HomeMy WebLinkAboutATL201500001 Approval - County 2015-10-30FOR OFFICE USE ONLY
ATL#
Fee Amount S 100- Date Paid 0: -15 By who? _r r�YSw+ /e Vv%*% 1"' Receipt # 1 a l 6 ci � ck# SCh k By; e
Application for
Tourist Lodging hu t�� a ROVECount, is
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Tourist Lodging fee = $100Date I
Tourist Lodging Regulations Cheb]Wst.
A Tourist Lodging is a use within a residential zoning district composed of transient lodging provided within a single family
dwelling having not more than five (5) guest rooms, located where the single family dwelling is actually used as such and the guest
rooms are secondary to the single-family use, whether or not the guest rooms are used in conjunction with other portions of the
Project Name:
Tax map and parcel:
Physical Street Address (if assigned):
Location of property (landmarks, intersections, or other):
Contact Person (Who should we call/write concerning this project?):
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Daytime Phone (7&) Fax # L_) E-mail A „r� O ,
Owner of Record r.6
Address
Daytime Phone L_)
Fax # L_)
City
Applicant (Who is the Contact person representing?): e ds eltie
Address City
E-mail
Daytime Phone (__J Fax # L_) E-mail
State Zip
State Zip
Owner/Applicant Must Read and Sign
I hereby certify that the information provided on this application and accompanying information is accurate, true and correct to the best of
my knowledge andb li
on w e'r20
Signa of Owner, Agent Date
f0 -' -7Y6 $S3 n 'W
Print gank Daytime phone number of Signatory
County of Albemarle a(y@02@ if Community Development
401 McIntire Road Charlottes le, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
C® UNITY DEVELOPMENIF
Revised 6/22/2012 Page 1 of
TOURIST LODGING REGULATIONS CHECKLIST
(ZONING ORDINANCE SECTIONS 5.1.17 & 31.5)
Each tourist lodg' g shall be subject to the following:
KETCH REQUIREMENTS
A sketch plan of the site must be provided with requested items shown:
how the location of the dwelling unit used for the Tourist Lodging in relation to the property lines.
L.S.' Sh w the location of parking spaces to be used for the dwelling and the Tourist Lodging.
LiY Show the location of the access (ex. The driveway) to be used for the Tourist Lodging.
VshpWthe location, height, and lumens of any existing or proposed lighting to be used for the Tourist Lodging.
Show the location of any signs to be used for the Tourist Lodging.
LU/Provide a floor plan of the single family dwelling proposed for the Tourist Lodging.
LJ Residency. The single family dwelling unit used for the tourist lodging will be occupied by a resident of that same dwelling.
Ltd Number guest rooms. The Tourist Lodging may have up to five (5) guest rooms within the single family dwelling.
How many guest rooms will the _T,ourist Lodging have?
El El ❑ 3 lid/4 or ❑ 5
Parking. in addition to the parking required for a single family dwelling, the number of off-street parking spaces required by section
4.12.6 shall be provided. (SEE SKETCH REQUIREMENTS)
# of single family dwellings on the parcel X 2 = Z
# of guest rooms on the parcel X1 =_
Total number of parking spaces required for this Tourist Lodging
❑ Building code, fare and health approvals. Before the zoning administrator approves a zoning clearance for a tourist lodging use
under section 31.5, the owner of the parcel shall obtain approvals of the use from the building official, the fire official and the Virginia
Department of Health. CA a pplf (�� co 161 I r 4ej
"`}'r Attach H,ilding Official approval of the use 16/
plkl h Fire Official approval of the use j fail 15
Attach Virginia Department of Health approval of the use no N b d 101so I IE5
APPROVAL INFORMATION
Approved as proposed
Conditions
Zoning Official
[ ] Approved with conditions [ j Denied
Date IbiUV115
Revised 6/12/2012 Page 2 oft
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e Commonwealth of Virginia
PlRoutin
ollow-up Virginia Department of Health
® CompIaint Hotel Establishment Inspection Report
® Other
Date: 0 I _� 01
Est. Name:
Number of Rooms:
VAC Section
12 VAC 5 -431 -
Page 1 off
The above listed findings of violations and specified periods of time for correction of the violations are issued in accordance with the
Sanitary Regulations for Hotels. All violations specifying a reasonable period of time for correction shall be corrected as soon as possible,
but in any event, within the period of time specified. A follow-up inspection may be conducted by the director or his designee to confirm
the corrections. An opportunity for a hearing on the inspection findings, a time limit, or both, sh 1 be ranted g�Ovidq�that a written
request is filed with the local health department within 10 days following the inspection repo j �I �I
Rceceived by: Env. Health Specialist: