HomeMy WebLinkAboutHO201600284 Application 2016-09-13FOR OFFICE USE ONLY HO #
Fee Amount $ZM— Date PaiA`10-13y who u Receipt # V�Ck#�,
Application forClass A Home Occupation Clearance it
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: Edens Hospitalist LLC
Type of Business: Professional services, Physician contracting - (home is used for scheduling/billing)
Tax map and parcel: 5<E - 0 0 — I I Zoning: )Z--
Contact Person (Who should we call/write concerning this project?). Christopher Edens
Address 6610 Welboume Ln
Daytime Phone L_) 434-962-5084
Owner of Record Christopher Edens
Address 6610 Welbourne Ln
Fax # L_) NIA
Daytime Phone L_) 434-962-5084 Fax # L_) NIA
city Crozet
state VA Zip 22932
E-mail chris.edens@gmail.com
City Crozet State VA zip 22932
E-mail chris.edens@gmail.com
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)]
® 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)]
® 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
11/1/2015 Pagel of2
® 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)]
® PARIKING
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 procedures, machinery or chemicals that may cause the following?
YES NO
NOISE Ix
VIBRATION x
GLARE x
HEAT x
AIR POLLUTION x
WATER POLLUTION x
RADIOACTIVITY x
ELECTRICAL DISTURBANCE x
NON -DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER x
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 511
Owner/Applicant Must Read an
I hereby apply for approval to conduct the Home Occupation identified above,
rIL
esidenc I also c=ad the restrictions on Home Occupations,
by
tWD 09/02/2016
Signature of Owner/Applicant Date
Christopher Edens
Print Name
Reviewer
ENGINEER'S REPORT ATTACHED: YES NO x
CONDITIONS:
d
Sign
and certify that this address is my legal
that I understand them, and that I will abide
434-962-5084
Daytime phone number of Signatory
f&�&d
Date
11/1/2015 Page 2 of2