HomeMy WebLinkAboutHO201300103 Legacy Document 2013-06-20FOR OFFICE USE ONLY IIO # LZ> � j
Fee Amount $ Z� Date Paid �333y who? J 4••t�paeipt_qR# Ck11 By:
Applicata®n f®r 3!1
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Class A Home Occupati®n 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.
Name of Business:D A 1 LL C
Type of Business: Q.. �-�='�-- t� f p� O ,,
Tax map and parcel: 5 6A l - 1 � Zoning: V_� C- (�&DbQ
Contact Person (Who should we
call/write concerning this project?): �]P1^I�(�Sy • � � 4 Lbs l C12- 3t
Address 151 1•�J l F-- 1�6 City l' ��T State1 Zip��
Daytime Phone y �1�� Fax # L� E-mai� 1 Y✓ u Ml� 1 �` t:J � \�iw
Owner of Record 7:3_M" �GS F 6 I Cis LU �
Address I5�3 � �—E ► City��p Stag_Zip;/
Daytime Phone � Fax # E-mail 11 11 rvin'1nd M (D 0,00 yv
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:
UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE
UrLOCATION & 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 farther provided
that the gross floor area used for the home occupation shall not exceed one thousand five hundred (15 00) square feet.
[Sec -ion 5.2 (b) 1)]
EXTERIOR APPEARANCE
There sW be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a
hoe,6ccu
mpation. [Section 5.2 (c) 1)]
0 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
C_ 7/1/2011 Page I of
TRAFFIC
The traffic generated by a home occupation shall not exceed the volume that would normally be expected by a
dwellin unit in a residential neighborhood. [Section 5.2 (e)]
ARKING
All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on-site.
[Sec 'on 5.2 (f)]
PERFORMANCE STANDARDS
The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (lc)]
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 YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff).
ROHIBITED 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.
qSiature of Owner/Applicant Date
Print Name
,'x :>
Reviewer
ENGINEER'S REPORT ATTACHED: YES NO.
CONDITIONS:
Daytime phone number of Signatory
Date
7/1/2011 Page2of2
v
CERTIFICATION THAT NOTICE OF THE
APPLIC TION HAS BEEN PROVIDED TO THE LANDOWNER
This form musKqccompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator D\noti
ions or Appeals, Sign Permits, Building Permits) if the a lication is not the
i
owner.
I certify of the application,
[County
was provided to
[name(s) of t, record owners of the parcel]
and Parcel Number l:
manner identified below:
Hand delivering a copy of the plication to
[1/arae of the record owner if the record owner is a
person; if the owner of record is a entity,id tify the recipient of the record and the recipient's
I ame and number]
owner of record of Tax Map
elivering a copy of the application in the
title or office for that entity]
Oil
Date
Mailing a copy of the appli
if the owner of record is an
office for that entity]
on
Date
[Name f the record owner if the record owner is a person;
identify the •ecipient of the record and the recipient's title or
to the follAing address:
[address; written no •ce mailed to the owner at the last sown address of the owner as shown on
the current real est e tax assessment books or current re 1 estate tax assessment records satisfies
this requirement].
Signature of applicant
Print•Applicantvame
Date