HomeMy WebLinkAboutHO201600035 Application 2016-02-16FOR OFFICE USE ONLY OjtHO #
Fee Amount $
Z(. MDate Paid By Who?"D aA 1 Receipt # 116.3149 Ck# 4By: H �
Application for
Home Occupation Clearance fa
LJ Home Occupation Class A Clearance = $27.00
Home Occupation, Class A: An occupation, not expressly prohibited by section 5.2, conducted for profit within a dwelling
unit solely by one or more members of the family residing within the dwelling unit; provided that nothing herein prohibits the
occupation from engaging other persons who work off-site and do not come to the dwelling unit to engage in the occupation.
Name of Business: C-70WI
5
r+
Type of Business: tn() C�_ M-T0CgV_#,4-f{' X 4t/Y/ -T1kx,
Tax map and parcel: 1-1-1_ 3521 Zoning:
Contact Person (Who should we call/write concerning this project?): ID 1 /� �[�j�
Address. Q City4 State V$T" zipZ
Daytime Phone ) 2I Fax # L� E-mail r♦ L az (� C
'�
Owner of RecordLluie
,r
Address XCQp .::0 P) city cYC� State zap
Daytime Phone )qZ5 _ 37-14 _— Fax # (__) E-mail
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)]
LJ 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)]
ET 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) 9724126
11/112015 Page 1 of2
LTJ 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)]
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)]
CJ 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
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).
❑ 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
caner/Applicant Must Read and Sign
I hereby apply for approval to condu
ctle Home Occupation identified above, and certify that this address is my legal
residence. I also certify that I hav the restrictions on Home Occupations, that I understand them, and that I will abide
by th m. J
Signature of Owner/Applicant'
Print ame
7
'ewer
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
-Tan rd 1
IL �Zo! b
Date
Daytime phone number of Signatory
Date
1ll1MM Page2oU
dEXTERIOR APPEARANCE
There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of the
ome occupation. [Section 5.2A (c)]
VISITORS & SALES
No customers, clients or students may visit for a purpose related to the home occupation. The sale of goods or the
provision of services by the home occupation to a customer, client or student at the site is prohibited.
[Section 5.2A (d)(2)]
OUTDOOR STORAGE
The storage of goods, products, equipment other than vehicles used in a home occupation, or any materials associated
with the home occupation, other than natural landscaping materials such as mulch and plants, outside of an enclosed
structure isrohL ibited. [Section 5.2A (g)]
NUMBER OF VEHICLES & PARKING
The number of vehicles that may be used in the home occupation shall not exceed two (2) motor vehicles and two (2)
trailers. All vehicles used in a home occupation shall be parked on-site. [Section 5.2A (i)] [Section 5.2A (f)]
NUMBER OF HOME OCCUPATIONS
More than one home occupation is permitted on a parcel, provided that the area occupied and by the home occupations
hall be considered cumulatively and all requirements of this section shall apply. [Section 5.2A (j)]
07,
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).
❑ PROHIBITED USES
(1) any use requiring a special use permit under section 10.2.2
(2) animal rescue centers
(3) automobile graveyards
(4) restaurants
(5) storage yards
(6) gun sales, unless the guns are made on-site by one or more
family members residing within the dwelling unit
(7) on-site pet grooming
(8) body shops
(9) equipment, trailers, vehicles or machinery rentals
[Section 5.2A (1)]
(10) shooting ranges
(11) commercial stables
(12) rummage or garage sales other than those
determined by the zoning administrator to be occasional
(13) veterinary clinics or hospitals
(14) pyrotechnic (fireworks or bomb) device
manufacturing or sale
(15) Any other use not expressly listed that is
determined by the zoning administrator to be contrary
to the purpose and intent of section 5.2A.
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 2 of3
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning CZearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
1 certify that notice of the application, P I be -mad P.
Ccu-rrk�,
[County application name and n ber]
was provided to
[name(s) of the record owners of the parcel]
and Parcel Number
manner identified below:
the owner of record of Tax Map
by delivering a copy of the application in the
Hand delivering a copy of the application to Aa
'---
[Name of the record owner if tie record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
on L
Date
Mailing a copy of the application to
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on
Date
to the following address:
[address; written notice mailed to the owner at the last known address of the owner 0 shown on
the current real estate tax assessment books or current real estate tax assessmentrds satisfies
this requirement]. 3
Signature of Applicant
Date