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Home My WebLink AboutLicense - Massage Establishment Renewal - Summer Spa Massage1316 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 March 28, 2023 MeiLi Sun/Wendell Sheldon Summer Spa Massage 3601 E. Jefferson Blvd. South Bend, IN 46615 1726065950(&00.com RE: Approval — License Application Massage Establishment Renewal Dear Ms. Sun & Mr. Sheldon: At its March 28, 2023 meeting, the Board of Public Works approved your request for the Massage Establishment at 3601 E. Jefferson Blvd. 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 INTEROFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE: 03/07/2023 TO: Brad Rohrscheib, Police Department St. Joseph County Health Department - see attached Gerard Ellis, Fire Department Angela Smith, Zoning Department FROM: Theresa Heffner, Clerk SUBJECT: RENEWAL - MASSAGE ESTABLISHMENT LICENSE RECOMMENDATION BUSINESS NAME: SUMMER SPA MASSAGE ADDRESS: 3601 E. JEFFERSON BLVD. 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: Use is allowed within this district. No issues at this time. For all municipal business license questions, contact: City of south Rend - Department of Community Investment 227 West Jefferson Blvd - Suite 1400 5 -South Bend, Indiana 46601 - 574.235.5912 - F: 574,235.9021 'sec . 7 ! 911 U,65. LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT Ctgp-b MUNICIPAL CODE SECTION - 4-35 I. APPLICATION TYPE Check One II, BUSINESS DATA New Renewal XX A. Business Name: Summer Spa Massage B. Business Address: 3601 E. Jefferson Blvd City: South Bend State: IN Zip: C. Mailing Address (If different from above): City: State: Zip: D. Business Telephone Number: 574-383-5035 E. Business Fax Number: F. E-Mail Address: 1726065950@QQ.com 46615 G. Zoning of Business Location: Neighborhood center — personal care and services 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 this application: YES NO Xx 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: To provide therapeutic massage J. Include a list of massage therapist employed at this location: (include a separate sheet if necessary) MeiLi Sun - For Office Use Only Application FileciFER 2 12023 Public Safety Approval Application Fee Pajdttb Z I 7U7T License Fee Paid EFR Sent to Dept._ � � 7f19? License Number �5+�[ �a 3 Gila,} CJfllR 2 3 2023 Aeo i d� d/ 1jQ4_ F B 2 2023 Not ve Reason CITY OF SOUTH BEND, INDIANA BOARD OF PUBLIC WORKS I Elizabeth A. Maradik, President Gary A. Gilot, Member �/ VT L Jose-pphl�R.. Molnar, Vice President U Y/ Jordan V. Gathers, Member � "/� Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk Date: For all munlcipal business Ilcense questlons, contact: City Of South Bend • Uepartmentof Community Investment 227 West Jefferson Blvd • 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): XX Sole Proprietorship (If sole proprietorship, proceed to I) - Partnership (If partnership, proceed to 2). Corporation (If corporation, proceed to 3). 1. Sole Proprietor Name: MeiLi SunMendell Sheldon Residential Address: 14535 Day Road City: Mishawaka State: IN Zip: 46545 2. Partnership (List at least two (2) partners) Name #1: Residential Address: City: State: Zip: Name #2: Residential Address: City: _ 3. Corporation State: Legal name of corporation: Date and state of incorporation: List officers and directors who own 15% or more of stock: Name #1: Title: Zip: Business Address. City: State: Zip: Residential Address: City: _ State: Zip: Name #2: Title: Business Address: City: State: Zip: Residential Address: City:_ _ State: 7.ip: 2 For all municipal business license questions, contact: City of South Bend • Department of Community Investment 227 West Jefferson Blvd • Suite 1400 S -South Bend, Indiana 46601. 