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