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ATL201700016 Application 2018-02-23
APPROVED A 11Cation forr'epartmen «'pry Accessory Tourist Lodging~°`� ❑ Tourist Lodging fee = $108 ❑ Tourist Lodging Regulations Checklist. ❑Certification that notice of this application has been provided to the property owner, if owner is different from applicant. A Tourist Lodging is a use within a residential zoning district composed of transient lodging provided within a single family dwelling having not more than five (5) guest rooms, located where the single family dwelling is actually used as such and the guest rooms are secondary to the single-family use, whether or not the guest rooms are used in conjunction with other portions of the dwelline. Project Name: Parcel ID Number: C 1 Zoning: n c7 I ik- i� Y1,1 1 Ck. f Physical Street Address: Contact (who should we contact about this project)./"'I �v;tan Street Address✓-�%77Ci kol1 / /\Q city C�d r ( _5V�' `f State VA Zip Code 22 1 d Phone Number ���/t�(O ��7Z>Q Email!/ amaokVle6 Owner of Record W1 l 11 Street Address �5���IL/ *Ae/� 1& J / / 1-/ �/0 ' / VA Q zZ/,n City Chair//�W/P,S Sttaate Zip Code Phone Number `1 _� J 7 Z�CJ Email Z/ %/ ; % {zJ�S »e- �1 / / -6L• ('6�►Y►4 rcJ.. Gb 55QiYIno»@ GOY►'r c45 . ►'i�e-T Applicant �if�i �1i _ &56, ryto h J31C �QY4"/2 � Street Add (_ ldress City h&f l ��, ►' r e.- State V� q 'Zip Cod2-2 (e 8 _ Phone Number Z13y c► 6to 59O o Email iaa y r]iNPS� ( 5`I ne4— Owner/Applicant Must Read and Sign I hereby certify that the information provided on this application and accompanying information is accurate, true and correct to the best of my knowledge and belief. Signature of Owner, Agent Date Uf/i1 ham �2� Y►�Dr� 6 m�— 066--�Jom � i I — Print Name Da ime hone nufnber f Signatory yt p g y County of Albemarle Department of Community Development 401 McIntire Road Cbariotiesrille, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 REVISED 11/02/2015Page 1 of 2 TOURIST LODGING REGULATIONS CHECKLIST (ZONING ORDINANCE SECTIONS 5.1.17 & 31.5) Each tourist lodging shall be subject to the following: tad SKETCH REQUIREMENTS A sketch plan of the site must be provided with requested items shown: how the location of the dwelling unit used for the Tourist Lodging in relation to the property lines. how the location of parking spaces to he used for the dwelling and the Tourist Lodging. how the location of the access (ex. The driveway) to be used for the Tourist Lodging. IL�Y/Show the location, height, and lumens of any existing or proposed lighting to be used for the Tourist Lodging. ,�, ,how the location of any signs to be used for the Tourist Lodging. Provide a floor plan of the single family dwelling proposed for the Tourist Lodging. XResidency. The single family dwelling unit used for the tourist lodging will be occupied by a resident of that same dwelling. ❑ Number guest rooms. The Tourist Lodging may have up to five (5) guest rooms within the single family dwelling. How many guest rooms will the Tourist Lodging have? P<1 , 2 El 1:14 or 05 Parking. In addition to the parking required for a single family dwelling, the number of off-street parking spaces required by section 4.12.6 shall be provided. (SEE SKETCH REQUIREMENTS) # of single family dwellings on the parcel _ X 2 =_ # of guest rooms on the parcel _ X 1 = _. 