HomeMy WebLinkAboutHO201700198 Application 2017-04-21FOR OFFICE USE O\'LY HO # r ` oU (QSi /
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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.
tiame of Business: Sim a l„ - 1/4 _ L G C-
Type of Business: gie_zq",/ ���' �,o,..� o��r
Tau map and parcel• 0`/(iA0- 00 - 0E-0z1oo Zoning: ,22
Contact Person (who should we call/wite concerning this project?):
Address City "1,4-Ir..V„r'//1 State V-4 Zip Z Z90 /
DaytimePhonn/e(iFax#E-mail
Own er of Record (j<.� � 41 a ho✓c1
Address
Daytime Phone (_)
Fax # L__ )
City
E -mai l
State Zip
This certificate, in conjunction with a business license, represents toning approval to conduct the Class A Home Occupation
identified above. Each home occupation is subject to the folloNving:
PLEASE CHECK EACH BOX SO 'I'HA'I' IT 1S CLEAR UU4' YOU HAVE READ
AN Ul I)EKS I A1Vll I HE KEVU1RE-MUN I S I+UK 1141S (LEAF,11NUE
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)]
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)]
,I'SI 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 r of)
(,TRAFFIC
The traffic generated by a home occupation shall not exceed the volume that would tionnal ly be expected by a
dwelling unit in a residential neighborhood [Section 5.2 (e)]
4PARKIING
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 proceaureSq machinery or cnemica1S that may cause the following?
NOISE
VIBRATION
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
NON-DONIESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER
YES_
NO
X
X
h
X
X
h
X
X
X
If YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff).
t,.,d 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
-4,1-
Signature Owner/Applicant
Print N e
ZY, a /, 0
Rle<ewer
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
0 Pt) ce--
M eo,
4,/7•/-7
Date
61-g eo p2-r- � /D
Daytime phone number of Signatory
Date
1111,20i5 Page 2 of2
STATE CORPORATION COMMISSION
Richmond, January 7, 2016
This is to certify that the certificate of organization of
Simply -VA, LLC
was this day issued and admitted to record in this office and that
the said Limited liability company is authorized to transact its
business subject to all Virginia Caws applicable to the company
and its business. Effective date: January 7, 2016
OV4010/y
r
� N
1903
CISECOM
State Corporation Commission
Attest:
tc"kOfe Commission