HomeMy WebLinkAboutHO201200070 Legacy Document 2012-04-04FOR OFFICE USE ONLY /� HOO #60
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'v Fee Amount $ 2 Date Paicl�t I Z By who? l (1/. 4 tL J 6 A*v y Receipt # V V/ � U� I Ck# 1 W ] By:
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Application for'l,
Class A Home Occupation Clearance
LrHome Occupation Class A Clearance = $25.00
❑Certification that notice of this application has been provided to the property owner, if owner is different
from applicant
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: i L19L, /1
Type of Business: GR1416 (,A--.,'-
Tax
,A -2Tax map and parcel: 3 J - �� Zoning: f V 1✓
Contact Person (Who should we call/write concerning this project?): / ' r a1-->!- fi5 LU I r
Address YC,(-) �(/ C,�C �Gi r' •1� A I / CityZR-Ar_l iI Lalte, State VVJ - zip ZZq 3 6
Daytime Phone(" °l Z Z 17 Fax # E-mail 2^-A "
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Owner of Record
Address
City
Daytime Phone (_) Fax # (__) 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:
3ECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE
UNDERSTAND THE REOUIREMENTS FOR THIS CLEARANCE
LI,OCATION & 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)]
M EXTERIOR APPEARANCE
There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a
hom occupation. [Section 5.2 (c) 1)]
ES
SAL
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
7/1/2011 Page I of 2
d 'v.
--- - - 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)]
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 5.2A (k)]
Does the use involve procedures, machinery or chemicals that may cause the following?
VES 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 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
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 then .
Signature of Owner/Applicant Date
Print e Daytime phone number of Signatory
y - C�
Re fewer Date
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
7/1/2011 Page 2 of 2
CERTIFICATION THAT NOTICE F THE
APPLI ATION HAS BEEN PROVIDED TO HE LANDOWNER
This form mus accompany zoning applications (Home Occupation, oning Clearance, Zoning
Administrator terminations or Appeals, Sign: Permits, Building ermits) if the application is not the
owner.
I certify that nokce of the application,
was provided to_ _
[name(s) of e record owners of the ar=
and Parcel Number
manner identified below:
application name and number]
the owner of record of Tax Map
by delivering a copy of the application in the
Hand delivering a copy of the ap licati to
[Name of the record owner if the record owner is a
person; if the owner of record is an e tity, identify the recipient of the record and the recipient's
title or office for that entity]
on
Date
Mailing a copy of theappli tion to
[Name of the
if the owner of record is entity, identify the reci]
office for that entity]
on to the following
Date
owner if the record owner is a person;
the record and the recipient's title or
[address; written otice mailed to the owner at the last known addres f the owner as shown on
the current real state tax assessment books or current real estate tax as ssment records satisfies
this requireme ].
Signature of Applicant
Print Applicant Name
Date