HomeMy WebLinkAboutHO201600536 Application 2016-12-29FOR OFFICE USE ONLY
Fee Amount 12 I c 1 Date Paid F
'/who. Receipt ay
Application for
Class A Home Occupation Clearance
L1 Home OcCu ation 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 th
occupation from engaging other persons who work off -site gage in the Prohibits the
e dwelling unit; provided that nothing herein and do not come to the dwelling unit to en is
occupation.
Name of Business:
Type of Business:
p Alf v_.1 �l
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Tax map and parcel: r j - ()3 C
Contact Person (Who should we call/write concerning this project?): H rl. i S
Address ��l�t CCv.��Ciu LA(_ a.r,
City G-�IJH e-� .v.)IL, ZZ �
Daytime Phone 9 79 G IC `i 3i Fax # C) State �_ Zip _ Y r
E-mail 4)f—,+�coryre�t�t•�J
OwnerofRecord SCa`r` 'ke-1
Address 33ri 1.►r.}lr✓bc. v
ClY..-lvftzsv;�lc 342
�qy� I City
State �_�_ Zip 9' 1,
Daytime Phone V �� C / V Fax # L___)
E-mail C, -rc.7 C �
This certificate, in conjunction with a business license, represents Zoning approval identified above. Each home occupation is subject to the following:
to conduct the Class A Home Occupation
i JLJL %.1.rJ,%1fAACE
LOCATION & AREA
The home occupation shall be conducted entirely within the dwelling unit (25) percent of the gross floor area of the dwelling unit shall be used for the homeed th occupat�on and furthmo than er at t re
that the gross floor area used for the home occupation shall provided
[Section 5.2 (b)1)) not exceed one thousand five hundred f urthe square feet.
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
111112015 Page I 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)]
PARKING
/ All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on -site.
[Section 5.2 (t)]
PERFORMANCE STANDARDS
/ The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (k)]
Does the use involveprocedures, machinery Or chemicalsthat 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
YES No
f 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)] g ' ()
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 Horne Occupations, that I understand them, and that I will abide
by them.
Signature of Owner/Applicant
Print Name
Reviewer
ENGINEER'S REPO T ATT
ACHED: YES NO
CONDITIONS:
1zl z�li�
Date
Daytime phone number of Signatory
Date
111112015 Page 2 of2
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 or Appeals, Sign Permits, Building Permits) ifthe application is not the
owner.
l certify that notice of the application, -- -Il J [ - ,5,3 (l
[County application name and number]
was provided to
the owner of record of Tax Map
[name(s) of the record owners of theparcel]
and Parcel Number manner identified below: by delivering a copy of the application .in the
Hand delivering 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
Mailing a copy of the application to
if the owner of record is an entity, [Name of the record owner if the record owner is a person;
ty, identify the recipient of the record and the recipients title or
office for that entity]
on l 2—)2—`6//6
Date
to the following address:
[address; written notice mailed to the owner 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].
Signature of Applicant
Print Applicant Name
) -L-/2 k- / /(.
Date