HomeMy WebLinkAboutHO201500100 Application 2015-04-23HON 4-Ul' r �w
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Application for'"r
Class A Home occupation Clearance
❑Home be, 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: P S H " rAo L 1
Type of Business: DonapTry c
//��
Tax map and parcel: q0f)_11 b Zoning:
Contact Person (Who should we call/write concerning this project?):
Address 13 ��-��tt� �''
City State VA Zip D.)
Daytime Phone(ILDa�'4'I 3 3 S' Fax # L__3 E-mail
Owner of Record } GLJY-7 C
Address
City State Zip
Daytime Phone U
Fax # C --- 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 UNDERSTAND OH 1_..
THE REQUIREMENTS FOR THIS CLEARANCE
O LOCATION & AREA
The home occupation shall be conducted entirely within the dwelling unit, provided that not more than twenty-five
he home
rovided
(25) percent of the gross floor area of the home occupation onlshallll be used for not exceed one thousand five ation and further hundred (1500) square feet.
that the gross floor area used for the hom p
[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
comes to the site except for goods that are hand-crafted on -
No home occupation shall sell goods to a customer who
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 1 of 2
C� 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 (Ic)] -
Does the use involve procedUresg machinery or chemicals that may cause tths following'
YE
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).
Ed 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:
mat on aboutapplcable fees and process.waiver
[Sect on Smodification
Se tion 5 1]Planning
Commission. Ask staff for more i o
Owner/Applicant Must Read and Sign
I hereby apply for approval to conduct the Home ct ononOccupation Horne occupations, that I understified above, and certify tand them, and that I will t this address is my labide
residence. I also certify that I have read the restrictions
by them.
Date
Signature of Owner/Applicant
ewer
ENGINEER'S REPORT ATTACHED: YES
CONDITIONS:
_ (43y) D�q -t33k
Daytime phone number of Signatory
I� n
Date
NO-/
NAT 7/1/2011 Ngc2oF2
M
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application,
[County application name and number]
was provided to the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number
manner identified below:
by delivering a copy of the application in the
Hand delivering a copy of the application to
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
on
Date
Mailing a copy of the application to
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record .and the recipient's title or
office for that entity]
on to the following address:
Date
[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 real estate tax assessment records satisfies
this requirement].
Signature of Applicant
Print Applicant Name
fiq 1 .2,1 1 ILE
Dat