HomeMy WebLinkAboutHO201300011 Legacy Document 2013-01-25FOR OFF1Cl: usr: ONLY 11011 Gt✓ I
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Application for
--- Class A Home Occupation Clearance
1-lome Occupation Class A Clearance = ,$25.00
Hnnjc, Occupation, C.Ycr s,4. Ali occupation, not expressly prohibited by section 5.2, conCluctcd for profit within a dwelling
unit solely by one or nloi•e incinbus of the family residing within tile dwelling unit; 1)1'ovided that nothing hei'CI1'1 I)rollibits the
occupation frons engaging other persons who Work off -Site iIII do Ilot Collie to the dWCIIill g llllit U) CllgFlgu ill the oCCllpatIon.
Name of Business:
'T'ype of Business:...-.�G� � I YlKj i`��
'T'aa map a11(1 pa reel: ---SC�.�,.-^--- -'-.—` zoning:
Contact Person (Who should We call/Writc concerning this project?): Tn\\— "�i��_ 1
Address —�� � �r��r �—yyV Cityv State V f� Zip aa�V�
Daytime Phone (6L-40Fax It (_)
Owner of Record
Address � _ cit),
Daytime Phone
Fax # (_J
E-mail C CM
E-mail
State _
This certificate, in Conjunction with a business license, represents zoning approval to conduct the. Class A i lolne Occupation
iclentif led abovC. 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
dwCATION & AREA
The home occupation shall be conducted entirely within tile dWCllilig unit, provided that not 11101-C than twenty-five
(25) pet'CCllt of the gross floor arca of'tllc dwelling llllit Shall be Used fol' the 110111C 0=11)atloil and further provided
t:ilat the gl'oSS 171001' al -Ca used fol' the 110111C 0GGllpataoll Shall not exceed one thollstind five hundl'ed (1 500) square feet.
Section 5.2 (b) 1)]
�ri XTERIOR APPEARANCE
There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a
honk occupation. ISection 5.2 (c) 1)]
1 SALES
No hone occupation shall sell goods to a customer who conies to the site excel)t 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 hone occupation.
[Section 5.2 (d)]
Counl), of Albemarle Department of Community Development
401 McIntire Road Charlottesville, 1/A 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
2/1/2011 Pape I oft
VTRAFFI C
The traffic generated by a home occupation shall not exceed the volume that would normally be expected by a
dwelling unit Ill a residential neighborhood, [Section 5.2 (e)]
GYPARJUN G
All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on-site,
(section 5,2 (f)]
ED PERFORMANCE STANDARDS
The hollle occupation shall Comply with the perf'o1.111alice standards in section 4.14. ]Section 5.2A (k)]
Does the use involve procedures, machiDery or chemicals that mai' Cause the following?
YES NO
NOISE
VIBRATI ON
GLARE
MEAT
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 (2vn table 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. Asl< staff for more information about applicable fees and process, [Section 35 and Section 5.11
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 wil I abide
by them.
Signature of Owner/Applicant D to
•nt Nam me I I
I rt — , Dayti)hone 111.1mber of Signatory
eviewer — Date
ENGINEER'S REPORT ATTACHED: YES NO
2/1/2011 Page2or2
CERTIFICATION THAT NOTICE OFT E
APPLICATION HAS BEEN PROVIDED TO THE ANDOWNER
This form must accompan�� zoning applications (Home Occupation, Zonin Clearance, Zoning
Administrator Deternth tions or Appeals, Sign Permits, Builrling Pernti if the application is n.ot the
o w►aer. `\
I certify that notice o�the application
was provided to
[name(s) of the
and Parcel Number
manner identified below,
[County plication name and number]
the owner of record of Tax Map
owners of the p
Hand delivering a copy of the ap�
person; if the owner of record is an
title or office for that entity]
on
Date
by 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
Mailing a copy of the apykation to \
[NainAf the record owner if the record owner is a person;
if the owner of record is an entity, identify the ecipient of the record and the recipient's title or
office for that entity]y
on
Date
to the following address:
[address; wi*utten notice mailed to the owner at the las known address of the owner as shown on
the current zeal estate tax assessment books or current i al estate tax assessinent records satisfies
this requirement].
Signature. Applicant
Print Applicai t Name
Date