HomeMy WebLinkAboutATL201700014 Application 2023-03-06February 6, 2023 Page 3
��°r af�fb Albemarle County
rP Community Development
Short -Term Rental Registry o®� 401 McIntire Rd. North Wing
Charlottesville, VA 22902
Annual Application '� Phone 434.296.5832
h' �1RmNvs 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:
• Enrol Ion 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 required taxes .j.�
JAnnually following the initial approvals, all operators of short-term rentals must: 5.�, L TO R�q< a
c
0 Renew their enrollment on the registrywith thisform n' 1 q I -2 j_ -5� �' a
• Pass a fire safety inspection �-- /- s._ „60 L) L
�✓ Renew their business license and remit required taxes �C%,^("/O\�
Fields marked with an*asterisk are the minimum required for registration. yY t
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 S+ acres.
'APPROVED HOMESTAY
GING(ATQ HIS), BED CLEARANCE PERMIT
BREAKFAST BNBFOR ACCESSORY
TOURIST LODGINGT(ATL)CLEARANCE PERMIT NUMBER (IF APPLICABLE) 12 kJ r" g r••l)
'ADDRESS: I S-T ..FA-aAaW ��/.QIU�
'CITY. STATE, ZIP: VA _ _ +Ej 2-2q2 /a j
TAX MAP PARCEL (IF KNOWN): ZONING (IF KNOWN):
GUEST BEDROOMS: 4-.) O WHOLE HOUSE RENTAL: ❑YESO
2. Property Owner/Operator Information
`NAME: .�,�� %'iMkiV� �.+J ISIr+ rL2l ✓
'HOMEADDRESS: 11 SY6 /A440kJ &4 ✓L
'CITY, STATE, ZIP: (�HV -0-to wis i✓f LL'� yp4 22aj8 / p p f� y� PHONE: 5yf) q uZ) EMAIL: �i4M1 LY / O AOL , & Awl
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: I NES ONO IF NO, COMPLETE RESPONSIBLE AGENT INFORMATION BELOW
NAME:
HOMEADDRESS:
CITY, STATE, ZI P:
PHONE: EMAIL.
FOR OFFICE USE ONLY Date Paid:
Fee Amt: 0$27 0$0with clearance application Ck#:
Received by:
❑ Accepted ❑ Denied
Reviewed by:
Registration Date:
www.aIbemarle.org/homestays v. 9.17.201 Page 1 of 1