HomeMy WebLinkAboutSpecial Home Occupation -Massage RECEIVE®
APR 18 2022
CITY OF AMES IA Application Form Last Updated:August 19,2020
DEPT.OF PLANNING AND HOUSING 1-�O�' 00 Yj
Special Home Occupation
(This form must be filled out completely before your application will be accepted)
1. Property Address for this Special Home Occupation: 15 0 2 caAo UE )'1 Pe . ]o)D/o
2. 1 (We) the undersigned do hereby respectfully request the Ames Zoning Board of
Adjustment to allow a "Special Home Occupation"at the property address listed above.
3. Legal Description (attach, if lengthy): _S WE D15 H IAA55/)QE I —
I S J 1S Ss okE
4. Property Owner: CHAO L I H00
Business: M A55 A
Address: ��� AVE Y},�e � �oD/0
(Street) )I (City) (State) (Zip)
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Telephone: � _ /U o 8
(Home) (Business) (Fax)
5. Applicant: I H a�G _
Business: A S S��
Address: ) !�Cl u(M N D A E y aS J_A �-00 0
(Street) Q q (City) p q Ce (State) (Zip)
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Telephone: O �J t''�}L�" / /�� U 3 �0 ` / /U o -
(Home) (Business) (Fax)
6. Contact Person: L I
Business: M AS 5 A Cq E_
Address: 1�0�/ Q 6)ND A e5 ]-A 5_6df 0
(Street) p ty(City) (State) (Zip)
Telephone: a3�`4)� -2 - g 9 I� U � 14� Q / (UQq,Q 0
(Home) (Business) (Fax)
E-mail address: h UQm — I Q hotmacl CDC
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Application Form Last Updated: August 19,2020
7. This application is for the following Special Home Occupation (Please check the appropriate
box.):
❑ Family day care home for the care of six or fewer preschool children and for the care of
five or fewer school age children. The care of school age children shall be limited to
before and after school care for less than two hours at a time. Or in the alternative, a
day care home for the care of six or fewer adults
® Physicians and other licensed medical practitioners
❑ Barbershops and beauty parlors
❑ Small repair shops (including small appliances, mower repair, blade sharpening and
similar uses)
❑ Real estate and related services
❑ Insurance agents
❑ Home professional offices, lawyers and members of similar professions
❑ All other activities not included on either the permitted or prohibited list
Please specify:
1. Please describe the proposed business, including the hours of operation.^^
AA 453
This Special Home Occupation will not be granted unless sufficient facts are
presented with the application and at the Zoning Board of Adjustment meeting to
support a finding that all the general and specific standards for granting a Special
Home Occupation have been met.
Obtaining this Special Home Occupation Permit does not absolve the applicant from
obtaining all other applicable permits, such as Building Permits, IDOT access permits, et
cetera.
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t '
Application Form Last Updated:August 19, 2020
I(We)certify that I()ve) have submitted all file required information to apply for a Special Home
Occupation Permit and that the information is factual.
Signed by: Date: 0 rO 2oil
Property Owner(s)
L1 HUAACg
Print Name
(Note: No other signature may be substituted for the Property Owner's Signature.)
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Application Form Last Updated:August 19, 2020
Special Home Occupation
Supporting Information
(This form must be filled out completely before your application will be accepted)
The Zoning Board of Adjustment can grant a Special Home Occupation only if all of the
following criteria are met. In order to facilitate review of this application for a Special Home
Occupation, the applicant must address each of the criteria set forth in Section 29.1304(3) of the
Zoning Ordinance, which are listed below.
(Note: The applicant's explanation of how the request meets each standard may be attached on
a separate sheet if sufficient space is not provided.)
1. Criteria for Special Home Occupations. The Zoning Board of Adjustment shall review
each application for the purpose of determining that all of the following criteria are met:
(a) Area to be Used.
(i) The activity shall be conducted in a manner that will not alter the normal residential
character of the premises or, in any way cause a nuisance to adjoining residents, or
shall there be any structural alteration to accommodate the occupation. There should
be no emission of smoke, dust, odor, fumes, glare, noises, vibration, electrical or
electronic disturbances detectable at the lot line that would exceed that normally
produced by a single residence. Special noise exceptions will be allowed for day-
care homes due to the nature of the clients using the facility. Please indicate any
changes that will be made to the premises and identify any problems that may
be detectable at the lot line.
Explain how the request meets this standard.
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Application Form Last Updated:August 19, 2020
(li) The activity shall be located within th cipal building or within an accessory
structure. It shall occupy no more tha 250o- f the total floor area of the residence
and shall not exceed 400 square feet of an accessory u� lease indicate the
total floor area of the residence, the floor area involved in the home
occupation, and whether the home occupation will occupy an accessory
building.
