HomeMy WebLinkAboutHO201600011 Application 2016-01-12FOR OFFICE USE ONLY HO # - cj
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Fee Amount $ 1]ate Paid f /1 _/(- By whn7 Receipt # Ioc� 7 c>de
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Application for
Class A Home Occupation Clearance
Class A Clearance = $27.00
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 -sit r e and do not come to the dwelling unit to engage in the occupation.
Name of Business:
Type of Business:
Tax map and parcel: i 5_34 Zoning,
Contact Person (Who should we call/write concerning this project?):
Address A
U
Daytime Phone A 53-524 Fax # ( _)
Owner of Record`?,1�a�'s%4
E-mail
r
Address r� J `
� � U
Zip
Daytime Phone`-�
a Fax # C__) E-mail
This certificate, in conjunction with a business license, represents zoning approval to conduct the Class A Home Occupation V lJgi 4
identified above. Each home occupation is subject to the following:
T
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 a gross floor area used for the home occupation shall not exceed one thousand five hundred (1500) square feet.
[ ction 5.2 (b) 1)]
EXTERIOR APPEARANCE
Ther •9hall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a
hooccupation. [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 (d)]
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
11/1/2015 Page I of2
The traffic generated by a home occupation shall not exceed the volume that would normally be expected by a
;elling unit in a residential neighborhood. [Section 5.2 (e)]
PARKING
vehicles used in a home occupation and 0 vehicles of customers, clients or students shallbe parked on-site.
ction 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?
NOISE
VIBRATION
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
NON-DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER
X
, then applicable standards must be addressed with a Certified Engineer's Report (available from staff).
IBITED USES
lowing uses are expressly prohibited as home occupations; (l) tourist lodging; (2) nursing homes; (3) nursery
; (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
ENGINEER'S REPORT ATTACHED: YES
CONDITIONS:
1t Must Read and Sign
n identified above, and certify that this address is my legal
Tome Occupations, that I understand them, and that I will abide
Date
Daytime phone number of Signatory
iR12�1S
Date
NO__Z
1 /V2015 Page 2 oft
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LAND NER
This form must accompany zoning applications (Home Occupation, Zoning Clearance oning
Administrator Determinations or Appeals, Sign Permits, Building Permits) ifthe ap cation is not the
owner.
I certi hat notice of the application, f'
[Coun applicati name and number]
was provided to the owner of record of Tax Map
[name( of the record owners of the parcel]
and Parcel Number delivering a copy of the application in the
manner identified below:
Hand delivering a copy of the plication to
[Name of the record owner if the record owner is a
person; if the owner of record is an ti identify the recipient of the record and the recipient's
title or office for that entity]
on
Date
Mailing a copy of the application to
if the owner of
office for that e
on
Date
[Name of the recd
an entity, identify the recipient
to the following
owner if the record owner is a person;
the record and the recipient's title or
[addres written notice mailed to the owner at the last known address
the cu,Ptent real estate tax assessment books or current real estate tax a
this pdquirementl.
Print Applicant Name
Date
owner as shown on
gativords satisfies