HomeMy WebLinkAboutHO201100095 Legacy Document 2011-08-05FOR OFFICE USE ONLY HO # 2-0011-9
00
Fee Amount $ 25 Date Paid ` By who? E�� y ([N Receipt # 62' 1 15 CkW By: r "«
Application for
Class A Home Occupation Clearance
Home Occupation Class A Clearance = $25.00
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: W60L-Ley 04C—yN Et2 1 N E
Type of Business: (35N S U`77N G EN (f --I N EETZ/N C
Tax map and parcel: 0415-- D - d/ - O f 0240 D Zoning: �_/Pov-Y79 [_.
Contact Person (Who should we call/write concerning this project?): 0//..0��
Address 440 f'S '��ook �% City C-1`�i�tb7 ✓ LW State �A- zip ZZ 9,1 1
Daytime Phone 54) 760 - 52250 Fax C_) E-mail Ad" -Z Cowl
Owner of Record er %te a ✓�
Address
Daytime Phone C___)
City
E-mail
State zip
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
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
rovidedthat the gross floor area used for the home occupation shall not exceed one thousand five hundred (1500) 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 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
Ll 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)]
t TJ PARMNG
All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on-site.
[Section 5.2 (f)]
3 PERFORMANCE 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 cheHlicalS that may cause the following?
NOISE
VIBRATION
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
NON-DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER
YES NO
✓
✓
,/
I/
V/
,�/I'f YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff).
LY! 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.
rgnature of Owner/Ap t Date
a /C G✓06LL-E
Print Name
Reviewer
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
,3¢-
Daytime pho e number of Signatory
Z/z
Date
G,=C-1G -6 ,as
2/1/2011 Page 2 of 2