HomeMy WebLinkAboutHO201600010 Application 2016-01-12FOR OFFICE USE ONLY
no
Fee Amount $' Date Paid
By who?
Receipt# /O77QCk# a23,9
Cl Application for
Class A Ho a Occupation Clearance
Home Occupation [�IAQQ r•�____
___..., n �-&—mince = S27.00
Home Occupation, Class,4-' em occupation, not expressly prohibited by section 5.2, conducted
unit solely by one or more members of the family residing within the dwelling
occupation from engaging other persons who work off-site and do not come to the dwelling for profit within a dwelling
g unit; provided that nothing herein prohibits the
Img unit to e,,,,ngage in the occupation.
Name of Business: L
Type Of Business: 'J N iS �A ;3 r,,1 ` 'r"-)
Tax map and parcel: Q'(J'L0
o—OQ-- r()6) Zoning:
Contact Person (Who should we call/write concerning this project?): AC [4L 1.1
Address � � � �i
'�''`�N � [.T city C_li�r�r
Daytime Phone uV i State
Fax # �) � Ztp ��
Owner of Record %� E-mail
Address
1 �E7 l rt3' V C
Daytime Phone State
zip 107,
This certificate, in conjunction with a business license, represents zonin a r Val to conduct the Class A Horne Occupation
mail
i g PP
identified above. Each home occupation subject to the following;
--_- ; �ULLLAKANCE
1W LOCATION & AREA
The home occupation shall be conducted entirely within the dwelling unit, provided that not
(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.
EXTERIOR APPEARANCE
There shall be no change in the exterior appearance of dwelling unit or other visible evident
(c)1)1 a of the conduct of a
home occupation. [Section 5.2
SALES
No home occupation shall sell goods to a customer who comes to the site except for goods that site and goods sold that are directly related to a beauty shop or a one -chair barber shophome
[Section S.2 (d}1 g at are hand-crafted on-
[Section
occupation.
County of Albemarle Department of Community Development
441 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fag:434 9
Fax:(434) 972-4126
11/1/2015 Page 1 oft
Of 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)]
LK 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)]
C 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?
NOISE
YES NO
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 5,11
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 Date
Prin�t�" O of Name
Daytime phone number of Signatory
Revi er Date
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
11/1!2015 Page 2 oft
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 orAppeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application,
was provided to
[name(s) of the record owners of the
and Parcel Number
manner identified below:
Hand delivering a copy of the application to
Person; if the owner of record is an entity,
title or office for that entity]
on
Date
Mailing a copy 0 e application
if the own of record is an entity
office fo that entity]
on
Date
[address; written notice
the current real estate ti
this requirement].
appucauon name and number]
the owner of record of Tax Map
by delivering a copy of the application in the
fare record owner if the record owner is a
recipient of the record and the recipient's
f [Name of the record owner if the record owner is a person;
identify the recipient of the record and the recipient's title or
to the following address:
MUM to me owner at the last known address of the owner as shown on
assessment books or current real estate tans assessment records satisfies
Signature of Applicant
Print Applicant Name
Date