HomeMy WebLinkAboutHO201800117 Application 2018-03-07FOR OFFICE USE ONLY �j � I (i HO #
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Application for
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Class A Dome Occupation Clearance
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e Occupation Class A Clearance = S27.00
Home Occupariorr, Class,4. 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: ftro-t�,T )-e✓c/ T�h
Type of Business: ��),�� �(ecj�a„AcbpscB✓hP�liCr
Tax map and parcel: C_5-7&,-L4 UU l
Zoning:
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Contact Person (Who should we call/write concerning this project?):
Address (3 y �/,An-;'3 na
City lir tcisy� jle State V/l Zip Z Z`20z
Daytime Phone Ly 3j� Zj� 6 Zc1 c'/ Fax
A
Owner of Record
Address b J 9 HCVA, j ,�6
Daytime Phone 63-9) $06 7 3V Fax 4 L_j
E-mail (`ea%l 6.)'7z6'�i�'1G (r3✓r�
City G"I It) ( I e-
State _ Zip C..ZCk)_Z
E-mail
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 REAI
AND UNDERSTAND THE RE UIREMENTS FOR THIS CLEARANCE
.CATION & 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)J
L�XTERIOR APPEARANCE
There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a
home occu ation. (Section 5.2 (c) 1))
ES
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
111112015 Page I J 2
FIC
�F
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))
�ARKIING
[SAll vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on -site.
ection 5.2 (f))
+� rr RFORMANCE STANDAR
DS
The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (k))
Does the use involve proceduresq machinery or chemicals that may cause the following?
NOISE YES NO
VIBRATION
GLARE l
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 froIm stafl).
PROHIBITED USES
The following uses are expressly prohibited as home occupations: (1) tourist lod in
schools; (4) day care centers; and (5) private schools. [Section 5.2 (h)) g g' (2) nursing homes; (3) nursery
WAIVERS AND MODIFICATIONS: The above standards are eligible for waiver or modification by the Plannin
Commission. Ask staff for more information about applicable fees and process. [Section 35 and Section 5.11 g
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 ify that I have read t ictions on Home Occupations, that I understand them, and that I will abide
by the
Signature of Owner/Annlicant —
Date
ENGINEER'S REPORT ATTACHED: YES
CONDITIONS:
VA Z-7D-6Z��
Daytime phone number of Signatory
/tK
Date
NO
Cv-
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 per
owner. if the application is not the
I certify that notice of the application, (-,e ( c eel-,.
w, cy t—
[Count), apphcaUon name and number]
was provided to ..� fn'�,�,,{,-� l �( �r �-�-,�
[name(s) of the record owners of the parcel] the owner of record of Tax Map
and Parcel Number --0 -7 / W t Z 01 Q 011 � QO
manner identified below. by delivering a copy of the application in the
Hand delivering a copy of the application to ��n H C { ��
person; if the owner of record is an entity, ident [Name
the recipient pient of the record and the recipient's
rd owner is a
title or office for that entity)
on
Date
Mailing a copy of the application to
[ame of the record
if the reco
owner is a p
if the owner of record is an entity, identify the recipient of er hen record and th recipient's titlesor
office for that entity]
on Date to the following address:
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
Signat of Applicant
Print Applicant Name
-5 G
Date