General Information
Tax ID#:
Zoning District:
Lot Size:
Home Occupation Site Address:
Property Owner’s Name:
Property Owner’s Mailing Address:
Applicant’s Name:
Applicant’s Mailing Address:
Proposed details
Type of building or structure: _________________________________________________________________________
Size of building or structure: _________________________________________________________________________
What is the proposed use? __________________________________________________________________________
What type of agriculture use is there on the property? ____________________________________________________
Type and Number of Livestock: _______________________________________________________________________
Electric: Yes No (If yes,) Utility: ______________Work Request Number: ____________
Plumbing: Yes No If yes, Restroom: Yes No
Explain Restroom Use: ______________________________________________________________________
Building drawing
Attach a building drawing with this application. The drawing needs to label the use and size of the
proposed building or structure.
Agriculture Exemption Application
Type of exemption requested
Check all numbered uses below that apply to this request
Chapter 2 Definitions: FARM BUILDING OR STRUCTURE.
A building or structure not used for residential purposes, located on property where farming operations take place,
and used primarily for any of the following uses or combination thereof:
Storage, handling, production, display, sampling or sale of agricultural, horticultural,
floricultural or silvicultural products produced in the farm.
Sheltering, raising, handling, processing or sale of agricultural animals or agricultural animal
Business or office uses relating to the farm operations.
Use of farm machinery or equipment or maintenance or storage of vehicles, machinery or
equipment on the farm.
Storage or use of supplies and materials used on the farm.
Implementation of best management practices associated with farm operations.
2015 Virginia Uniform Statewide Building Code:
Section 102 Purpose and Scope / Section 102.3 Exemptions. The following are exempt from this code:
9. Farm Buildings and structures, except for a building or portion of a building located on a farm that is operated as a
restaurant as defined in Section 35.1-1 of the Code of Virginia and licensed as such by the Virginia Board of Health
pursuant to Chapter 2 (Section 35.1-11 et. Seq.) of Title 35.1 of the Code of VA. However, farm buildings and structures
lying within a flood plain or in a mudslide-prone area shall be subject to flood-proofing regulations or mudslide
regulations, as applicable.
By signing below, I certify that I have read and understand this form, that all information provided is accurate, and
that this proposed structure will only be devoted to the operations of related farm business and for no other use. I
understand that to change the building use in the future, a permit shall be required along with Engineer Certification.
I further understand that a violation of the Uniform Statewide Building Code and/or the Code of Virginia is subject to
legal action.
Signature of Property Owner Printed Name Date
-------------------------------------------------------------------------------OFFICE USE ONLY BELOW-------------------------------------------------------------------------
( ) Approved ( ) Denied **Based on the information on this form and any other materials provided by the Applicant.**
Notes: ____________________________________________________________________________________________
Building Code Official: _________________________________________ Date: _____________________