HomeMy WebLinkAboutHO201600196 Application 2016-07-01FOR OFFICE USE ONLY HO # L f
Fee Amount S of l Date Paid �By who? ; �1� %��1G�j ceipt # j� 074- # ei J74 By: �@
Application for "
Class A Home Occupation Clearance »
❑ 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: 1�,6t, AA 4,.-. Sei" J i &e_S
Type of Business: e,
Tax map and parcel: �,%g �eri8a Zoning: 1
Contact Person (Who should we call/write concerning this project?): 1,-
Address L 6 / . I •T, ", yp as+wy-P_City C La %- sv; (tc state 1zip 2E.-
Daytime Phone'167Fax # E-mail - j,-U-D k4l 111 C, 6A 416 � CdN►
Owner of Record 1V 1 &,Ac
Address 15- W i 1t' M A City ����� State Zip
Daytime Phone &W &_- 2-106g, Fax # L_J
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 SOX 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)]
dEXTERIOR
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 (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
E TRAFFIC
The traffic generated by a home occupation shall not exceed the volume that would normally be expected by a
dPARKING
dwelling unit in a residential neighborhood. [Section 5.2 (e)]
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 proceduresq machinery or chemicals that may cause the following?
NOISE
VIBRATION
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
NON -DOMESTIC WASTE DISCH.�
If YES, then applicable standards must
❑ PROHIBITED USES Cj
The following uses are expressly prohibite(
schools; (4) day care centers; and (5) privat
WAIVERS AND MODIFICATIONS: The above
Commission. Ask staff for more information about
Owner/Ap
I hereby apply for approval to conduct the Home Oa
residence. I also certify that I have read the restrictio
by them,
ignatu> e of Owner/Applicant
Print
ENGINEER'S REPORT ATTACHED: YES
CONDITIONS:
4`a
L.�
a`G ?A16
Date
t (available from staff).
ing homes; (3) nursery
y the Planning
Ion 5.1]
ess is my legal
uid that I will abide
��'. -- a
Daytime p one nu ber of Signatory
1/0
Date
NOAZ
11/1/2015 Page 2 of2
E
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.
1 certify that notice of the application, 90 ,2—a/4p - 196,
[County application name and number]
was provided to
[name(s) of the record owners of the parcel]
the owner of record of Tax Map
and Parcel Number�� C5 C da by delivering a copy of the application in the
manner identified below:
Hand delivering a copy of the application to l/vl R7t'L WldCivr�WU�✓1
[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 Va , 12 01,6
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 as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
ignature of Applicant
/J."
Print Applicant Name
_��14
Date