574.235.5912 - F: 574.23S.9021 LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT MUNICIPAL CODE SECTION - 4-35 Ill. OWNERSHIP (Continued) 3. Corporation (Continued) Name #3: title: Business Address: City:__ _ State: Residential Address: City; IV. PERSONAL DATA State: A. Applicant's Legal Name: MeiLi SuNWendell Sheldon B. Residential Address: 14535 Day Road City: Mishwaka State: IN Zip: C. Residential Telephone Number: 302-428-1205 D. Residential Fax Number: E. Cellphone Number: _ F. E-Mail Address: 1726065950@QQ.com G. Position with business: Owner H. Please list all criminal convictions (if any), excluding trafficviolations: Nature of Conviction City State (Attach additional sheets if necessary) 1. Please list all addresses for three (3) years prior to application date: Street Address City State 14535 Day Road Mishawaka IN (Attach additional sheets if necessary) J. Date of birth: K. Gender: L. Social Security Numbe __ M. Race: 3 Zip: 46545 Date Dates 2018-Present For all municipal business license questions, contact: City of South Bend - Department of Community Investment 227 West Jefferson Blvd - Suite 1400 5 -South Bend, Indiana 46601 - 574.235.5912 - F: 574.235.9021 LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT MUNICIPAL CODE SECTION - 4-35 IV, PERSONAL DATA (Continued) N. Photographs: Attach below (3) Passport photos, V'x1", taken within 6 months of the date of this application. 011, Summer Spa Massage r dw L j rrjet , �I I r. V 14535 Day Road (Attach additional sheets if necessary) ); ��11 ) ) ) � d ? e Mishawaka, IN 46545 2018-Present V. INCLUDE WITH APPLICATION: Three (3) passport photos taken within 6 months of application. VI. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION 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 further certify 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 SOUTH BEND POLICE DEPARTMENT APPROVAL Michelle Adams From: Kristin Stantz Sent: Thursday, February 23, 2023 10:30 AM To: Michelle Adams Cc: Jarveair Bourn Subject: RE: Business License Apps. 2/22 Michelle, South Bend has no disputes with Speedway Alarm Monitoring, Dylan Pierson, MeiLi Sun, and Summer Spa Massage. Sincerely, Kristin Stantz PFC. Strategic Intel Office South Bend Police Department Email:kstantz@southbendin.gov From: Michelle Adams <madams@south bendin.gov> Sent: Wednesday, February 22, 2023 3:20 PM To: Kristin Stantz <kstantz@south bend in.gov> Cc: Jarveair Bourn <jbourn@southbendin.gov> Subject: Business License Apps. 2/22 Ki Kristin, Attached are 4 business license renewal applications for your review and recommendations. ALARM AGENT • Speedway Alarm Monitoring MASSAGE THERAPIST e Dylan Pierson • MeiLi Sun MASSAGE ESTABLISHMENT • Summer Spa Massage Thank You, .7► icheCCe .Adams City of South Bend �m.7{ Business License Administrator Department of Community Investment L 227 W. Jefferson Blvd., Suite 1400 S. South Bend, IN 46601 (574)235-5912 1 ZONING DEPARTMENT APPROVAL Michelle Adams From: Rachel Boyles Sent: Thursday, February 23, 2023 10:06 AM To: Michelle Adams Subject: RE: Business Zoning Verification Good Morning Michelle, The property located at 914 S Ironwood and 3601 E. Jefferson Blvd are zoned NC Neighborhood Center and a Massage Establishment falls under the Personal Care & Services use and is allowed by right in this district. Thank you, Rac`ieCBoyCes 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 bendin.gov> Sent: Thursday, February 23, 2023 10:00 AM To: Rachel Boyles <rboyles@southbendin.gov> Subject: Business Zoning Verification Hi Rachel, Will you please verify that the establishments are allowed to operate as a massage establishment. • King Asian Massage — 914 S. Ironwood Dr. (Renewal) • Summer Spa Massage — 3601 E. Jefferson Blvd. (Renewal) Thank You, ,Y ,r17i_ Jbiic`ieCCe .Adams City of South Bend Business License Administrator _AllDepartment of Community Investment x�u2 227 W. Jefferson Blvd., Suite 1400 S. South Bend, IN 46601 (574)235-5912 1 sn /Z:i, 4:1 / F'IVI rermits SOUTH BEND FIRE DEPARTMENT Permit Done 3601 E. Jefferson Blvd. Print • Download • Email • Email Log • Revoke • Renew View ESO Properties Record Permit Type MASSAGE ESTABLISHMENT Applicant Summer Spa Location 3601 E Jefferson BLVD South Bend IN 46615 County: St. Joseph Contacts Mei Li Sun 3/23/2022 Address: 14535 Day Road, Mishawaka IN 46545 Phone: 312-478-1205 Work: 574-383-5035 1726065950@qq,com Wendell Sheldon 3/23/ZO22 Address: 14535 Day Road, Mishawaka IN 46545 Home: 574-259-6184 Home Mobile: 574-259-6184 Wendell-one@sbcgiobal.net Application Filed 02/21/2023 Effective 02/29/2023 Expiration 02/28/2024 Authorized 02/28/2023 Authorized By Doug Hylkema Issued 02/28/2023 Issued By Douglas Hylkema Fee Checklists 1 Passed, 0 Failed, 0 Not Applicable View Checklists Notes M5E2023-005 Will you please take note of how many people are working during the inspection. Thank You! Attachments 3601 E Jefferson Blvd Summer Spa Massage_Redact... 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