HomeMy WebLinkAboutHO201700146 Application 2017-03-17FOR OFFICE USE ONLY HO //#JJ�
Fee Amount $ _Date Paid3y who? 11011
fi�� /��{•2 rY� =Receipt # �� ! Ck# By: cme—�
Application for�u'y.
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:
Type of Business:
0'i ' I )
J Tax map and parcel: 0'C)' r ' 601
0-oZoning:
111
Contact Person (Whoshouldwe call/write concerning this project?): /AV n 11 ) O'rr
Address ?-1-:9C)D �/i �� b (}}�0 City CJXA( %i 1 (6 State ✓ t Zip 2�r
Daytime Phone (�--��Lf - (0-Fax #_� E-mail /4�?,7
Owner of Record
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Address �V rocxA t c , c� City
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Daytime Phone Fax # ( 7 LL' 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 BOX SO THAT IT IS CLEAR THAT YOU HAVE READ
AND UNDERSTAND THE REOUIREMENTS FOR THIS CLEARANCE
EY 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) l)]
Q EXTERIOR APPEARANCE
There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a
,.._,fjhome occupation. [Section 5.2 (c)1)]
LSALES
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
CJ 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)]
LI 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)]
E_,( 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 Nf
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).
LI 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.
Signa,t6re of Owner/Applicant
.l I 1
Print ame
Reviewer
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
C
'?; ( I7
Date '
Daytime phone number of Signatory
Date
,X/,) � L0/
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