HomeMy WebLinkAboutHO201200217 Legacy Document 2012-12-07FOR OFFICE USE ONLY HO # l
Fee Amount $ �O Date Paid 1 l2y who? 6 oma"' ° r eceipt # 7_) Ck# lit//D t 1 By:_
�oY nr.u4.li_
Application for,j�.
Class A Horne Occupation Clearance'
� hmin�n
2 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:
Type of Business: '14aVV 1LJ
Tax map and parcel: N -A Zoning:
Contact Person (Who should we call/write concerning this project?):
t _f :tI"V,6� S 1
l�r,
Address l � Ati(pL+ Y CXC�� 9 Z4
r4Y
�'' +
City l -V W' �l f �l l i, State
zip o2��
Daytime Phone ( 4 Out -c Fax # (___)
E-mail (UYi�1(( �► IGt
IC (1CP
E�W1Qi ` �►ry
Owner of Record y, yi
/�Ok-
Addresses G� Liroo{�1
t,^ rf
City �,l'1(�i' tt��.%!�� State
r�
iff -
zip 00q
Daytime Phone 4td5'-U(PIP-'::� Fax # L_)
E-mailYIC.C_t�(�Y0
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:
THAT IT IS CLEAR THAT
UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE
'l.J✓ 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 othef 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 oft
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 (f)]
PERFORMANCE STANDARDS
The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (k)]
Does the use involve proceduresq machinery or chemicals that may cause the following?
NOISE
VIBRATION
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
NON-DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER
YES NO
Zf YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff).
ROHIBITED 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 them.
Signature o Owner/Applicant
Date
Print Nal e Daytime phone number of Signatory
Reviewer Date
ENGINEER'S REPORT ATTACHED: YES
CONDITIONS:
NO
11
ob W66" rs ' mem
7/1/2011 Page 2 oft
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE L DOWNER
This>o m must accompany zoning applications (Home Occupation, Zoning Cle ante, Zoning
Adminisl' ator Determinations or Appeals, Sign Permits, Building Permits) if t e application is not the
owner.
I certify\that notice of the application,
[County appl
was provided to \
[name s) of the record owners of the parcel]
and Parcel Number
manner identified below:
Hand delivering a co\entity]
plication to
person; if the owner n entity, is
title or office for tha
on
Date
An name and number]
the owner of record of Tax Map
delivering a copy ofthe application in the
ame of the record owner if the record owner is a
fy the recipient of the record and the recipient's
Mailing a copy of the application' to \
I[Dame of the record owner if the record owner is a person;
if the owner of record is an e tity, identi%the
recipient of the record and the recipient's title or
office for that entity]
on toflowing address:
Date
[address; written otice mailed to the owner at the ast known address of the owner as shown on
the current real state tax assessment books or curre t real estate tax assessment records satisfies
this requireme t].
Signature of Applicant
Print Applic t Name
Date