH4L S, J) kn kl
'HOMEADDRESS:
O 19
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�lt S i2m ,
'CITY, STATE, ZIP:
^fit
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PHONE:
202 QI) '37 3S
EMAIL:
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3. Responsible Agent Information
The responsible agent must be available within 30 miles of the homestay at all times during a homestay use, and must respond and attempt in good faith to
resolve any complaints within 60 minutes of being contacted.
OWNER/OPERATOR IS RESPONSIBLE AGENT:
ES ONO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOME ADDRESS:
CITY, STATE, ZIP:
PHONE:
EMAIL
FOR OFFICE USE ONLY
Date Paid: Jam_
Fee Amt: 1;4,$27 0$0 with clearance application Ck#:
Recelpt#:
Received by:
❑ Accepted ❑ Denied
Reviewed
Registration Date: �J—
www.albemarle.arg/homestays v. 9.17.201 Page 1 of 1