HomeMy WebLinkAboutHO201300043 Legacy Document 2013-03-19FOR OFFICE
L�USE ONLY �j j i�j HO # 4-`- II L-'}�j� ' " /, �j �J N
Fee Amount $w O b Date PaicV I r' `�By who? �fi,� (,Y 7 u�l� Receipt # qV�/ '�✓ Cktl�'! By: Ott r�
e SOF AI.(kr!
Applicata®n for
Class A Home Occupati®n Clearance
Nome Occupation Class A Clearance = $25.00
OCertification that notice of this application has been provided to the property owner, if owner is different from applicant
Hoene 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.
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Name of Business:
Type of Business: /� -1 ;
Tax map and parcel: K �� J -� 0 - � " ®� Jo oning: / I; 4 ,1 4ti
V
Contact Person (Who should we call/write concerning this project?): � 1r• r�-c` �('<
Address ,> U� r J � ' �TT7 (" ' City C V.lfl -� . State /74) Zip C
Daytime Phone C�4 raj y77C, Fax # (___, E-mail t :c r') I- C efm" 4"C-11 0 -L' -.Tit , rr7417
Owner of Record
Address City State Zip
Daytime Phone %) Fax # L) 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
CZ 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)]
C7 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)]
C� 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 2
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)]
Iz.l PERFORMANCE STANDARDS
The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (k)]
Does the use involve procedures, machinery or chemicals that may
cause the following?
YES NO ,
NOISE
VIBRATION
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
r
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.
ignature of Owner/Applicant D- e �—
i �r'c �'j�/a
Print Name Y Daytime phone number of Signatory
Reviewer Date
ENGINEER'S REPORT ATTACHED: YES NO—/
CONDITIONS:
f� �r�Jle� per��f��
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