HomeMy WebLinkAboutHO201500131 Application 2015-06-08FOR OFFICE USE ONLY HO # 17 ^
Fee Amount $.ciS� �c Date Paid— I S By who? e 57h (� ✓t r; ✓� Receipt # rx��d Ck# 63 By: ,-S
Application for
Class A Home Occupation Clearance f:,a
❑ 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: G t 4" 4 o -h esy lk To nt Ed uCoch orl
Type of Business: 11 V 1 LA.W GI P I QU 1 Q 9 ruU l l r N �p d
Tax map and parcel: ()S'+Y40 o I — ®o — i ,34o -o zoning: I� T
�+ p n
Contact Person (Who should we call/write concerning this project?): JeSS. �V\jn F 1 n K , /
Address 1 0T+ -H1(a BLAN DS D 19 -,City(' AV--�VA State A zip 22901
Daytime Phone '14'L" 644b Fax # E-mail _ Qt S-%C%i 1 q1 d
Owner of Record
Address
City
Daytime Phone L__) Fax # E-mail
State zip
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
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)]
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
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 Al - -
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
.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)] ,
dPARKING
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
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).
Lid 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.
Signatur o Owner/ p lic t
'Print Name LJ
Reviewer
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
Date
.434�cmlb
Daytime phone number of Signatory
Date
7/1/2011 Page 2 of 2
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 a lication is not the
OW&r.
was provided
that notice of the application;
[name(s) of the record owners of the
and ParcelNumber
manner identified b%Mrthl
Hand delivof the application
person; if tecord is an e
title or offiitvl
on
Date
Mailing a copy ofthea lication'
if the owner of reco is an entity,
office for that enti ]
on
Date
[County
cion name and number]
the owner of record of Tax Map
by delivering a copy of the application in the
[Name of the record owner if the record owner is a
ty, identify the recipient of the record and the recipient's
ie of the record owner if the record owner is a person;
the recipient of the record and the recipient's title or
to thkfollowing address:
[address/written notice mailed to the owner at the ast known address ofthe owner as shown on
the cu nt real estate tax assessment books or carr ureal estate tax assessment records satisfies
this r uirementl.
Signature
Print Applicant Name
Date