HomeMy WebLinkAboutHO201100074 Legacy Document 2011-06-20FOR OFFICE USE ONLY HON SIJ ,)
-Fee AmPa
ount S. Date i . B � who. Cla• B
pF AI
- - -
Application for
- - - Class -A -Hom"e =0ccupat=ion Clearance.
irrcW�r
F Home -Occupation -Class A Clearance = $25.00
p -Class A,=A:n=oecirpation�=not expressly -prohibited -by -sec -tion -5 2 c-conducted=for=pr-oft within a dwelling
--Home=Occu anon,
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:
Type of Business:
Tax map and parcel: �� _ t9 d A Zoning: N °
Contact Person (Who should we call/write con erning this pro"iec ?): -58 `�
0w — ('
Address
Daytime Phone l 36 % Fax # (__
Owner of Record PSL// -oh TmjY` ---Y— t
Address
City
Gy L/)
E-mail
State A zi6�`�(2 7
1
(� e—_ State : Zip 3
Daytime Phone g v u Fax # L_J 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 ITIS 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 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)]
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 direct]), 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
2/1/2011 Page 1 oft
PV TRAFFIC
'I'lle tl•flffic gellePatel by a holne oCeupiltioll Sllall 1101 exGeCd the VOILIIIIC thal WOUld Ilornially be expected by a
dWellt11g Ullil in a residential neighborhood. [Section 5.2 (e)]
I_
PARKING
All vehicles used in a honk occupation and all vehicles of customers, clients or students shall be parked on-site. -
[Section 5.2 (f)]
aj PERFORMANCE STANDARDS
The honk• occupation shall comply With the perfol-lll£ince standards 111 section 4.14. [Section 5,2A (ic)j
Does the use involve procedures, machinery or chemicals that mai, cause the following?
YES NO
NOISE
VIBRATION _
GLARE — --
HEAT —_--_ —
AIR POLLUTION x _
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) da), 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 5.11
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 thein.
Signature of Owner/Applicant
fi V UO -VX (I- IV W
Print Name-
Reviewer
ame
Reviewer
ENGINEER'S REPORT ATTACHED: YES N0
CONDITIONS: 0 'n
_ AAC�'V
Date
S-03 3
Dayti ne i)11011e 111.1 lber of Signatory
Date
2/1/2011 Pape 2 ore