HomeMy WebLinkAboutHO201300016 Legacy Document 2013-02-04FOR OFFICE USE ONLY HO # G.0 1 J %
Pee Amount $ �� Date Paid 1V_ � 13y who? f� a i t # �!� Ck# T ` I
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Application for
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Class A Home Occupation Clearance
Home Occupation Class A Clearance = $25.00
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ertification that notice o this application has been provided to the property owner, if owner is different
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: V [. ca Ln \ G•,.. _ i 'v -- Car -s"_'' -
Type of Business: ><Y
Tax map and parcel: 5q152-2-6 - `f
� Zoning:
Contact Person (Who should we call/write concerning this project?): IT\LJ'
Address 4�Q YI.£��C7Y\ �n City State zipZ? io
Daytime Phone l 96q (?i& E-mail R4eJ-1n &J hoi me S. ✓ ice.
Owner of Record Ki aAA� � ��`�• ��
Address -ff>C:a UJ ✓�V_-VN 'VIA City _C_k%ga)pMgA I1JA_ State J&' zip
Daytime Phone L ��1'b 'Z-'2.[ Fax # (_� E-mail 2�? siy >r Cr^Y�.71 .V � - -_.,
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
Er -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
04LFIC
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?
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).
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 certify that I have read the restrictions on Home Occupations, that I understand them, and that I will abide
by them".
Signature of (Aner/Applica-&-' ww— Date
u43V 9944
Print Name T Daytime phone number of Signatory
Reviewer Date
ENGINEER'S REPORT ATTACHED: YES NO ✓/
7/1/2011 Page 2 of 2
CERTIFICATION THAT NOTICE OF THE
APPLITION HAS BEEN PROVIDED TO THE LANDOWNER
Thisform mus ccompany zoning applications (Home Occupation, Zoning Clearance, ZonWg
Administrator De rminations or Appeals, Sign Permits, Building Permits) if the applictrti n is not the
owner.
I certify that notia� of the application,
[County application name an number]
was provided to the owner f record of Tax Map
[name(s) of tl record owners of the parcel]
and Parcel Number by delivering a opy of the application in the
manner identified below:
Hand delivering a copy of t\an
on to
[Name of the rec rd owner if the record owner is a
person; if the owner of recoity, identify therecipi t of the record and the recipient's
title or office for that entity]
on
Date
Mailing a copy of the application to
[Name of
if the owner of record is an entity, identify the i
office for that entity]
on
Date
[address; written notice mailed to the
the current real estate tax assessment
this requirement]. ,
to
-d owner if the record owner is a person;
of the record and the recipient's title or
at the last known�ddress of the owner as shown on
or current real estate, tax assessment records satisfies
Signature of
Print Applicant Name
Date