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HO201300128 Legacy Document 2013-08-22
FOR OFFICE USE ONLY I -IO #/fir}- E) I ?)-- I j r Fee Aln011nt $,lac ' Date Paid o� I� By who? Llit/� l�txJ��_�I�eceipt # 11 Ckdl ��t/1/�u r By:__Y Application l�cati®n for 3a Class A Home Occupation Clearance ,rrca•n ❑ 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: pr• ies � Type of Business:J-00CX { (� a M Tax map and parcel:bo ` 2 `" UA, t - 6 J Zoning: � � � V Va5J &0.+ a , Contact Person (Whop should we call/write concerning this project?): 21�11 9r t/ it! Y�yT_ r Address ��( e rfzek.. QQoe,4,,( City 0 l�1ayIy Al' eSei l e- testate V A Zip WO i Daytime Phone Q17)N ) :) ���c%7�� Fax # L—) E-mail Sober ieyy caAy idr um /11 /1 — ! . . w /1. _ 1 .. A Owner of Record Address Daytime Phone (___) Fax # C__) City E-mail State_ Zip t -V YJ 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 ,I� 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)] 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 1 of Z 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)] 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 YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff). ZO 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 residenc I also certif hat I have read the restrictions on Home Occupations, that I understand them, and that I will abide by the 7 /30//,k y Signa ur of er/Applicant Date 6. Daytime ph ie nul7ber of Signatory J ev1 wer Date �- [13 ENG�JINEER'S PORT ATTACHED: YES NO c/ 7/1/2011 Page 2 oft FOR OFFICE USE ONLY 1.10 Il 1�01�,� ' j� jj /� � � � {(� fee Amount S r� Date fold -e By tvlto7 4�iJIq�� «QHl�Wy!1 ? Ay. Application for Class A Home Occupation Clearance Alll;aNl��� LJ Nome Occupation CIass - 4ClePr%ce✓; $• 5 9�� ❑Certiltcation that notice of this application has been ptq nidi tthtl ped yew fir, a`rn.£ ri from applicant, Home Occupation, Class,t; An occupation, not expressly prohibited by section Sk; , conducted for profit wltliin a dwelling ultlt 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 Narne of Business; Type of Business: Tax map and parcel: lJ ` Zowngt Contact Person (Who should Ave calUwrite concerning this proJect7); _ /� jj ) J�� y Address ,Q QW -1-S l�etymnkS ,ne ri City a 1�I1.tVIt I&S•yllle, State VA Zip 22fd l Daytime Phone '7 M'b' 05 Fax E-mail S©!.x'i'" NIC'►'YP_QA)'ti'1CU11�U1!t'1 A _ !\ — — I.. . n 1 Owner of Record Address Daytime Phone (_ ) Fax # (—) _);-mall This cet•tlfieate, In conjunction with a business license, represents zoning approval to conduct the Class A Dome Occupation identified above, Each home occupation is subject to the following; PLEASE CHR CIC EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ AND UNDERSTAND THE REQUIRE' MENTS FOR THIS CLEARANCE ,�D 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 (I500) square feel. [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 (e) 1)] ,LI SALES No lhame 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)] Countp of Albemarle Department of Comnxunity Development 401 McIntire Road Charlottesville, VA 22902 Voice; (43 4) 296-6832 Fax: (434) 972-4126 Mnof l rage i oft ` ZTRAFFIC 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)) RKING All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on-site. [Section 5.2 (0) FERF ORMANCE STANDARDS The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (Ic)] 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). zo 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 ellgible 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 cerfifMhat 1 have read the restrictions on Home Occupations, that I understand them, and that I will abide by of er/Applicant i 0_ y Print Name K Reviewer -713011,2013 Date nMV05, Daytime phone number of Signatory Date ENGINPER'S REPORT ATTACHED: YES NO (--" 7/1/2011 Page2of`2