HomeMy WebLinkAboutHO201400113 Legacy Document 2014-06-02USE ONLY HO #
FOR Vrrfil.—. . • . —
Fee Amount $ Z.S.Ua Date Paid k 2 By who? Lc l! 9 Receipt # 9 o5 D4S S Ck# C<iS) By:_az
Application
for
Class A Home Occupation Clearance
019ome Occupation Class A Clearance = $25.00
ertification 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: C a M k All e�-
Type of Business:
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Tax map and parcel:
6 o Al_
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Zoning: _
as
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Contact Person (Who should we call/write concerning this project?):
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Address p b q
City C �� c(
lr SCI i �� State CI Zip
2— 90 z -
Daytime Phone (_[V � % �� �S C/ Fax # L_J E-mail
Owner of Record 15 Cc (&-� —
Address City State Zip
Daytime Phone L_) Fax # 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
EJ 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)]
ICJ 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)]
ID/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 oft
LSI 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 prOcedure5q machinery Or chemicals that may cause the following?
YES NO
NOISE
VIBRA�
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).
M 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 5A]
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.
1 06 �� l
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Signature of Owner/Appli ant Date
I is (,6C,
Print N e Daytime phone number of Signatory
Iq 1dz7d
Re ewer , ,j. � LA
ENGINEER'''S REPORT ATTACHED: YES `i NO '
CONDITIONS:
Ste rnn , I it f bod \m ieir1 cr
7/1/2011 Page 2of2
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application,
was provided to
and Parcel Number
manner identified b
[County application name and number]
the owner of record of Tax Map
)-of the record -owners -of the-parcel]---
and
he-parcel]-
by delivering a copy of the application in the
Hand delivering a c\enteity
application to /
[Name of the record ciwner if the record owner is a
person; if the owneis an entity, identify the recipient f the record and the recipient's
title or office for th
Met
Date
Mailing a copy of the application to _
[N
if the owner of record is an entity, identi
office for that entity]
on
Date
[address; written notice
the current real estate z
this requirement].
record owner it me recora owner is a person;
)ient of the record and the recipient's title or
to the following
failed to the owner at the last known addr s of the owner as shown on
assessment books or current real estate taxa essment records satisfies
Signature of Applicant
Print Applicant Name
Date
1
A
f
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application,
was provided to
and Parcel Number
manner identified b
[County application name and number]
the owner of record of Tax Map
)-of the record -owners -of the-parcel]---
and
he-parcel]-
by delivering a copy of the application in the
Hand delivering a c\enteity
application to /
[Name of the record ciwner if the record owner is a
person; if the owneis an entity, identify the recipient f the record and the recipient's
title or office for th
Met
Date
Mailing a copy of the application to _
[N
if the owner of record is an entity, identi
office for that entity]
on
Date
[address; written notice
the current real estate z
this requirement].
record owner it me recora owner is a person;
)ient of the record and the recipient's title or
to the following
failed to the owner at the last known addr s of the owner as shown on
assessment books or current real estate taxa essment records satisfies
Signature of Applicant
Print Applicant Name
Date
COMMONWEALTH OF VIRGINIA
DEPARTMENT OF HEALTH
CERTIFIES THAT
Comida Latina Rosy
is hereby granted a permit/license to operate a Mobi/e Food Unit
by the Albemarle County Health Department in accordance
with the regulations of the Board of Health,
Commonwealth of Virginia.
FACILITY NAME: COMIDA LATINA ROSY
PHYSICAL ADDRESS: 868 post Curt
Charlottesville, Virginia 22902
_ . MAILING ADDRESS:...... 868 post Court ... _ . _... _ _ ..........
Charlottesville, VA 22902
EXPIRATION DATE: March 31, 2015
CONDITIONS: Cook to serve menu only No bulk cooling of left over foods
Eric S. M rs, REFI
Environmental ealth Supervisor
Please direct questions or concerns to the
Albemarle County Health Department,
Environmental Health Services, (434) 972-6219.
This Permit Is NOT TRANSFERABLE From One Individual
or Location to Another.