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Home My WebLink AboutLicense - Massage Establishment New - Soul Fire Yoga LLC1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAx 574/235-9171 CITY OF SOUTH BEND TAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS November 22, 2022 Ms. Alyssa Rios Soul Fire Yoga LLC 903 Wheatly Dr. South Bend, IN 46614 soulfireyogasb(a,gmail. com RE: Approval — License Application for New Massage Establishment Dear Ms. Rios: At its November 22, 2022 meeting, the Board of Public Works approved your request for the New Massage Establishment at 2314 E. Mishawaka Ave., South Bend, IN 46615. If you have any further questions, please call this office at (574) 235-9251. Sincerely, /s/ Theresa Heffner Theresa Heffner, Clerk Enclosures TH/lh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT JORDAN V. GATHERS MURRAY L. MILLER For all municipal business license questions, contact: City of South Bend 9 Department of Community Investment 227 West Jefferson Blvd • Suite 1400 5 •South Bend, Indiana46601-574-235.5922 • F.574.235,9021 -T�e.C. I 0 co 15'10 LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT MUNICIPAL CODE SECTION - 4-35 I. APPLICATION TYPE Check One: 11. BUSINESS DATA New X Renewal A. Business Name: Soul Fire Yoga LLC B. Business Address: 2314 E. Mishawaka Ave City.. South Bend State: IN Zip. 46615 C. Mailing Address (If different from above): 903 Wheatly Drive City. South Bend State: IN Zip; 46614 D. Business Telephone Number: 5748503704 E. Business Fax Number: F. E-Mail Address: soulfireyogasb@gmall.com G. Zoning of Business Location: H. Have you ever had a Massage Establishment license, or similar license, suspended or revoked by any governing municipality within three (3) years prior to the date of thisapplication: YES NO X 1. If yes, what was the reason: 2. If yes, what was the business occupation following the suspension revocation: I. Describe the nature and scope of the business: Yoga Studio, Teacher led classes utizling breath and movement. Heated and non -heated classes, meditation, and wellness. For Office Use Only OCT 4 6 7027 Application Filed ublic Safety Approval Application Fee Paid 7 l ieense Fee paid Sent to Dept. oci A 6 IA22 License Number -Fire. _�nini� Not Approved J Reason CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS tjA�14 1Z111_ 77Z Elizabeth A. Maradik, President Joseph R. Molnar, Vice President d �•y � /y r �y 1n q y^�y f r r a4 C_5 40- �'�.�(�+}+ I l L1xl �' 7 1 1 'G t Gary A. Gilt, Member �IfJ 4 1 1 whS Sin} +P Vi�uin� aef4 Murray L. Millet' Member Jordan V. Gathers, Member „%/ Attest: Theresa M. Heffner, Clerk Date: November 22, 2022 Fa all munMod business license questlons, contact: ❑W of $own Bend • Department of Community Investment 227 West Jefferson Bhd • Suite 1400 S -South Bend, Indiana 46601 • 574.235.5912 • F: 574.235.9021 LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT MUNICIPAL CODE SECTION - 4-35 III. OWNERSHIP A. Type of ownership (check one): ■ .Sole Proprietorship (If sole proprietorship, proceed to 1). Partnership (If partnership, proceed to2). Corporation (If corporation, proceed to 3). 1. Sole Proprietor Name:AlySS2 RIGS Residential Address: - city -South Bend state -IN Zip, 46614 2. Partnership (List at least two (2) partners) Name#1: Residential Address: City: State: Zip: Name #2: Residential Address: City: State: Zip: 3. Corporation Legal name of corporation: Date and state of incorporation: List officers and directors who own 15%or more of stock: Name #1: Title: Business Address: City: State: Zip: Residential Address: City: State: Zip: Name#2: Title: Business Address: City: State: Zlp: Residential Address: City: State: Zip: 2 For all municipal business license questions, comatL City of South Bend • Department Of Common" Investment 227 Wert Jefferson Blvd • Suite 1400 S -South Bend, Indiana 4=1.574.285.5912 • F: S74.2a5.9021 LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT MUNICIPAL CODE SECTION -4-35 III.OWNERSHIP (Continued) 3. Corporation (Continued) Name #3: Business Address: Residential Address: City: State: Zip: IV. PERSONAL DATA A. Applicant's Legal Name: Alyssa Rios B. Residential Address: - City:South Bend State:IN Zip: 46614 C. Residential Telephone Number: 5748603704 D. Residential Fax Number: E. Celephone Number: F. E-Mail Address: arlos.crne O gmail.00rn G. Position with business: CEO/Owner H. Please list all criminal convictions (if any), excluding trafficviolations: Nature of Conviction City State Date (Attach additional sheets if necessary) I. Please list all addresses for three (3) years prior to application date: Street Address City State Dates - South Bend IN 0812018-present (A J. K. L. M S7 For alt muneipal business license Questions, tone tt: City of South Bend • Deparrrnent of community Investment n7 West Jefferson Blvd • Suite 1400 S •South Bend, Indiana 46601 • S74235.5913 • F: S7A335.9021 LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT MUNICIPAL CODE SECTION -4-35 IV. PERSONAL DATA (Continued) N. Photographs: Company Address City, State, ZIP Dates Ireland Park Dentshry 1902 E. Ireland Rd South Bend, IN, 46614 05/2020-present Salvation Amy Khoo Carrier 900 W. Western Ave South Bend, IN, 46617 0112019-present (Attach additional sheets if necessary) V. INCLUDE WITH APPLICATION: Three (3) passport photos taken within 6 months of application. VI. INCLUDE $5.00 PROCESSING FEE WITHAPPLICATION VII. AFFIRMATION I, hereby, certify and affirm that all of the information I have given in this application is true and accurate to the best of my knowledge. I furthercertify that I have in no way attempted to mislead the City in this application by omitting facts known to me.I agree to cooperate with any review conducted pursuant to the licensing procedures, including permission to enter and inspect the place of business and facilities in conjunction with such review. I have read and understand the regulations of the Massage Establishment and/or Therapist license found in the City of South Bend Municipal Code, Section 4-35. Signature Date From: Theresa Heffner To: Hillary Horvath Subject: FW: Zoning Verification for Massage Establishment Date: Thursday, October 6, 2022 1:58:34 PM Attachments: imaae002.i)na image003.p_ng Soul Fire Yoga Massage Establishment Redacted.pdf image001.p_ng For the file. Theresa Heffner Office Administrator, Department of Public Works Clerk to Boards of Public Works and Public Safety (574)235-9253 theffner(@south bend in. ogovv City of South Bend 227 W. Jefferson Blvd., Ste. 1316 South Bend, IN 46601 Excellence I Accountability I Innovation I Inclusion I Empowerment From: Michelle Adams <madams@south bend in.gov> Sent: Thursday, October 6, 2022 1:57 PM To: Theresa Heffner <theffner@south bendin.gov> Subject: FW: Zoning Verification for Massage Establishment Hi Theresa, RE: Soul Fire Yoga LLC — 2314 E. Mishawaka Ave. Please see the recommendation from the Zoning Department for the attached Massage Establishment application. Best, Tiny City Logo 2018 AicheCCe Adams City of South Bend Business License Administrator Department of Community Investment 227 W. Jefferson Blvd., Suite 1400 S. South Bend, IN 46601 (574)235-5912 From: Rachel Boyles <rboyles(@south bend in.gov> Sent: Thursday, October 6, 2022 1:50 PM To: Michelle Adams <madams(@southbend in.gov> Subject: RE: Zoning Verification Good Afternoon Michelle, The property at 2314 E Mishawaka Ave is zoned NC Neighborhood Center and a massage establishment is allowed by right. There are no active violations on this site at this time. Thank you, RacheCBo Ces Zoning Specialist Department of Community Investment 227 W. Jefferson Blvd., Suite 1400 S. South Bend, IN 46601 (574)235-7625 www.southbendin.gov/zoning We deliver services that empower everyone to thrive. Excellence I Accountability I Innovation I Inclusion I Empowerment From: Michelle Adams <madams(@south bend in.gov> Sent: Thursday, October 6, 2022 1:19 PM To: Rachel Boyles <rboyles(@south bend