HomeMy WebLinkAboutHO201500125 Application 2015-06-01FOR OFFICE USE ONLY I -IO N 4U__ ED "' Zj1
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OApplication
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Class A Home Occupation Clearance
Nome 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 melnbers 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: / u [ e+ i!o'�e �- L C
Type of Business:
Tax map and parcel:
, — � J a'� Zoning:
"� i1
rnntnet Person (Who should we call/write concerning this project?): ✓ cct erle? //
Address Ui 'i i; �o t [C �t kr^ 2, P City
Daytime Phone Cy 1S_ �_ Fax
Ctic�r /o /-i6'syr%/r State V,4 . zip ZZ:<lel
E-mail r e S e v FYI
Owner of Record ^ a!¢ // S A/16 G ,',/S
Address y0t� %�o / (cG� � 4:'v P City l' A,:,.,/, �/r°S yr /(� State V,4 zip Z
Daytime Phone (N3J S to L f hyo 5- Fax # L__)
E-mail R �'s e r�
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 REQUIRE ENTS FOR THIS CLEARANCE
'LOCATION & AREA provided that not more than twenty-five
The home occupation shall be conducted entirely within the dwelling unit, p'
l
(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)]
ET 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)]
OrSALES
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
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)]
D 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)]
C2'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 tthSe following'
YENO
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).
M 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 them.
Signature of Owner/Applicant
Q/Vl/il // ;�,, /.-/ 16 G r-+/ S
Print
I
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
4 YE '_111 9
Date
Y2 V_.5_6 6 -/1/n 5 -
Daytime phone number of Signatory
Date
7/1/2011 Page2of2
r
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOrge
ER
This form must accompany zoning applications (Home occupation, Zoning Clearance, Zone
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the applica ion is not the
owne4,,
I cer%fv that notice of the application,
was provided to
[County application n e and number]
t e owner of record of Tax Map
[n ne(s) of the record owners of the parcel]
A P 1 Number byelivering a copy of the application in the
an arce
manner identified below:
Hand delivering a cop
person; if the owner of
title or office for that ej
on
Date
of the application to
.ec rd is an entity, is
[e of the record owner if the record owner is a
the recipient of the record and the recipient's
Mailing a copy of the applicatio to
[Na e of the record owner if the record owner is a person;
if ttDate
ner of record is an e ity, identify he recipient of the record and the recipient's title or
offthat entity]
on to the fo owing address:
[address; written
the current real e
this requirement]
;e mailed to the owner at the las known address or ine owner a- :)11uvy1, —
tax assessment books or current Nal estate tax assessment records satisfies
Signature of Applicant
Print Applicant Name
Date