HomeMy WebLinkAboutHO201100076 Legacy Document 2011-06-20FOR OFFICE USE ONLY /� Idon �9#(f k U I I IU
Fee Amount $ 10 ' (" Date Paid % 1tf I l/ By who? a W W 'srmiL Rec:eipJ A16 Ck# ( Ry.
Application for
Class A Home Occupation Clearance
I N I Home Occupation Class A Clearance = $25.00 1
Home Occupation, Class Wil_ -An occupation, not -expressly prohibited by section 5 ?,—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 comae to the dwelling unit to engage in the occupation_
NameofBusiness: 6Lberus �1'ejac�t71)S l-�
Tyree of Business:_ ( � 6 5U hk i
Tax neap and parcel: A-1141 - OU-OF5" Ul 9*d a Zoning: Zesi�l� ,eJ
Contact Person (who should we call/write conce
rning this project?):
Address City C'rffh2(_ dhWV 1 &Le_ state _ _ zip 29
Daytime Phone (y1b Fax # C_J E-mail /04M
� ('�! 6U +/ �d �a'Cd7%cl✓t $r Cr7 .
Owner of Record JGcI d SSI eli- Q2 �� � SP,46AJO LO
Address 1%A-� dhIC city 6WL gZ5V1Iz state_ /ziP
Daytime Phone Cf �2S =23 g Fax -1, (_� E-mail
O�Upjt� % Ll lje/� ��l00✓�� /S • d��
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 CBECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ
AND UNDERSTAND THE REQUIREMENTS FOR TMS CLEARANCE
E 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 f irther provided
that the gross floor area used for the home occupation shall not exceed one thousand have hundred (1500) square feet.
[Section 5.2 (b)1)]
Ell XTERIOR 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)]
Q 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
2/1/2011 Page 1 of 2
RAFFIC
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 51A (l:)]
Does the use involveprocedures, machinery or chemicals that may cause the following?
YES NO
NOISE
VIBRATION
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 staflf).
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 5.11
Omer/Applicant Must Read and Sign
I hereby apply for approval to conduct the Horne 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.
S' ature of Owner/Applicant
�Jo*,J SPt46 KJQ C v
Print Name
Revjewer
ENGINEER'S REPORT ATTACHED: YES NO_X
CONDITIONS:
-3/3 v
Da
Loy - � Z�-' Z399
Daytime phone number of Signatory
, A/iz
Date
Q%
2/1/2011 Page 2 of 2