HomeMy WebLinkAboutHO201100212 Legacy Document 2011-11-14FOR OFFICE USE/l ONLY ` HOQ#�+ ✓1 /� %
Fee Amount $ �` V t/ Date Paid ) / //By who? [J d Receipt # �IY 7/ Ck# l >G By:
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: �-/ u (� Ct �GlIr1P Cl� .�t�C1 Yl �� l�l2L r 1�'1� 71R_LL
Type of Business: ucuu P
Q P U ft0 j, 11 u t
Tax map and parcel: Ld 13 Fore rl r! xk-eV Zoning:
It -n1
Contact Person (Who
sshould we call/write concerning this project?): "IJ Vl I Y I UL �V C V 19_V IL� ' i
Address City State Zip
Daytime Phone • 7 . V Fax # ( E-mail i1Q b2 4 A AWO a -V -00 L C)
Owner of Record
Address City State Zip
Daytime Phone Fax # L_) 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 IT IS CLEAR THAT YOU HAVE READ
AND UNDERSTAND THE REOUIREMENTS FOR THIS CLEARANCE
Ud 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 (1500) square feet.
[Section 5.2 (b) 1)]
LJ 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)]
LJ 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 of2
n
LY 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)]
D- ARKIN G
All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on-site.
[Section 5.2 (f)]
C9'PERFORMANCE STANDARDS
The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (k)]
Does the use involve procedures, machinery or
NOISE
VIBRATION
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
chemicals that may cause the following?
YES NO
u
RADIOACTIVITY
ELECTRICAL DISTURBANCE IJ
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
Conunission. 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 them.
j� tl
Lj-
Sigriqjire of Owner/Applicant Date
,4-3 7� 7�
Daytime phone number of Signatory
I '
Date
ENGINEER'S REPORT ATTACHED: YES
CONDITIONS:
NO V
2/1/2011 Page 2 of 2
CERTIFICATION THAT NOTICETHE
APPLICATION HAS BEEN PROVIDED TO E LANDOWNER
This form must accanpany zoning appllcatloris (Harte OcccrpatI "I Z ring Clearance, Zoizing
Administrator Det nrinatioras or Appellis, Sign Permits, Building Per nits) if the application is riot the
owner.
I certify that notic�\,of the application
[County
was provided to
[nanle(s) of the -ecord owners of the p
and Parcel Number
manner identified below:
Hand delivering a copy of the a 1.
person; if the owner of record is an
title or office for that entity]
Oil
Date
Mailing a copy of the application
if the owner of record is an en.
7
office for that entity]
Oil
Date
on to
tion name and number]
the owner of record of Tax Map
by delivering a copy of the application in the
ame of the record owner if the record owner is a
i iltify the recipient of the record and the recipient's
[Name of Xie record owner it the recora owner is a person;
, identify the re ' ient of the record and the recipient's title or
to the followinX address:
[address; written notice railed to the owner at the last laic
the current real estate t assessment books or current -real
this requirement].
address of the owner as shown on
tte tax assessment records satisfies
Signature of Applicant
Print Applicant Name