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HomeMy WebLinkAboutHO201200167 Legacy Document 2012-09-04FOR OFFICE USE ONLY HO # 2612JUJ 7 `72-31 B YY M Fee Amount $ Z.5y Date Paid r -01 `12 By who? � 6 f� ` two Receipt # 9625 Ck# y: of r Application for Class A Home Occupation Clearance utrtnn ❑ Home Occupation Class A Clearance = $25.00 ❑Certification that notice of this application has been provided to the property owner, if owner is different from applicant Home Occupation, Class A: An occupation, not expressly prohibited by section 5.2, conducted for profit within a dwelling unit solely by one or more members of the family residing within the dwelling unit; provided that nothing herein prohibits the occupation from engaging other persons who work off-site and do not come to the dwelling unit to engage in the occupation. Name of Business: {n t S s ' I "n Type of Business: /s�' ��j ► Tax map and parcel: "' l `�''� Zoning: Contact Person (Who should we call/write concerning this ^4 Address 5r51,N LAx) e CiX—hA'1\k4es-(J/State r. A Daytime Phone7l A?b T'1. 3 22 Fax # (_--j E-mail Owner of Record 06� s S H �►� ��>° ��9 Address /J ie 4r) Cite , rLyj State Zip��C�� Daytime Phone (55L 6 4n:!� 79 Fax # C_) E-mail This certificate, in conjunction with a business license, represents zoning approval to conduct the Class A Home Occupation identified above. Each home occupation is subject to the following: PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ AND UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE ET LOCATION & AREA The home occupation shall be conducted entirely within the dwelling unit, provided that not more than twenty-five (25) percent of the gross floor area of the dwelling unit shall be used for the home occupation and further provided that the gross floor area used for the home occupation shall not exceed one thousand five hundred (1500) square feet. [Section 5.2 (b)1)] EYEXTERIOR APPEARANCE There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a home occupation. [Section 5.2 (e) 1)] L'f SALES No home occupation shall sell goods to a customer who comes to the site except for goods that are hand-crafted on- site and goods sold that are directly related to a beauty shop or a one -chair barber shop home occupation. [Section 5.2 (d)] County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 7/1/2011 Page 1 oft El TRAFFIC The traffic generated by a home occupation shall not exceed the volume that would normally be expected by a dwelling unit in a residential neighborhood. [Section 5.2 (c)] Ef PARKING All vehicles used in a home occupation and ail vehicles of customers, clients or students shall be parked on-site. [Section 5.2 (f)] ©'PERFORMANCE STANDARDS The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (k)] Does the use involve procedures, machinery or chemicals that may cause the following? YES NO NOISE VIBRATION GLARE HEAT AIR POLLUTION v WATER POLLUTION RADIOACTIVITY ELECTRICAL DISTURBANCE zz NON-DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER If YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff). E PROHIBITED USES The following uses are expressly prohibited as home occupations: (1) tourist lodging; (2) nursing homes; (3) nursery schools; (4) day care centers; and (5) private schools. [Section 5.2 (h)] WAIVERS AND MODIFICATIONS: The above standards are eligible for waiver or modification by the Planning Commission. Ask staff for more information about applicable fees and process. [Section 35 and Section 5.1] Owner/Applicant Must Read and Sign I hereby apply for approval to conduct the Home Occupation identified above, and certify that this address is my legal residence. I also certify that I have read the restrictions on Home Occupations, that I understand them, and that I will abide by hem. Signa—Mre of Owner/Applicant Date QC)' 5 Print Name lbaytirde phone number of Signatory A=2 R Iewer Date ENGINEER'S REPORT ATTACHED: YES NO CONDITIONS: Nb Y NL� 1 Q r n I„ „ n o yl MX 7/1/2011 Page 2 of2 CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOW ER This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zon' g Administrator eterminations or Appeals, Sign Permits, Building Permits) if the applicati n is not the owner. I certify that noNe of the application, was provided to [County application the [name(s) of e record owners of the parcel] and Parcel Number by manner identified below: Hand delivering a copy of the pplication to [Naof the record owner if the record owner is a person; if the owner of record is entity, identi the recipient of the record and the recipient's title or office for that entity] and number] of record of Tax Map a copy of the application in the on Date Mailing a copy of the appli if the owner of record is an office for that entity] , on Date /[Name the record owner if the record owner is a person; ty, identify the cipient of the record and the recipient's title or to the follow1na address: [address; writte/ /notice mailed to the owner at the last kn wn address of the owner as shown on the current re Testate tax assessment books or current real tate tax assessment records satisfies this require7ent]. Signature of A Print Applicant Name Date