HomeMy WebLinkAboutHS202100002 Application 2023-03-06Homestay
Zoning Clearance Application
Albemarle County
Community Development
(' 401 McIntire Rd., North Wing
Charlottesville, VA 22902
Phone 434.296.5832 1 Fax 434.972.4126
Application fee: $173.76
Submit this completed application with the followingj::. or to the address above: Appll,am$119+TecnndaeYwrdW&$4.76+lr, a m$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 rural area parcels of less than 5 acres may have 2guest bedrooms try -right Use of accessorystntctures (if built before August 7, 2019) is
only permitted by -right on rural area parcels of 5+acres. Whole house rental is onlypermitted on rural area parcels of 5+arms.
ADDRESS:
1 151 mil.
CITY, STATE, ZIP:
C n el I
CO -
TAX TAX MAP PARCEL (IF KNOWN):
1
0-)0100-0�6V-00— rry 350
ZONING (IF KNOWN):
ADVERTISED NAME OF HOMESTAY (IF APPLICABLE):
t
I t
ACREAGE OF PARCEL:
5
NO. OF GUEST BEDROOMS:
USING ACCESSORY STRUCTURES?
nVTtS ❑ NO WHOLE HOUSE RENTAL?
❑YES ❑ NO
2. Property Owner/Operator Information
NAME:
5
HOME ADDRESS:
I
CITY, STATE, ZIP:
V
PHONE NUMBER:
4 ¢ EMAIL:
l
1 — L/
3. Responsible Agent Information
The responsible agent must be available within 30 miles of the homestayat oll times duringa homestay use, and must respond and attempt in good faith to
resolve anycomplaints within 60 minutes of being contacted.
NAME:
t
HOME ADDRESS:
CITY, STATE,ZIP:
PHONE NUMBER:
EMAIL
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:
✓
DATE:
FOR OFFICE USE ONLY
Fee Amt: $169 + 4% Date Paid:
Safety inspection date: ❑ Pass ❑ Fail 2nd inspection date:
❑ Pass ❑ Fail
Receipt #:
VDH Food Service (if necessary): [] Floorplan
ci Parking [3 ID
Ck#:
Notes: Reviewd By:
Received by:
Date:
HS#
E] Approved
E] Denied
--
all.
con')
Short -Term Rental Registry
Annual Application
Albemarle County
Community Development
-1-
401 McIntire Rd. North Wing
Charlottesville, VA 22902
Phone 434.296.5832
www.albemarle.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 for a 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 a fire safety inspection
• Renewtheirbusiness 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 BREAKFASr(BNBL OR ACCESSORY
TOURIST LODGING(ATL) CLEARANCE PERMIT NUMBER (IF APPLICABLE):
i�C7)S
'ADDRESS:
1 ' t I
'CITY, STATE, ZIP:
t (4— ai3�l6I.
TAX MAP PARCEL (IF KNOWN):
O
ZONING (IF KNOWN):
GUESTBEDROOMS:
WHOLE HOUSE RENTAL
I U<ES ❑NO Ct,l�Cl 11tZ
2. Property Owner/Operator Information
'NAME: OLl il, ��
'HOME ADDRESS:
I 'CITY, STATE, ZIP: I t^ L. �. s I - _U o 1 0 n VA, I
PHONE:
3. Responsible Agent Information
EMAIL:
kttl
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:
OYES ONO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOMEADDRESS:
CITY, STATE. ZIP:
PHONE:
EMAIL
FOR OFFICE USE ONLY
FeeAmt: 0$27 ❑$0with clearance application
Receipt#:
Date Paid: J—J_
❑ Accepted ❑ Denied
Reviewed by:
Registration Date:
1
www.albemarle.org/homestays v. 9.17.201 Page 1 of 1
�K
Short -Term Rental Registry
Annual Application
Albemarle County
J I >y Community Development
401 McIntire Rd. North Wing
r, Charlottesville, VA 22902
Phone 434.296.5832
Www.albemarle.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 zoningzoning clearance (requires VDH and building/fire safety inspection)
Register for a 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 safetvinspection
• 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 (ATU CLEARANCE PERMIT NUMBER (IF APPLICABLE):
'ADDRESS: `0'
'CITY, STATE, ZIP:
T
I
TAX MAP PARCEL (IF KNOWN):
ZONING(IF KNOWN):
GUEST BEDROOMS:
WHOLE HOUSE RENTAL:
YES ❑NO
2. Property Owner/Operator Information
'NAME: ��r1Lt -A
E*HOME ADDRESS: t � O 1
STATE, ZIP:
PHONE `� EMAIL:
3. Responsible Agent Information
The responsible agentmust be available within of the homestay at all times during a homestay use, and must respond and attempt in good faith to
resolve any complaints within 6QjninUes of bemgcon acted.
OWNER/OPERATOR IS RESPONSIBLE AGENT: YES ❑NO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOMEADDRESS:
CITY, STATE, ZIP:
PHONE: EMAIL:
FOR OFFICE USE ONLY Date Paid: _/_/_
Fee Amt: 0$27 0$0 with clearance application Ck R: ❑ Accepted ❑ Denied
Reviewed by:
Receipt N: Received by:
Registration Date:
ww W.a I bemarle.org/homestays
v. 9.17.20 1 Page 1 of 1