HOME BUSINESS PERMIT APPLICATION

Transcription

1 Project #: Received by: HOME BUSINESS PERMIT APPLICATION ANY PERSON DESIRING TO CONDUCT A HOME BUSINESS IN A RESIDENTIAL DISTRICT SHALL FIRST APPLY TO THE FOR A PERMIT, SUCH APPLICATION SHALL INCLUDE, BUT NOT BY WAY OF LIMITATION, THE FOLLOWING INFORMATION: 1. NAME OF APPLICANT. 2. LOCATION OF RESIDENCE WHEREIN THE HOME BUSINESS, IF APPROVED WILL BE CONDUCTED. 3. TOTAL FLOOR AREA OF THE FIRST FLOOR OF THE RESIDENCE. 4. AREA OF THE ROOMS TO BE UTILIZED IN THE CONDUCT OF THE HOME BUSINESS. 5. A SKETCH SHOWING THE FLOOR PLAN AND THE AREA TO BE UTILIZED FOR THE CONDUCT OF THE HOME BUSINESS. 6. THE NATURE OF THE HOME BUSINESS SOUGHT TO BE APPROVED. *****PLEASE READ EACH OF THE FOLLOWING STATEMENTS LISTED BELOW AND INITIAL ON THE LINE PROVIDED SIGNIFYING THAT YOU HAVE READ THE STATEMENTS AND ARE IN AGREEMENT. SIGNS THERE SHALL BE NO DISPLAY OF GOODS OR ADVERTISING VISIBLE FROM THE STREET. A NON- ILLUMINATED NAME PLATE, NOT TO EXCEED ONE (1) SQUARE FOOT AREA, MAY BE DISPLAYED; PROVIDED THAT THE SAME IS AFFIXED FLAT AGAINST THE EXTERIOR SURFACE AT A POSITION NOT MORE THAN TWO (2) FEET DISTANCE FROM THE MAIN ENTRANCE TO THE RESIDENCE. MAXIMUM AREA OF USE NO HOME BUSINESS SHALL OCCUPY MORE THAN 20 PERCENT OF THE FIRST FLOOR AREA OF THE RESIDENCE, EXCLUSIVE OF THE AREA OF ANY OPEN PORCH OR ATTACHED GARAGE OR SIMILAR SPACE NOT SUITED OR INTENDED FOR OCCUPANCY AS LIVING QUARTERS. NO HOME BUSINESS SHALL BE CONDUCTED IN AN ACCESSORY BUILDING BUT MUST BE CONDUCTED IN THE RESIDENCE OF THE PROPRIETOR LIMITED EQUIPMENT NO ELECTRIC MOTOR HAVING GREATER THAN 2 ½ HORSEPOWER SHALL BE USED IN THE CONDUCT OF ANY HOME BUSINESS AND THE TOTAL COMBINED RATINGS OF SUCH PERMITTED ELECTRIC MOTORS SHALL NOT EXCEED TEN HORSEPOWER. ALL MOTORS AND EQUIPMENT USED IN THE CONDUCT OF ANY HOME BUSINESS SHALL BE SHIELDED SO AS NOT TO CAUSE RADIO OR TELEVISION INTERFERENCE. LIMITED USE ONLY MEMBERS OF THE IMMEDIATE FAMILY LIVING IN THE RESIDENCE SHALL BE PERMITTED TO WORK AT THE HOME BUSINESS. THE FOLLOWING SHALL NOT BE CONSIDERED HOME BUSINESSES: BEAUTY SHOPS, BARBERSHOPS, PUBLIC DINING FACILITIES, ANTIQUE OR GIFT SHOPS, PHOTOGRAPHIC STUDIOS, FORTUNETELLING, OUTDOOR REPAIR, RETAIL SALES OR NURSERY SCHOOLS CARING FOR MORE THAN FIVE CHILDREN OTHER THAN CHILDREN RELATED BY MARRIAGE, BLOOD OR ADOPTION. CHEMICALS NO USE MAY BE CONDUCTED ENTAILING THE USE OF CHEMICALS OR MATTER OF ENERGY THAT MAY CAUSE OR CAUSE TO BE CREATED OBJECTIONABLE NOISE, NOXIOUS ODORS OR HAZARDS DANGEROUS TO THE PUBLIC HEALTH, SAFETY OR WELFARE.

