HomeMy WebLinkAboutHO201200191 Legacy Document 2012-12-06y
FOR OFFICE USE ONLY HO
Fee Amount $ Z� Date Paid 7By who? �� C lt/Y� Receipt # 0 %Ck# �� °" o ' By:
Application for,.r'
Class A Home ®ccupatio ,.Clearance.
Home Occupation ,Class A Clearance = $25.00
-- ❑Certification- that-notice -ofthis application has - been provided -to the property owner f 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: G J • 1 S C-• a
Type of Business: G kd L, ' Lc
Tax map and parcel: 6 4 6 b 'Zoning: S • Gw�• I
6L4 G r—)�� 66 n:s
Contact-Person-(Who should we call /write concerning this project ?):
Address L o,, +,; it, 0x< r ows '/ V State " A— zipC -�
Daytime Phone 1 -% `% Fax # C__) {� E -mail 6ay % � 'UCi �p P 1� <<� < 4��+��'•�� eS . (,(yi�1
Owner of Record�,�•CJ
Address �_> 5 7 Z.
�;AW
Daytime Phone 4( ) 7 6 ( — Z 7 Fax # L__) _
"Cit•S c ✓ ?jll!gqI12 ` State
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:
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)]
'EXTERIOR 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 (c) 1)]
t
13'SALES
No home occupation shall sell goods to a custom&'r who- comes =ito the site except for goods that are hand- crafted on-
site and goods sold that are directly related to:a beautysljolor 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 of
i
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 (e)]
C'PARKING
All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on -site.
[Se tion 5.2 (f)]
PERFORMANCE STANDARDS
The home occupation shall comply with the perform and&, standards in`'section 4.14. [Section 5.2A (k)]
Does the use.involve procedures,'niaChYI1)& "Ohf.sCh'ehllcalS that may cause the following? '
YES NO
NOISE
-------------------- - - - - -- ----------------------------
- — - - VIBRATION - -- - -
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE ✓
- 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).
g 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 /App;lil irstle nd Sign
I hereby apply for approval to conduct the Home Occupatlom I:denttfi'ed 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 them. _
Si ature of Owner/ plicant Date
Lf
Print Name Daytime phone number of Signatory.
Re ' wer Date
1 ii
ENGINEER'S REPORT ATTACHED: YES NON 0 '
CONDITIONS: CV,
r ��
I �
i wN 1 t1 i l, j
7/1/2011 Page 2 of 2
' el rl� 1 Ji�tli�li��rl,�;
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CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the ap lication is not the
owner. -
I certify that notice of the application,
-- - - -- -- - was provided to
and Parcel Number
manner identified below:
[County application �ame and number]
of the record owners of the parcel]
b
Hand delivering a copy
person; if the owner of record
title or office for that entity]
on
Date
uzw
x
application toi;
[Name f the record owner if the record owner is a
i`san.entity, identify j e recipient.of the record and the recipient's
owner_ of record of Tax Map - -- _- - - - - - _- I
ng a copy of the application in the
Mailing a copy of the application to
[N e of the'rblgll
if the owner of record is an entity, ident' y, the recipien
office for that entity]
on to the following
Date
[address; written notice mailed
the current real estate tax asses
this requirement].
owner if the record owner is a person;
the record and the recipient's title or
r
the owner at the last known address oft @ owner as shown on
►ent books or, ciirrent,rea estate tax assessment records satisfies
t�
Signature of Applicant
Print Applicant Name
Date
1 -