1 otal number of parking spaces required for this Tourist Lodging Building code, fire and health approvals. Before the zoning administrator approves a zoning clearance for a tourist lodging use under section 31.5, the owner of the parcel shall obtain approvals of the use from the building official, the fire official and the Virginia Department of Health. L✓J Atta� ch Building Official approval of the use 0(9� q vm" N141<41 At ch Fire Official approval of the use I �qal I ) -I- L Attach Virginia Department of Health approval of the use Fj % 1 6 APPROVAL INFORMATION [ pproved as proposed [ ] Approved with conditions l ] Denied Conditions i�j l LA Zoning Official Date d FOR OFFICE USE ON Y 1 ATL # —1 co Fee Amount $ Date Paid 1 _ lay who? I am_ J•�="Rec ipt # L'�_I _G_Ck#—JJJ_ By.,�S r/ f j, , t j; Accessory Tourist Lodging REVISED 11/02/2015 Page 2 of 2 \- �� _ �) � Owner: — d—)Contractor: � pf AL J2 a O r COUNTY OF ALBEMARLE DEPARTMENT OF INSPECTIONS 296-5832 Date: Bldg. Permit No. Permit No.: Time: _—Type of Inspection`c�c7—����12� Approved O Rejected COMMENTS: Inspector Bv: L OT 13A A. J. 5 C. VICT019IA OESIASI D. S. 547 Pg 104 i N13 *06' 00"W OX 217.33' oN Z 114.6' . 0 Ul M Om UtO �r V w I w -b 600O�i / O �I :z: a m_ N m - � J( h m = r Paved Drivewa _ Qj Q z � - � tvA y - n S13'06'00"E o ow LOT 1,5 I I z WIZ-L IAM Z . 6' JOSEPHINE T. + o SICKL EY N O. S. 1433 Pg 741 H rt D.g�RD r0 3� Ii 0 i From: Campuo|, s|uouem(vo*) sxza�ann�Camno*|@,wmm,gm��m Subject: RE: uand bapplication information DateDecember 15,omrat 10o*mw To: n000mmYCoxoo|mon e*00000/mon,4)nommstnet You will not need a permit from the Virginia Department of Health in this situation. |fyou have questions orneed further information let noeknow. Thank you, E'Arcber Cammbell,REHS Environmental Health Technical Consultant Food Program Thomas Jefferson Health District l830Rose Hill Drive Charlottesville, NIA 22902 Phone: 434-972-0256 From: Rosemary Cosse|mon[maiho:rosemary.cosse|mon@comcast.npM Sent: Thursday, December 14`IOl7l:35PK4 To: Campbell, Elizabeth (VOH)<8izabethAIamnpbeU@vdh.virginia.gmv> Subject: b and b application information B and B information for application Address: 25/5Northfield Rd. Charlottesville, VA 22901 Nofood will beserved We are renting toonly | party ututime. Thank you for your assistance. Rosemary CossJmon NO FA M UNJEW ALSEMAIZLE L'©'UN7y IvVWW ArHreReSrUe.vrg Fire Prevention Application Inspection Assigned To AYERS, Joey on 12/21/2017 Fee $0.00 Relnspection Date: Start Date: 12/21/2017 9:20:OOAM Finish Date: 12/21/2017 9:40:OOAM Business Name: Cosselmon, Rose Occupancy ID: 22588 Address: 2515 Northfield RD Station No.: Seminole Trail City/State/Zip: Charlottesville, VA 22901 Phone: (434)906-8636 Violations Date Found Date Cleared LOCAL No Findings 12/21/2017 12/21/2017 Standard: Recipient Signature Recipient: William Cosselmon Inspector Jeff Conner STATEMENT OF RESPONSIBILITY I hereby acknowledge that the information contained herein, and declare that it be true and correct to the best of my knowledge and belief. Further, I am the ownerloperator, or a duly authorized agent, acting on behalf of the owner, for all activities at the above mentioned property or location. As such, I hereby agree to comply fully with all the requirements in the Albemarle County Fire Prevention Code governing the operation I wish to conduct. If there has been any false statement or misrepresentation as to the material fact in this application, data, or plans on which the permit or approval was based, the Fire Marshall may revoke this permit. Page:1 e .. �- - '�, -. . . :. ,. � ---�----- -- - .. __ :. a . __--. ___..�_ �.__.. _. _.�_ _.Y,._._._.____._ _._....____ _.. __.__._��._ Ii d � _ ___�_ _. __.. . �---..:r� r^ �- �,j�....� � . _.._ . _ _ ___ _. _. —�- m , T oab Ow LN i in LP Cl>