HomeMy WebLinkAboutHO201400094 Legacy Document 2014-05-01IfOR OFFICE USE ONLY
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Fee Aimunt $0-F�dD Date PaiGGI/- Byho? VN/ Receipt # Q 545 I Ck# 902
By:
Application for De.
YClass A Home Occupation Clearance "
Home Occupation Class A Clearance = $25.00
[Certification that notice ofthis 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 ofthe 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: -----
Type of Business:
Tax map and parcel: 0 q 0(90'-" d(' 00 - 0000Zoning: R&S J eAJ
Contact Penon (Who should we calUwrite concerningthis projeot?): 0— A C-lr[
Address I1_ L9c�+ p 'j��%. cityCAA9_k_o (L4_5I -I state /e,_ Zip 2'-_l8`Z
Daytime Phone14S L11 �� � `�i Zvi Fax# iy A E-mail S mia -ei— c.Ae_9et jT?f 6rnO
O er of Record y C- 1 5 ff I Cc '1- t �. �"/� l'n' A+
1Oq (� �1 a 14y � 1� city Gds o_,110 eSu,ll� state - rF zip Z t1
467 Phone�2 ��1 -Z95' V b 6 � Fax # �i `i 5 �'� E-mail 1� l CIO rJ f1 L.f
ytime i f-� kltj hc" vC_ rc1 1�—�09
This certificate, in conjunction with a business license, represents zoning approvalto conduct the Class A Home Occupation
identified above. Each home occupation is subject to the fallowing:
PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ AND
UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE
LOCATION & AREA
The home occupation shall be conducted entirely within the dwelling unit, provided that not more than twenty-five
(25) percent ofthe gross floor area ofthe dwelling unit shallbe used far the home occupation and fiirther provided
that the gross floor area used for the home occupation shallnot exceed one thousand five hundred (1500) square feet.
[Section 5.2 (b)1)]
f2 EXTERIOR APPEARANCE
There shallbe m change in the exterior appearance ofa dwelling unit or other visible evidence ofthe conduct ofa
home occupation. [Section 5.2 (c)1)]
RTSALES
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 of2
TRAFFIC
The traffic generated by a home occupation shallnot exceed the volurne that would normally be expected by a
dwelling unlit in a residential neighborhood. [Section 5.2 (e)]
R PARKINNG
Allvehicles used in a home occupation and allvehicles ofcustomers, clients or students shallbe parked on-site.
[Section 5.2 (f)]
Lam" PERFORMANCE STANDARDS
The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (k)]
Does the use involve procedures, machinely OP chemicals that may cause the following?
YES NO
NOISE
VIBRATION
------- ------------
--------------------- -----------------------------------------------------------
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 Cerffled Engineer's Report (available from staff).
B 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 stafi'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 Horne Occupations, that I understand them, and that I will abide
by them.
zikc.'A M . S 1W
Signatures ofOwner/Applicant
N
Reviewer
Date
tjS4 - LE6S-• f(E05
Daytime phone number of Signatory
Date
ENGINEER'S REPORT ATTACHED: YES NO `-"
CONDITIONS
C
/W
7/1/2011 Page 2 of2
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Some Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice ofthe application, c e ti"K` tL6,
Q c ounty a+pplic tion and number
was provided to & % S o �4 1,�� ct� 6,e—V1 c, q+ the owner ofrecord ofTax Map
[narne(s) ofthe record owners oftbe parcel]
and ParcelNumber 0 9 CI AO`l7l -00 'CSX j oo by delivering a copy ofthe application in the
manner identified below:
Hand delivering a copy ofthe application to
[Name ofthe record owner ifthe record owner is a
person; if the owner of record is an entity, i denti fy the red pi ent of the record and the red pi ent' s
title or office for that entity]
on
Date
Mailing a copy ofthe app lie ation to 1 et'� 10.A.y,_ 1--e llal, 4- ,ly tea
[Name ofthe record owner ifthe record owner is a person;
if the owner of record is an entity, identify the red pient of the record and the recipient's titl a or
office for that entity] /
on / ^ /Y to the following address:
Date #es
l 0 q C(� �� C�� 2� s 1 �1 �I � Ul le- 0
[address; written notice mailed to the owner at the last known address ofthe owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
ofApp,,licarit
�C t l' A � cy✓�
Print Applicant Name
q /_30// �
Date