HomeMy WebLinkAboutHO201200081 Legacy Document 2012-04-25FOR OFFICE USE ONLY HO # 77612431
Fee Amount $ 75O1
Date Paid 2Q' l Z By who? (C, V Oj VIS ��../',tC�"�"` Receipt # 5Z Ck# a2��r" By: r",(!--
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Application for
Class A Horne Occupation Clearance
❑ Home Occupation Class A Clearance = $25.00
F-1 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:
Type of Business: u�-5 y -e ('Y1Cy0J
Tax map and parcel: qOA Zoning:
Contact Person (Who should we call/write concerning this project?): I ILkYLX,=-iMaf
Address Qt)o tP � `t�� -I QCI City.. f'vi, I (Q State VA _ Zip v a
Daytime Phone dM)
f c�C?� " -0-Sib Fax # (_)
Owner of RecordPher �(J!_� e_s ? /
. l � nn vel_s
E-mail '-✓ S Di60 • CoM
Address aubu city(,-, V- (k�_State 11A Zip a ati jU Q_
Daytime Phone f ) c�- ()2a=- QaJ O Fax # �) E-maim.�t oy , _ - S"]y5 • / � P Vx • C,DNN',
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 REQUIREMENTS FOR THIS CLEARANCE
U -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 gloss floor area used for the home occupation shall not exceed one thousand five hundred (15 00) square feet.
[Section 5.2..(b) 1)]
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)]
ZSALIES
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 barter 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 1 of
r,
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)]
Q/11ARKING
All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on-site.
[Section 5.2 (f)]
"EORMANCESTANDARDS
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?
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 staff).
ROHIBITED 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
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
reside � also certify that Irea t i restrictions on Home Occupations, that I understand them, and that I will abide
by t m.'
Sa re of j'
0 ner/Applicant Da e
ign
ro
A-in't Name / Daytime phone number of Signatory
Reviewer Date
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
`\. _ In it
7/1/2011 Page 2 of 2
CERTIFICATION THAT NOTICE O,Y THE
APPLICATION HAS BEEN PROVIDED TO AE LANDOWNER
This fo ekt must accompany Zoning applications (Hone Occupation, Zo ing Clearance, Zoning
Adninistr`ar Determinations or Appeals, Sign Permits, Building Pe nits) if the application is not the
owner.
I certify thgt notice of the application,
was provided to 1
[name(s) of the record owners of the
and Parcel Number \
manner identified below:
Hand delivering a copy oNll
person; if the owner of reco:
title or office for that entity]
on
Date
an
application name and number]
the owner of record of Tax Map
by delivering a copy of the application in the
Ito
[Name of the record owner if the record owner is a
identify the recipient of the record and the recipient's
Mailing a copy of the app !cation to
[Nan
if the owner of record it an entity, identify
office for that entity] /
on
Date
of the record owner if the record owner is a person;
e recipient of the record and the recipient's title or
to the following address:
[address; written(notice mailed to the owner at the last known address of the owner as shown on
the current real+estate tax assessment books or current •eal estate tax assessment records satisfies
this requireme /t].
Signature of pplicant
Print Applicant ame
Date