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HomeMy WebLinkAboutHO201700186 Application 2017-04-149 FOR OFFICE USE ONLY HO # Fee Amount $r�y; 1 � Date Paid'�'►,�'1 1 By who? Receipt # �Ck# 4 _ By:_ JJ' Application for V Ji Class A Home Occupation Clearance m:a ❑ 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: T 1 iGI S LL - I CG Tax map and parcel: ��� � i — �66C l; Zoning: Contact Person (Who should we call/write concerning this project?): A I cz Fe S (_-�/[--1 Address ' 9 71 C� / \ '-e--City State _ �' Zip2- Daytime Phone ( _' 9 0 `4 % — —la 11 Fax # �_) E-mail Owner of Record Address Daytime Phone (_) 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: PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ AND UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE E3 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)] O 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)] l:� 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/l/2015 Page 1 of2 Eff 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)] 11J 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)] 13 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 V 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 5.11 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 Signature of Owner/Applicant Date _A� ku P , PIC SCE Print Name Reviewer ENGINEER'S REPORT ATTACHED: YES NO CONDITIONS: �34 -aq(i - /44) Daytime phone number of Signatory 0�z/z 617 Date 11/1/2015 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) if the application is not the owner. I certify that noti was provided to [name(s) of application, [County application name and number] the owner of record of Tax Map record owners of the parcel] and Parcel Number by del manner identified below: Hand delivering a copy of the al person; if the owner of record is title or office for that entity] on Date Mailing a copy of the application to if the owner of record is an entity, is office for that entity] on Date [address; written notice the current real estate tE this requirement]. ig a copy of the application in the on to [Name o the record owner if the record owner is a ty, identify tbe recipient of the record and the recipient's ie of the record owner if the record owner is a person; the reci ient of the record and the recipient's title or to the following to the owner at the last known a dress of the owner as shown on ;merit books or current real estate x assessment records satisfies Signature of Applicant Alice M APesc 1A- Print/Applicant Name Date FOR OFFICE USE ONLY t1 J� HO # Fee Amount $� /W Date Paid'T`lcl-i7 By who? Receipt # 1k6 Ck#b'�� By:/� Application for�_,� 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: 1Cin �f cr, du147—e44 c U vl 00 Tax map and parcel:(k -00 -69 ~ l Jp Zoning: Contact Person (Who should we call/write concerning this project?): 13VlM a141 AU VG 59! LC" - Address ���2 / ly Z10 yz 0 City (�4A �,A t (g State _i/a__ Zip Daytime Phone L%i'� qO4 FqF �! Fax # �`?) E-mail (" A Owner of Record Address 2 6 1U /J� all y? Y7 City — V t _ State Zipr� Daytime Phone i( ei� 57 Fax # (Z , 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)] E 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)] IDI'S'ALES 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 I of2 G '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 (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 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). 11 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 re restrictions on Home Occupations, that I understand them, and that I will abide by them. ure Owner/App icant Date Print Name Reviewer ENGINEER'S REPORT ATTACHED: YES NO CONDITIONS: ❑/ Daytime phones e number of Signatory Date I1/1/2015 Page2of2