HomeMy WebLinkAboutHO201200185 Legacy Document 2012-12-27FOR OFFICE USE ONLY HO # U I2 - l g5
Fet,Amount $ Date Paid Ib-� Z" Z By who? 5' �)� I Receipt # CO By: I 7
Application for- °t.,,.,.
C I ass A Home O ccu pat i on C I ear ance �'
E71
ome Occupation ClassA 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.
Nameof Business e- O Y loco I to e—
Typeof Business
Tax reap and parcel: TO C_D" 00 - d2JD"paaning: iZ J E)
Contact Person (Who should we call/write concerning this pr/%- o�ject?): q t e, � 1" tlG,rrJ' 11
Address � 240 I�Y1 l Gly 1�1 n' da e L 42 -do City C 1Ll(AALy ! I Ly—^state Va nzip 1�aq 1)
Daytime Phone D (j 3-2- 2030 I -Fax # (_) / / E-mail► l l 'Irl I'C, !'�' ,I �Qi}?'L
Owner of Reoord 0Q4 -r I[�a & �J?�a%1 Mant / L I nd,5:eL4i
Address t�t. r-1 u • � (Z. , city i%�-fi �✓�r/Mate . Zip
! �%
Daytime Phone 6W ! i_1 -9q3-1 Fax # 6 qA1' Z177"4f2- ` 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 READAND
UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE
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 (15 00) 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)]
P" 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 d Albemarle Department d Community Development
401. M cl ntire Road Charlottesville; VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
7/1/2011 Page 1 of 2
' XTRAFFIC
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)]
dPARKING
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)]
Doestheuse involvepYOCedure4 machinery Or chemicalSthatmay cause the fol low! ng?
NOISE
VI BRATI ON
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
NON -DOM ESTI C WASTE DI SCHARGED TO A SEPTI C FI ELD OR SEWER
If YES, then applicable standards must beaddreewd with a Certified Engineer's Report (availablefrom staff).
OPROH I BI TED 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)]
WAI V ERS 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 M ust 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 the
&4 1�
Signature "wner/ApplicaW Date
6he ShQ,raj) q2' - 9
Print Na Daytime phone number of Signatory
Reviewer Date
ENGINEER'S REPORT ATTACHED: YES NO /
CONDITIONS:
7/1/2011 Page 2 of 2
CERTI FI CATI ON THAT NOTI CE OF TH E
APPLI CATI ON HAS BEEN PROVI DED TO TH E LANDOWNER
This farm must acwgwnymning applications (Home Occupation, Zoning aearancq Zoning
Administrator Determinations or Appeals Sign Permits Buildng Pern7its) if the application is not the
owner.
I certify that notice of the application, �� A 1-6me
[County application named number]
was provided to Un +C� V--kZ,6-k2 the owner of record of Tax Map
[name(s) oft e record owners of the parcel]
and Parcel Number 0*+?00 -00-0b -0 Z0 U by delivering a copy of the application in the
manner identified below:
Hand delivering a copy of the application to Li nks w
[Name of the 4ecord owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
on 105�//-�A
Date
Mailing a copy of the application to
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on to the following address:
Date
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
SigKature of Applicant
Sue- (5lVrrr' I
Print Applicant Name
I0ks-I(a
Date