HomeMy WebLinkAboutHO201300092 Legacy Document 2013-05-30FOR OFFICE USE ONLY II0 # }� "
2
Fee Amount $� Date NJ') '�y who? 1 ! Receipt #11 M _ Clot 26 By:
Application for
Class A, Home Occupation Clearance
❑ 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.
IN
Name of Business: FRAW),
Type of Business: v I U 0 J j
Tax map and parcel: 0 F ing: _
Contact Person (Who should we call/write concerning this project?):
Address44-LOZ
111-1 1fV�� 1�Daytime Phone U2 Fax # L—)
City ,� 1 [',� I U90V—State V Zip
E-mail (�U►% LCb i� a
J �M
Owner of Record
Address City State Zip
Daytime Phone L�
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 subj ect to the following:
IS
OU
UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE
VLOCATION & 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.
/�or 5.2 (b)1)]
IOR APPEARANCE
Ther shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a
hoi e occupation. [Section 5.2 (c) 1)]
ALES
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 I of 2
RAFFIC
The traffic generated by a home occupation shall not exceed the volume that would normally be expected by a
dwelling ul it in a residential neighborhood. [Section 5.2 (e)]
ARKIN
All vel ' les used in a home occupation and all vehicles of customers, clients or students shall be parked on-site.
[Se ion 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 procedures, 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 YE- ; then applicable standards must be addressed with a Certified Engineer's Report (available from staff).
aZ
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.
3t0
Signature of Owner/Applicant Date /
Print
Revi
ENGINEER'S REPORT ATTACHED: YES
CONDITIONS:
Daytime phonq
number of Signatory
Date
NO�
7/1/2011 Page 2 of 2
n
CERTIFICATI®N THAT NOTICE OF THE
APPLICATI®N HAS BEEN PROVIDED TO THE LANr NEIR
This form must accompany zoning applications (Home Occupation, Zoning Clearance,
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the appli aons not the
owner.
I certify that notice dithe application,
was provided to
[name(s) of the
and Parcel Number
manner identified below:
[County application na " and number]
the owner of record of Tax Map
owners of the parcel]
by d
Hand delivering a copy of the application to
[N
person; if the owner of record is an entity, identi
title or office for that entity]
on
Date
Mailing a copy of the application to
if the owner of record is an entity
,tii
office for that entity] f`
on
Date
a copy of the application in the
of the record owner if the record owner is a
e recipient of the record and the recipient's
ame of the red -d owner if the record owner is a person;
fy the recipient of the record and the recipient's title or
to the following address:
[address; written notice mailed to the owner at the last known addr6ss of the owner as shown on
the current real estate tax/assessment books or current real estate t"ssessment records satisfies
this requirement].
Signature of Applicant
Print Applicant Name
Date