2 Project #: Received by: DEVELOPMENT SERVICES PERMIT FOR HOME BUSINESSES $50.00 PARCEL NUMBER: ADDRESS OF PROPERTY: TYPE OF REQUEST: LIST TYPE OF WORK BEING DONE: (City may require the submittal of additional information, e.g. deed, site drawing) PROPERTY OWNER INFORMATION NAME: ADDRESS: CONTACT INFORMATION (if different from owner) NAME: ADDRESS: PHONE: FAX: PHONE: FAX: By filing an application with the City, the property owner acknowledges and consents to allow City of Belleview staff or representative permission to access the subject property at any time during the time period of the permit until the permit is closed with a passed final inspection. Owner s Affidavit: I certify that the foregoing information is accurate and that all work will be done in accordance with all applicable municipal ordinances and all applicable state and federal laws. Owner Signature: Date: REMINDER: A Site Inspection will be performed. FOR OFFICE USE ONLY Permit Expiration This permit expires one (1) year from the date it is issued unless otherwise noted below or governed by law. Permits must be renewed annually. Permit Issued By: Date: Development Services Staff/Title:

3 Permit #: Received by: FLOOR PLAN Business space must be inside the residence or attached garage. It cannot be in a detached building. Location: Dimensions: SQFT: (ex. garage, spare bedroom, living room) ALL CHANGES MUST BE APPROVED BY THE Floor plan submitted by: Signature of Applicant Note: Signature indicates that you are certifying the information provided on this floor plan is true and accurate.

4 HOME BUSINESS TAX APPLICATION IT IS THE PURPOSE OF THIS APPLICATION TO PROVIDE FOR THE ORDERLY USE OF RESIDENTIAL PREMISES FOR CERTAIN CUSTOMARY HOME OCCUPATIONS WHERE ALLOWED. IT IS FURTHER THE PURPOSE TO ASSURE THAT NONE OF THE RESIDENTIAL AMBIANCE OF A NEIGHBORHOOD IS MODIFIED OR IN ANY WAY DIMINISHED BY THE PRESENCE OF SAID HOME BUSINESS. DEFINITION OF HOME BUSINESS: A BUSINESS OR ACTIVITY WHICH MAY BE COMPATIBLE CONDUCTED AND MAINTAINED WITHIN A DWELLING UNIT. SUCH ACTIVITY SHALL BE INCIDENTAL TO THE PRINCIPAL RESIDENTIAL USE OF THE PREMISES. HAS THE OWNER OF THE PROPERTY OR HIS AGENT APPLIED FOR A HOME BUSINESS TAX REGARDING THE SUBJECT PROPERTY WITHIN THE PAST YEAR? YES NO APPLICANT S NAME(S) BUSINESS NAME PHYSICAL ADDRESS MAILING ADDRESS HOME TELEPHONE # BUSINESS NUMBER DESCRIPTION OF SUBJECT PROPERTY Project #: Received by: IS YOUR HOME: OWNED ( ) LEASED ( ) CONTRACT TO PURCHASE ( ) OTHER ****IF RENTAL OR LEASE: APPLICANT MUST PROVIDE NOTARIZED AUTHORIZATION FROM PROPERTY OWNER. TOTAL FLOOR AREA OF FIRST FLOOR TOTAL FLOOR AREA USED FOR BUSINESS DESK / COMPUTER ONLY YES NO PRESENT ZONING OF PROPERTY PLEASE DESCRIBE IN DETAIL WHAT TYPE OF ACTIVITIES AND TASKS WILL TAKE PLACE IN THE DESIGNATED BUSINESS SPACE. PLEASE STATE IF CUSTOMERS WILL BE COMING TO THE RESIDENCE FOR SERVICES:

5 EMERGENCY NAME, ADDRESS & TELEPHONE 1.) 2.) BUSINESS INFORMATION: DATE BUSINESS WILL START: ADDITIONAL REQUIREMENTS: (ATTACH COPIES OF ANY STATE OR COUNTY LICENSE HELD) ELIGIBLE FOR EXEMPTION YES NO REASON STATE CERTIFICATION # EXPIRATION STATE REGISTRATION # EXPIRATION STATE EXEMPTION CERTIFICATE # HEALTH DEPARTMENT CERTIFICATE # THE UNDERSIGNED DOES HEREBY REQUEST THAT A BUSINESS TAX RECEIPT BE ISSUED ON THE BASIS OF THE ABOVE INFORMATION WITH THE UNDERSTANDING THAT ALL OF THE CITY OF BELLEVIEW ORDINANCES SHALL BE COMPLIED WITH WHETHER SPECIFIED OR NOT. ALL INFORMATION SUPPLIED SHALL BECOME PUBLIC RECORD, UNLESS OTHERWISE RESTRICTED BY STATE OR FEDERAL LAW! DRIVERS LICENSE NUMBER DATE OF BIRTH I SWEAR OR AFFIRM THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE: SIGNATURE OF OWNER/APPLICANT: DATE SIGNED: TITLE: