HomeMy WebLinkAboutHO201200089 Legacy Document 2012-05-14FOR OFFICE USE ONLY HO # 20
Fee Amount $ � Date Paid 12—By who? �15h Receipt # -7Ck# By: VWO---//
Application for
Class A Home Occupation Clearance „.
❑ Home 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:46(,)&
r
Type of Business: �i%Lt(nSB(,,� (n,,) I l��i✓1� "jam �}p�,, �y n
Tax map and parcel: 32G 'M— 53 Zoning:
Contact Person (Who should we call/write concerning this project?): /! 1 n �Jly �l � i✓/t - I e /
Address Lh L(B '1 1 uta J cL� i/ '(w City �/V'GLl2�o �� ✓� 1 C2 State I/ � Zip
Daytime Phone/( `! 6� f 6_7 D 57 Fax # ( ) E-mail c. f,, l n tiUl,�,i i fL �i C//Zt� �. Cd✓!n
Owner of Record [V i G �C I (iy�ll I (-It,5 /1 ' /
Address a"74� ��LLZ Y �� City l/�Cya 6t-6_Sy We State VA- Zip 2i2,l/
Daytime Phone ( i ?�' (v(n 3 Fax # L_) E-
mail I// L% l t� f� GI,L, a r - Gp�✓t
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
12 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)]
O'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)]
O 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
7/1/2011 Page l oft
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?
YES NO
NOISE
VIBRATION
GLARE 17
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).
S/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
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.
Signa re of 0 ner/Applica t Date
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
C43L) 4,Oq-97d3'
Daytime phone nun er of Signatory
Da
7/1/2011 Page 2 of 2
it
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This fora: must accompany zoning applications (Hone Occupation, Zoning Clearance, Zoning
Admninistrator Deterinnations or Appeals, Sign Permits, Building Permits) if the application is not the
owner. 7
I certify that notice o%the application,
was provided to
[name(s) of the
[County application
owners of the parcel]
and Parcel Number by
manner identified below:
Hand delivering a copy of the appli tion to
[Name
person; if the owner of record is an entr y, identify t
title or office for that entity]
on
Date --
Mailing a copy of the application to
if the owner of record is an entit
office for that entity]
on
Date
[e of the
the recd
to the following
the
and number]
of record of Tax Map
a copy of the application in the
Kthe record owner if the record owner is a
recipient of the record and the recipient's
owner if the record owner is a person;
the record and the recipient's title or
[address; written tice mailed to the owner at the last known address\f f the owner as shown on
the current real state tax assessment books or current real estate tax ass sinent records satisfies
this requires t].
Signature of Applicant
Print Applicant Name
Date