HomeMy WebLinkAboutHO201200219 Legacy Document 2012-12-07FOR OFFICE
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Application for► " "'y
Class A Dome Occupation Clearance
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❑ 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: Fcn ix
Type of Business: PMOncO 1r011m f)c4
Tax map and parcel: 55L-05-17 . Zoning:
Contact Person (Who should we call/write concerning this project ?): A l � S ( (� �i' V 1
Address 545 S'Lmyyn 1 nr pc6 LopeCity Croz_'e� State VA zip 22Ci -J-
Daytime Phone Y Fax # L__� N /A E -mail �en 1 x mess 11 c @gmaLL ry)
Owner of Record A \ Sb`n W 1 �(`�1 n S
Address 8 0 i� C ) n Cl bOV C City State zip
Daytime Phone L__) 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
.0 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)]
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 of
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)]
PARKING
All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on -site.
[Section 5.2 (t)]
PERFORMANCE STANDARDS
The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (k)]
Does the use involve pr0cedures, machinery Or chemicals that may cause the following?
YES NO
NOISE
VIBRATION X
GLARE
HEAT x
AIR POLLUTION iC
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).
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 gertify that I have read the restrictions on Home Occupations, that I understand them, and that I will abide
by the1.
L&Q-1 /G Z-\ 11.124.1 Lo 12
Signature of Owner /Applicant Date
A I i�son '\/Vi 'S 434 - `l1%--q cv� 1
Print e Daytime phone number of Signatory
1
Re sewer ate
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
7/1/2011 Page 2 of 2
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 application is not the
owner. \
I certify that notice of the application,
[County
was provided to \
[name(s) of the record owners of the parcel]
and Parcel Number
manner identified below:
Hand delivering a copy of the'al
person; if the owner of record is
title or office for that entity]
on
Date
Mailing a copy of
if the owner of rec
office for that /enti
on r
dame and number]
owner of record of Tax Map
delivering a copy of the application in the
/' [Name of the record owner if the record owner is a
, identify the recipient of the record and the recipient's
ie application to
[Name o
rd is an entity, identify the
I
to the following
rd owner if the record owner is a person;
of the record and the recipient's title or
[address; written notice mailed to the owner at the last known addres'&,,pf the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
Signature of Applicant
A Iiwn 1/Vif,(KIr�s
Print Applicant Name
111291120(2
Date