HomeMy WebLinkAboutHO201500124 Application 2015-06-01IS—
FOR OFFICE USE ONLY q
Pee Amount osi.—C — Date Paid S 'A .lYy who? `5_9 wl �e ] v%,N(J0 Receipt Hol`01 S Cki! BY
ot
Application for
Class A Home Occupation Clearance
2rHome 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:
Type of Business:
6C7- 0.(" Zoning:
Tax map and parcel:
�Z 6 R-es+�
�I C1�CC1 U k� \� `�l Sa � ) \ C
Contact Person (Who should we call/write co nc1er\Hing this project?): 0
Address C � � (' t' `C '� T �(1 rl•VYl la t dao Rd 9� - C\`f \ 0,� Q.S\i 9__State \ 1A_ Zip
Daytime Phone _ jS-j —, !S Fax # �.—� E-mail�c�r� (�I l) \�t� �A) \\o 1' I��t1I
_ �._ Cpm
owner of Record K I K- ' —`J \\` ` ` t
Address
City I�lL( �� State 1%Zip
Fax# L� E -mail �TGt(�� \"1QN
a 1\�L0_1 <zrnF_06t 'coryl �
Daytime Phone L120 i�
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 SOE HUIREMENTS FOR THIST IS CLEAR THAT
YOU HAVE CLEARANCE READREADAND
UNDERSTAND THE R
M LOCATION & AREA
The home occupation shall be conducted entirely within the dwelling unit, provided that not more than twenty-five
(25) percent of the grossedlfor the hooarea of hme occlling upationlshalllnot exceedooccupation
one thousand five (1500) provided
that the gross floor area ussquare feet.
[Section 5.2 (b) 1)]
dEXTERIOR 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)]
dSALES
mer who comes to the site except for goods that are hand-crafted on -
No home occupation shall sell goods to a custo
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
D TRAFFIC
The traffic generated by a home occupation shall not exceed the vo me thatw�ould-norrmally be expected by a
dwelling unit in a residential neighborhood. [Section 5.2 (e)] ✓�I Uv �f��
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)]
Ek/PE RFORMANCE STANDARDS
The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (lc)]
Does the use involve procedures, machinery or chemicals that may cause the folllvowing?
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
ve, and certify that this address is my legal
I hereby apply for approval to have read the restrictions on Home Occion upations, that I understandconduct the Home them, and that I will abide
residence. I also certify that I
by them.
CONDITIONS:
)ate
)aytime phone number of Signatory
)ate
7/1/2011 Page2of2
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,
was provided to _
[
[County application name and number]
the owner of record of/Tax Map
of the record owners of the parcel]
and Parcel Number \ by delivering a
manner identified below;
Hand delivering a copy of t .�
person; if the owner of record
title or office for that entity]
on
Date
application to ______
[Name of the
is n entity, identify the reci
Mailing a copy of the application to
if the owner of record is an entity, ii
office for that entity]
on
Date
[address; written
the current real e
this requirement]
f the application in the
rd owner if the record owner is a
of the record and the recipient's
e of th record owner if the record owner is a person;
the recip4nt of the record and the recipient's title or
to the following
,e mato the owner at the last known
tax assessment books or current real est
Signature of
s of the owner as shown on
assessment records satisfies
Print Applicant Name
Date