For family day care homes, the entire dwelling unit may be used to serve the various
needs of day care (e.g., kitchen, bathroom, napping rooms, play areas, etc.).
However, the day care can provide care to no more than one person per 35 square
feet of the total dwelling unit, exclusive of baths, hallways, closets, kitchens, and
dining areas. The dining area may be included in the square footage calculation if
used by day care participants for activities other than meals. Please indicate the
total area to be used for the family day care home that meets the above
criteria.
Explain how the request meets this standard.
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And utilized at the home occupation shall be limited to one flush-mounted sign
on the main residential structure, which shall not exr
oags_q uare foot in area.
Such sign shall not be lighted and nonrefle materials shall be use The legend
shall show only the name of the occupant and the type of occupation. Color shall be
`j consistent with the residential character. Please indicate the size, type, color, and
location of any sign.
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Explain how the request meets this standard. t e ro m. S
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Application Form Last Updated:August 19, 2020
(c) Equipment.
There shall be no mechanical equipment used except as customary for domestic
household purposes. Any merchandise or stock in trade sold, repaired, or displayed
shall be stored entirely within the residential structure or in any accessory building.
No storage is to be visible from lot lines. Please indicate the type of equipment to
be used.
Explain how the request meets this standard.
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(d) Employment.
The activity shall employ only members of the household residing in the dwelling
unless approval for the employment of up to two (2) non-family members is granted
by the Zoning Board of Adjustment. Please indicate who will be employed and
whether the employee resides in the dwelling.
Explain how the request meets this standard.
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Application Form Last Updated:August 19,2020
(e) Traffrc.
The activity shall not generate significantly greater traffic volumes than would
normally be expected in a residential area. of more than ten 10�vehiculwar visits
allowed er day shall be allowed. An exception to the number of vlloe per
ay may be permitted for family day care homes due to the number of children or
adults allowed on-site and the need for parent or caregiver contact during the day.
The delivery and pick up of materials or commodities to the premises by commercial
vehicles shall not interfere with the delivery of other services to the area.
Explain how the request meets this standard.
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( Parking Criteria.
(i) Only one delivery vehicle associated with the activity may be parked on the street
near the premises for not more than four(4) consecutive hours.
(ii) One additional on-site parking space is required above the normal parking
requirement where two (2) or more clients are likely to visit the premises
concurrently.
(iii) No more than four (4) client vehicles during any given hour shall be allowed on the
site. This requirement shall not be construed to prohibit occasional exceptions for
such events as meetings, conferences, demonstrations, or similar events that are in
no way a nuisance to adjoining residences.
Explain how the request meets this standard.
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Application Form Last Updated:August 19, 2020
(g) Class Size.
If the home occupation is the type in which classes are held or instructions given,
there shall be no more than four (4) students or pupils at any given time. The Board
may approve up to six (6) students if it finds that the additional students will not
generate additional traffic. Day-care homes may have up to six (6) children or adults
at a time. Additional children or adults will require a Special Use Permit for a day-
care center.
Exp in how th proposal ets these criteria.
(h) Number of Home Occupations.
The total number of home occupations within a dwelling unit is not limited, except
that the cumulative impact of all home occupations conducted within the dwelling unit
shall not be greater than the impact of one home occupation. This will be determined
by using the "Home Occupation Criteria".
Explain how the proposal meets these criteria. a's
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Application Form Last Updated:August 19, 2020
Special Home Occupation
Special Home Occupation Permit Site Plan Checklist
(This form must be filled out completely before your application will be accepted)
The applicant shall submit a Site Plan, drawn to scale, that clearly shows the property for
which a Special Home Occupation is being sought. The Site Plan shall be a reproducible,
black line drawing on a sheet of paper no larger than 11"x97". If the project for which the
Special Home Occupation is sought is a single-family or a two-family dwelling, or other
use exempt from the requirement for a "Site Development Plan", then the Site Plan shall
include, at a minimum, the following information:
Dimensioned property lines
Abutting streets and alleys
�?ILocation and size of all existing and proposed buildings and structures (include distances to
all property lines and distances between buildings and structures)
❑ Required setbacks
❑ Driveways and parking areas, fully-dimensioned
❑ Other pertinent information necessary to fully understand the need for a Special Home
Occupation Permit (e.g: significant change in topography, location and size of mature trees,
etc.)
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Application Form Last updated:August 19, 2020
Special Horne Occupation
Permission to Place a "Zoning Action Pending"
Sign on Private Property
(This form must be filled out completely before your application will be accepted) .
Section 29.1500(2)(d)(iii) of the Zoning Ordinance, requires that notice shall be posted by the
City on the subject property. One notice sign shall be posted for each property. Required
signs shall be posted along the perimeter of the subject property in locations that are highly
visible from adjacent public streets prior to the public hearing.
