HomeMy WebLinkAboutHO201800158 Application 2018-04-04FOR OFFICE USE ONLY [
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Fee Amount $ Date Pal p� By whop
Receipt # Cktl
Application for
JI 7<
Class A Dome Occupation Clearance ^ j
❑ Home Occu anon Class AClearance = $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:
Tax map and parcel:
Contact Person (Who should we call/write concerning this project?):
Address P(Dl ( C ( lr Or Cit3' 1 � ,L"�
_ k'1f f �Q �E� �� State 1 n zip �-.�t L l
Daytime Phone t_j
Owner of Record
Address
Fax # C_)
City
E-mail
Daytime Phone (_)
Fax # (—)— 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:
SE
CHECK EACH BOX SO THAT IT IS CLEAR
THAT
YOl
AND
UNDERSTAND THE REOUIREMENTS FOR
THIS
CLE
Q-60CATION & AREA -8- l L) yf6 cQ 10 kGyr"&'
The home occupation shall be conducted entirely within the dwelling unit
, providd that not more n twenty-five
(25) percent of the gross floor area of the dwelling unit shall be used for the homeOccupation 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)]
UA EXTERIOR APPEARANCE
There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a
ho e 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-crafled 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 1 of 2
Lv 1 RAFFIC
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)]
12 PARKING
All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on -site.
] coon 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?
NOISE
VIBRATION
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
NON -DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER
YES NO
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. l a o certify tha ave read the restrictions on Home Occupations, that I understand them, and that I will abide
by the
Signature of Ow r y r
Date
Pant Name Daytime phone number of Signatory
Reviewer Date
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
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max commet( (aI vekicle/ti61 0y)
111112015 Page 2 c 2
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 notice of the application,��
[County application name and number]
was provided to �' � uL (�
[ten
[name(s) of the record owners of the parcel] the owner of record of Tax Map
and Parcel Number
manner identified below:
Hand delivering a copy of the application to
by delivering a copy of the application in the
ame of the recoM ow�ner if
person; if the owner of record is an entity, identify ify the recipient d
of the record and therecipient's
title or office for that entity]
on
Date
% Mailing a copy of the application to
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on f to the following address:
Date
[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 �sessment records satisfies
this requirement]. //
Signature
Print Ap licant Name
D e
4/2/2018
Payments
Your Payment
Was Submitted
Transaction ID: 3656836834201183P
Transaction 04/02/201810:58
Time: AM
Total Paid: $28.00
We will receive notification of your online payment at the time that it is made and
we will credit your payment as of that day. However, you will not see the payment
on your account for approximately 48-72 hours due to the time that it takes to get
those funds into our bank account.
Item Amount
Website Payment $27.00
Item Number: 11406444
Type: Community Development VSMP
Notes:201800158
Transaction Fee $1.00
Total $28.00
https://www.aIbemariecountytaxes.org/payments/defauIt.aspx 1/1