HomeMy WebLinkAboutHO201700249 Application 2017-06-01FOR OFFICE USE ONLY HO # 2 D v Z `j �r
Fee Amount $i7-7— Date Paid ` 1 / ?By who? 2+.� s� Receipt # IG U U Ck# Chi By:
Application for
-
Class A Home Occupation Clearance
❑ Home Occupation Class A Clearance = 827.00
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: J -( W�
Tax map and parcel: Zoning:
Contact Person (Who should we call/write concerning this project?):
Address 1 y j (& _XW City
Daytime Phone (� " 1 'D-0qgFax # �)
Owner of Record
Address
Daytime Phone ( )
Fax#�)
City
�J
e �i' StateZip � 2—
E-mail ✓1 Y]1 C7 t!►7G r b C6 r1l.,
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
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 e gross floor area used for the home occupation shall not exceed one thousand five hundred (1500) square feet.
rEXTERIOR
tion 5.2 (b)1)]
APPEARANCE
There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a
me 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
I1/]/2015 Page I oft
0VTR FFIC
raffic generated by a home occupation shall not exceed the volume that would normally be expected by a
dwe in g 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.
[Sec ion 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 p roced u res, 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
ASEPTIC FIELD OR SEWER
If.YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff).
Ltd 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)]
W A I V E RS A N D 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.
D6 I / 20 (7 7
( l
ature of �Owner/AWeant Date
Print m
Re ewer
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
Daytime p ne nu ber of Signatory
Date
11/1/2015 Page 2 of2