The owner of property at UA c4 M M GH N&� hereby grants the City of Ames
permission to place "Zoning Action Pending"signs on the property for the purpose of informing
interested persons of the request for action by the City of Ames.
I understand that the signs will be placed on the property several days prior to action on the request by
the Planning and Zoning Commission, Zoning Board ofAdjustment, or the City Council, and may remain
on the property until the request has been approved or denied by the City.
Signed by:J -" Ak Cl J L Date: 0ME 6C,12,
Property Owner
_kwAwi MM CHANT LZ HuAN.�
Print Name
(Note: No other signature may be substituted for the Property owner's Signature)
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Application Form Last Updated:August 19, 2020
Adjoining Property Owner Statement
(Completion of this form by the applicant is optional)
To Whom It May Concern:
We, the undersigned, own property adjoining Ames, Iowa.
It is our understanding that has filed an
appeal with the Zoning Board of Adjustment to allow
As adjoining property owners, we would have no objections to the issuance of this building
permit for the purposes stated above.
NAME ADDRESS DATE
13
Protecting and Improving
the Health of Iowans
IDPH
of PUBLIC HEALTH Kelly Garcia Interim Director Kim Reynolds.Goverrmr Adam Gregg.Lt.Governor
LI HUANG
1509 GRAND AVE
AMES IA 50010
Dear Li Huang,
Congratulations! The Board of Massage Therapy is pleased to announce that you are now entitled to receive an
Iowa massage therapist license.
Your new license wallet card is below.Verify the information printed on the front of the cards is correct.If errors
are found contact the office immediately. Pursuant to the board's rules you are required to publicly display the
wall hanging license certificate and the card in a conspicuous place in your primary place of practice.
Continuing education requirements are available on the bureau's website. Select the board name from the list on
the left side of the screen.Select Laws and Rules from the list on the left side of the screen.Click on the
continuing education chapter.
Board of Massage Therapy
IDPHBureau of Professional Licensure
5th Floor,Lucas State Office Building
321 E. 12th St.
Des Moines,IA 50319
Email:PLPublic@idph.iowa.gov
Phone:(515)281-0254
Fax:(515)281-3121
Bureau Website:www.idph.iowa.gov/licensure
Online Licensure Services:https://amanda-portal.idph.state.ia.us/ibpl/portaY
. ................................................................................ ...........:............................................................................
The person whose name appears on this document has complied with the
$tatE of Iowa provisions of the Iowa Statutes and holds the license specified on the
* • front of this card.To verify the current status of this license,use`Find a
Licensee'at httpsJ/amanda-portal.idph.state.ia.usribpl/portaV
*+ s ag aera w*
* g ; • * IAC requires this document be displayed along with the original license
t * certificate.If you are unable to access a printer,you must be able to
i ♦ ; produce this document upon request.
i ua * IAC 645 4.4 requires licensees to notify the Board of an update of contact
t rs s@ um�er: t22 information or a name change within 30 days of a change.Please submit
Effec ' A ,20 p ' 4 2024 corrected contact information via Online Services at h s://amanda-
Est*dB 1881 portal.idph.state.ia.us/ibpUportall.Name change documents and
eaI of Pabb��e instructions can be found on the Board's website at
www.idph.iowa.gov/LicensureiName-Change-Request-Form
...................................................................................:.......................................................................................:
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State Oflowa
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= Boardof.Massage Therapy
�Le �uthorizes and Licenses
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a� Li Yfuang, L. W. T
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License
License No: 106229 Issue Date:ApriC07, 2022
The Board of Wassage Therapy hereby authorizes this person to practice as a licensed massage therapist pursuant to the
provisions of Iowa Code Chapter.1.52C and the rules promuCgated thereunder:
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Steven Y. Garrison, Bureau Chief xelCy Garcia G'
(ProfessionaCLicensure Director
Board of Massage Therapy Iowa Department of Buftic Ifealth
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CITY OF
A m e s"
515 Clark Avenue,P.O.Box 811,Ames,IA 50010 www.CityOfAmes.org
BILLING CONTACT
LIHUANG
LUCKY MASSAGE wl
Ar7lG'S`
1509 Grand Ave
Ames, la 50010
Reference Number Fee Name Transaction Type Payment Method Amount Paid
HOC-001459-2022 Home Occupation-Special Fee Payment Cash $100.00
SUB TOTAL $100.00
TOTAL $100.00
April 18,2022 12:04 pm Page 1 of 1
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Parcel ID 0534479040 Alternate ID 0534479040 OwnerAddress CHANG,KUANG MAN
Sec1Twp/Rng 34-84-24 Class R-Residential 1509GRANDAVE
Property Address 1509 GRAND AVE Acreage n/a AMES,IA50010-5350
AMES
District 01001-AMES C1TY/AMES SCH
Brief Tax Description TODDSISTADD BLOCK I LOT-IAMES
(Note:Not to be used on legal documents)