in.gov> Subject: Zoning Verification Hi Rachel, RE: Soul Fire Yoga LLC — 2314 E. Mishawaka Ave. Please verify that a Massage Establishment is an allowed use and that there are no zoning violations that will prevent the license from being issued. Thank You, City Logo 2018 0 wlicheCCe Adams City of South Bend Business License Administrator Department of Community Investment 227 W. Jefferson Blvd., Suite 1400 S. South Bend, IN 46601 (574)235-5912 1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/235-9251 FAx 574/235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS November 8, 2022 Ms. Alyssa Rios Soul Fire Yoga LLC 903 Wheatly Dr. South Bend, IN 46614 soulfireyogasb(a,gmail. com RE: Public Hearing — License Application for Massage Establishment Dear Ms. Rios: The Board of Public Works is in receipt of your license application for a massage establishment at 2314 E. Mishawaka Ave., South Bend, IN 46615. Pursuant to the City of South Bend license ordinance requirements, a Public Hearing on the application must be conducted by the Board of Public Works. The Board of Public Works has set the Public Hearing for 9:30 a.m., November 22, 2022 in the Board of Public Works Conference Room, 227 W. Jefferson Blvd., Suite 1308, South Bend, Indiana. You can also attend the meeting virtually at https://tinyurl.com/2022BPWHybrid. You, or your designee, must be present to answer questions with regard to the proposed business activity. If you have any further questions, please call this office at (574) 235-9251. Sincerely, Is/ Theresa Heffner Theresa Heffner, Clerk Enclosures TH/lh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT JORDAN V. GATHERS MURRAY L. MILLER NOTICE OF PUBLIC HEARING ON APPLICATION FOR MASSAGE ESTABLISHMENT LICENSE Notice is hereby given to all interested individuals that the Board of Public Works of the City of South Bend, Indiana, will conduct a Public Hearing at 9:30 a.m., November 22, 2022 in the Board of Public Works Conference Room, 227 W Jefferson Blvd., Suite 1308, South Bend, Indiana, on the application for a new license application for a massage establishment, Soul Fire Yoga LLC, 2314 E. Mishawaka Ave., South Bend, IN 46615. You can also attend the meeting virtually at https://tinvurl.com/2022BPWHybrid. Interested persons may be heard on this matter at the Public Hearing or may file with the Board of Public Works a memorandum in support of or in opposition to the issuance of such license. BOARD OF PUBLIC WORKS Theresa M. Heffner, Clerk Publish one (1) time: November 11, 2022 INTEROFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE: 10/06/2022 TO: Brad Rohrscheib, Police Department St. Joseph County Health Department - see attached Gerald Ellis, Fire Department Angela Smith, Zoning Department FROM: Theresa Heffner, Clerk SUBJECT: NEW - MASSAGE ESTABLISHMENT LICENSE RECOMMENDATION BUSINESS NAME: SOUL FIRE YOGA LLC ADDRESS: 2314 E. MISHAWAKA AVE. DATE DUE: NOVEMBER 1, 2022 PLEASE INSERT YOUR RECOMMENDATIONS IN THE APPROPRIATE FIELD BELOW, BASED ON THE FOLLOWING CRITERIA FROM MUNICIPAL CODE SEC. 4-35: 1. The applicant and his/her partners have not been convicted of any crime involving unlawful deviate conduct, deviate sexual conduct, or unlawful sexual conduct within three (3) years prior to the date of application. (Verified by PD). 2. The applicant is a minimum of 18 years of age. (Verified by PD) 3. The applicant has passed an inspection from the St. Joseph County Health Department. 4. The massage establishment as proposed by the applicant would comply with all applicable laws, including but not limited to the City's building, zoning, health, fire and safety regulations. (Fire and Zoning, please verify) 5. A recognizable and legible sign shall be posted at the main entrance identifying the establishment as a massage establishment. (PW — please verify) POLICE: Favorable recommendation FIRE: Favorable COMMUNITY INVESTMENT: No objections at this time. The use is permitted within the NC Neighborhood Center District.