HomeMy WebLinkAboutHO201000274 Legacy Document 2011-06-20pF AL
Application for m �
Rome Occupation Class A ]Permit
Home Occupation Class A Permit = $13.00
Name of Business
Tax map and liar cel: IJLI�hV - UMagisterial District Zonmgi
Plt}'sical Street Address (if assigned): A )R,') J JQOQVE714EO81�5(JLLEI U11
Location of property (landmarks, intersections, or other):
Contact Person (Who should we call/write concerning this project?): Crll 2y Ey1 fps
Address 1, aw )r City
Daytime Phone (__)
Fax # �)
E-mail
State Zip
Owner of Record %R hd i Qil✓� l
Address %, }`Fl ow -:i City State Zip
Daytime Phone L__)
Applicant (Who is the Contact person representing?):
Address&VI:"/ City
Daytime Phone (_)
Fax # L__)
E-mail
E-mail
State Zip
FOR OFFICE USE ONLY �% �f %� HO # t-1 V, I V — 1 �j /� % j�(� j ��
Fee Amount S V v Date Paid L-' `q''"By Who? M g , Ly V V � Receipt # 9/c 77 Ckz I� s ( By: V UV i i I "moi
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
2/11/2009 Page I of
\`I)( Of f3LIS111eS£
Does the Public visit the site`' 1'es _ or No4_
Does the use involve procedures, machinery or chemicals that cause noise, vibration, all- or eater pollution, radioactivity. electrical
illierference ornon-domestic waste discharged to a septic field or sewer? if yes, pe'furmance standard; must b:- addressed by all
en`Tineer's report (Please request the Certified Engineer's Report packet). Yes or No _ '
This certificate in conjunction with a business license, represents zoning approval to conduct the Home Occupation identified above.
Home Occupations, Class A must be conducted a) entirely \vithin the dwelling and are not allowed in any accessory structure, such as a
detached garage; and b) nlust-be condLucted-by the owner/applicant(and other family members) residing in the dArelling. Home -
Occupations, Class A are also subject to the following restrictions:
I ) Employees not living in the dwelling are not allowed.
2) There shall be no change in the outside appearance of the buildings or premises, or other visible evidence of the conduct of such
home occupation.
3) Outside storage of materials used in the home occupation is not alloNved.
4) On -premise sales of goods, other than items hand-crafted on the premises, is not allowed.
5) No more than 25% of the floor area of the dwelling may be devoted to the Home Occupation; and the total area devoted to such
occupation shall not exceed 1,500 square feet.
6) No traffic shall be generated in greater volumes than would normally be expected in a residential neighborhood.
7) Any need to parking shall be met off the street.
g) -All home occupations shall comply with performance standards set forth in Section 4.14.
Owner/Applicant Alust 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.
Sianatare rier, Contract Purchaser, Agent Date
Print Name
Reviewer
ENGINEER'S REPORT ATTACHED: YES ILIO
CONDITIONS: n
Daytime phone number of Signatory
Date
2/11/2009 Page 2 of 2