HomeMy WebLinkAboutHO201700078 Application 2017-02-16FOR OFFICE USE ONLY
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Fee Amount $ W Date Paid
By who
Receipt Receipt # 16 Ck#—
By:
Application for
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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: i1i ke Lntem,-,+ nlA
Type of Business: Home 0CG'4,4jon
Tax map and parcel: I - _ j. 1265
_ Zoning: � r�
Contact Person (Who should we call/write concerning this project?): 1�wt LlL'
Address lg lI 132¢. k4est Cal City (na,jrnle State
I — —__Zip Z2go
Daytime Phone (`a-2i�) p�� 15�' Fax # �) E-mail 7�18nc1(k' �+A ?dl(� �v J 63 ,Ca,vA
Owner of Record t �,r, ZJ1G.t�N V
Address I'll s keCh o'f;� Gj"t M i ( Zol City CJ1a.rro}}'` Ae State Zip ZL 0 ,�
Daytime Phone C43 ) YJ- Q�.t � Fax #
E-mail I b 10 29 Z; 3 Y @ oin
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
OCATION & 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) 972-4126
11/1/2015 Page 1 of2
TRAFFIC
The traffic generated by a home occupation shall not exceed the volume that would normally be expected by a
welling 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)]
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?
NOISE YES NO
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 5.1]
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.
YM :20ANG
Signature of Owner/Applicant Date
2HAW,
Print Na e Daytime phone number of Signatory
Revie er Date
ENGINEER'S REPORT ATTACHED: YES NO_Z
CONDITIONS: r
11/1/2015 Page 2 oQ
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) if the application is not the
owner.
I certify that notice of the application,
was provided to
[County application name and mber]
the owner o record of Tax Map
of the parcel]
and Parcel Number by delivering a
manner identified below:
Hand delivering a copy of the application to
me of the
person; if the owner of record is an entity, identi the recil
title or office for that entity] ,
on
Date
[name(s) of the record
Mailing a copy of the application to
[Na of the record
if the owner of record is an entity, identi the recipient of
office for that entity]
on
Date
to the following address:
of the application in the
iwwu VW11G1 is a
of the record and the recipient's
if the record owner is a person;
;ord and the recipient's title or
[address; written notice mailed to the owner at the last known address
the current real estate tax assessment books or current real estate tax a
this requirement].
Signature of Applicant
Print Applicant Name
Date
owner as shown on
ent records satisfies