HomeMy WebLinkAboutHO201600412 Application 2016-10-21FOR OFFICE USE ONLY ROM .7 &
Fee Amount S G Date Paid / 2 y who?&a���
Receipt #p By.
Application for
Class A Home Occupation Clearance 41
Ham- Occu lation 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:
Type of Business:
Tax map and parcel: a — 2_Zoning: -
Contact Person (Who should we call/write concerning this project?):
Address City
State _v'a— Zip
Daytime Phone
Fax # (__, E-mail
Owner of Record
Address
Daytime Phone C__) Fax # ( _)
City
E-mail
State Zip
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:
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 Boor 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.
f 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)]
5�sALES
No home occupation shall sell goods to a customer who comes to the site except for goods that are hand -craft
site and goods sold that are directly related to a beauty shop or a one -chair barber shop homeoccupation. ed on
f 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/l/2015 Page 1 of2
TRAFFIC
The traffic generated by a home occupation shall not exceed the volume that would normally be expected by a
�rdwelling unit in a residential neighborhood. [Section 5.2 (e)]
.0 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)]
PERFORMANCE STANDARDS
The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (k)]
Does the use involve procedures, ' machjnery 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
If YES, then applicable standards most be addressed with a Certified Engineer's Report (available from stab).
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 y
Gar T
Signature of Owner/Applicant
Date
Print Nam
Daytime phone number of Signatory
:Ma
Reviewer — ���
Date
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
JC
rar
11/112015 Page 2 of2