HomeMy WebLinkAboutHO201400191 Legacy Document 2014-10-08FOR OFFICE USE ONLY HO # 11J �j`j p, Q�
Fee Amount $ Z+5'� Date Paid )0/4)1q, who? V11 1 (t 4 Wi I ' � f Receipt # -! '7 0 Ck #) Q' Q Z By:
Application for -got,,. "''
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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.
Name of Business: y1 L71 All A 4. 0 k 5 / el , y' Ze FV I U-a
Type of Business:
Wl_ &16541_e A VI) Z IS _77_01 6t�1 7ep
Tax map and parcel: 0 70 A`0 -64 _ Qe _ 0 z j ()0Zoning: k:
Contact Person (Who should we call /write concerning this project ?): \AfiU'/K•M &,t, GSA n
Address _{� J J ° � /� `� City C�t7 yT )� L:t State 0A Zip 22
Daytime Phone ff,3q '�lP d%. /jam Fax # E -mail
Owner of Record wl • u1�
4 ['� 1,U X6 ,J C,
Address �� ^�% ro v �� 1zf7� City / �t' -Date Ar Zip
Daytime Phone ( % ik z . !� 5' �dj Fax # L I ) E -mail ef;,f &A 191,RW �►�-
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
LJ 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 (15 00) square feet.
[Section 5.2 (b) 1)]
r'
® 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)]
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 of2
®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)]
®f 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)]
�rPERFORMANCE STANDARDS
The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (k)]
Does the use involve prOCedureSq machinery Or chemicals that may
cause the following?
YES NO
NOISE
VIBRATION
i
GLARE
°r
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).
® 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. .
Signature of Owner /Applicant
�kILZ4A714- F"
Print Name
zv=ZD�b 4�
Reviewer 0
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
N6 & Pk old yf-Q,5
z ZX
Date
z/ q z.����
Daytime phone number of Signatory
Date
7/1/2011 Page 2 of 2
e
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
[County application name and number]
[name(s) of the record owners of the parcel]
and Parcel Number
manner identified below:
the owner of record of Tax Map
by delivering a copy of the application in the
Hand delivering a copy of the application to
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
on
Date
Mailing a copy of the application to
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on
Date
to the following address:
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
Signatures of Applicant
'l u,1A ,K , ?VL`MW
Print Applicant Name
Date
n �
COUNTY OF ALBEMARLE
BUSINESS TAXATION DIVISION
401 MCINTIRE ROAD, ROOM 130
CHARLOTTESVILLE, VIRGINIA 22902 -4596
PHONE (434) 296 -5852 FAX (434) 243 -7906
NAICS #: 1� 9
COUNTY OF ALBEMARLE -,�
2014 kr
� is
k
BUSINESS LICENSE
ACCOUNT NO.:
LEGAL NAME: / � <J, ) �A A V V A 0 �3 /"1 /a L %0 � " �-e
• PARCEL:
TRADE NAME: FEDERAL %- 10/ 1671 6 DATE BUSINESS
IDENTIFICATION NUMBER BEGAN IN ALBEMARLE
BUSINESS ADDRESS:
CITY `�rT�17iYJ�/�..;SV1 idiC"'
MAILING ADDRESS:
(IF DIFFERENT FROM ABOVE)
STATE A ZIP ZlA H
CITY STATE ZIP
OWNER/RENTAL AGENT: y L-JCIAM % 0 i, l e, SAUTHORIZED CONTACT: V f t.Z -Aj.VL L_/ e ^h1
PHONE NO.Y V,
TYPE OF BUSINESS (choose one below)
INDIVIDUAL PARTNERSHIP CORPORATION - LLC
A.
Class Code
B.
Description
C.2013
Actual Gross
Receipts
D.2014
Estimated Gross
Receipts
E.
Rate
F.
Minimum Tax
G.
Amount Due
la.
f9 l
�iU�1fl fa./jf�t: VA,
�, a ei 0
b.
4t 6 X / 01V /_7e, /
C.
d.
e.
f.
9•
Total
2. Total Gross Receipts (Sum of Line 1.a - g., column C or D ) . .
3. Add all taxes on Line 1. a. - g., column G ..................
4. License Fee (Gross Receipts under $100,000, Pay Only $50.00)
5. Total lines 3 and 4 .....................................
6. Penalty (10% of line 5, Due After June 15) ..................
7. Interest (10% per annum of line 5 plus line 6, Due After July 1) . .
8. Add lines 5, 6 and 7 and remit this amount ..................
Special Instructions to the Taxpayer:
SIGNATURE OF APPLICANT' "`r�� U'� ` "�/!�- DATE �/.1.•�- / /