HomeMy WebLinkAboutLicense - Massage Establishment Renewal - AB Reflexology & Massage (2)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 TAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
August 13, 2024
Ms. Li Wen
AB Reflexology & Massage
2614 S. Michigan St.
South Bend, IN 46601
liwen661(ibyahoo.com
RE: Approval — License Renewal for New Massage Establishment
Dear Ms. Wen:
At its August 13, 2024 meeting, the Board of Public Works approved your request for
the Renewal of the Massage Establishment at 2614 S. Michigan St.
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 MURRAY L. MILLER BRIANA N. MIcou
INTEROFFICE MEMORANDUM
BOARD OF PUBLIC WORKS
DATE: 06/18/2024
TO: Brad Rohrscheib, Police Department
St. Joseph County Health Department - see attached
Derek Erquhart, Fire Department
Kari Myers, Zoning Department
FROM: Theresa Heffner, Clerk
SUBJECT: NEW OWNERSHIP - MASSAGE ESTABLISHMENT
LICENSE RECOMMENDATION
BUSINESS NAME: AB REFLEXOLOGY & MASSAGE
ADDRESS: 401 E COLFAX AVE STE 180
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: The use is a permitted primary use in the DT Downtown
district.
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: 574.235.9021
Rcc_(�a�0,760 f
LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT CAO
MUNICIPAL CODE SECTION - 4-35
K (-_ VV 0 VVAIEiz�
I. APPLICATION TYPE Check One: New X Renewal
II. BUSINESS DATA
A. Business P
B. Business I
City:
C. Mailing Address (If different from above):
te: LA) Zip:
City: State Zip:
D. Business Telephone Number: �52� 2Z20 8
E. Business Fax Number:
F. E-Mail Address: / , IAI- Yt /V 7rr li.!] ccy7
G. Zoning of Business Location: NG
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
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: nkeq q�� I
as&ee
For Office Use Only
Application Filed J UN 1 3 2024 Public Safety Approval
Application Fee Paid JON 1 3-2024 License Fee Paid JUN 1 3 2024
Sent to Dept. J UN 1 2 2024 License Number fYl S C9,CA4 - 0 14
z o 6 t 1N 1 7 2024 ✓ Pe �Wj 4 2024 v�' �-J UN 1 7 2024
Not Approved
Reason
1
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
12aLa
Elizabeth A. Maradik, President
Gary A. Gilot, Member
Murray L. Miller, Member
101—M —
Joseph R. Molnar, Vice President
Brian///Miimm, Member
Y �_
Attest: Theresa M. Heffner, Clerk
Date: August 13, 2024
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 0574.235.5912 • F: 574.235.9021
LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT
MUNICIPAL CODE SECTION - 4-35
III, OWNERSHIP
A. Type of ownership (check one):
.1K Sole Proprietorship (If sole proprietorship, proceed to 1).
Partnership (If partnership, proceed to 2).
Corporation (If corporation, proceed to 3).
1. Sole Proprietor
Name: L/ IIV
Residential Address:
City: State Zip: �7Es
2. Partnership (List at least two (2) partners)
Name #1:
Residential Address:
Ci ty: 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: Zip;
Residential Address:
City: State: Zip:
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: 574,235.9021
LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT
MUNICIPAL CODE SECTION - 4-35
III. OWNERSHIP (Continued)
3. Corporation (Continued)
Name #3:
Title:
Business Address:
City: State: Zip:
Residential Address:
City: State: Zip:
IV. PERSONAL DATA
A. Applicant's Legal Name: L I
B. Residential Address: i,
City; �;o a L:j`` � i State: _Z V Zip: 4 60
C. Residential Telephone Number:
D. Residential Fax
E. Cellphone Numl
F. E-Mail Address:
G. Position with business: 0 W,j��Y
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
(Attach additional sheets if necessary)
J.
K.
L.
M
3
For all municipal business license questions, contact: City cf South Bend • Department of 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
IV. PERSONAL DATA (Continued)
N. Photographs:
Attach below (3) Passport photos. 1"x1". taken within FF rnnnths of 1-ke A�+o ^f+hic nnnlirn+inn
.r.
M
Company
Address
(Attach additional sheets if necessary)
City, State, ZIP Dates
V. INCLUDE WITH APPLICATION:
Three (3) passport photos taken within 6 months of application.
VI. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION
VII. INCLUDE A LIST OF ALL MASSAGE THERAPIST EMPLOYED BY ESTABLISHMENT
Vill. 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 certify that I will not
allow massage therapy to be performed at this establishment by any person who does not
possess a current massage therapist license. 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.
Ga lq.�
Signature
4
Date
Michelle Adams
From: Xuehong Zhang <v3473991040@gmail.com>
Sent: Monday, June 3, 2024 10:22 AM
To: Michelle Adams
Subject: Business transferring
Hi Michelle, I'm sorry for not being able to transfer my business to Mark who changed his mind. Now I'm
going to transfer AB reflexology & massage on s Michigan st to Li wen. She'd like to take it over.
Looking forward your approval soon!
Thanks,
Xuehong
CAUTION: This email originated from outside of the City of South Bend's network. Do not click links
or open attachments unless you validate the sender and know the content is safe. Please report
any suspicious emails to the CyberSecurity team by clicking the Phish Alert Button in Outlook.
SOUTH BEND POLICE DEPARTMENT RECOMMENDATION
Michelle Adams
From: Joseph A. Cole
Sent: Friday, June 14, 2024 10:14 AM
To: Michelle Adams; DL-SBPDOutreach
Subject: Re: Massage Applications
Michelle,
Only thing of note is the listed address in the application states 508 W. Washington St which is a Bed &
Breakfast location. It's Cushing Manor and all sites online note its closed. I called the number on the
property sign and that states the number is no longer in service.
No police concern related calls for services and no reports on file.
PFC Joseph A. Cole
Community Resource Officer- Nuisance Properties
Strategic Intel Office - SIO
South Bend (IN) Police Department I Operations Division
jacole(WEsouthbendin.gor=
Office: 574-235-5899
From: Michelle Adams <madams@south bendin.gov>
Sent: Friday, June 14, 2024 8:30 AM
To: DL-SBPDOutreach <DL-SBPDOutreach@south bend in.gov>
Subject: Massage Applications
Good morning Officers,
Attached are two applications for your review and recommendations.
• AB Reflexology & Massage II — Massage Establishment - 2614 S. Michigan St.
• Li Wen — Massage Therapist & Owner of AB Reflexology — 503 W. Washington St.
Thank You,
MicheCCe .dams
City of South Bend
-
Business License Administrator
Department of Community Investment
-- x
227 W. Jefferson Blvd., Suite 1400 S.
South Bend, IN 46601
(574)235-5912
1
ZONING DEPARTMENT RECOMMENDATION
Michelle Adams
From: Kari Myers
Sent: Monday, June 17, 2024 10:30 AM
To: Michelle Adams
Cc: Jeffrey Murawski
Subject: RE: Zoning Verification
Please let this confirm that a massage establishment is an allowed use in the NC Neighborhood Center zoning district.
From: Michelle Adams <madams@southbendin.gov>
Sent: Friday, June 14, 2024 8:22 AM
To: Kari Myers <kmyers@south bend in.gov>
Cc: Jeffrey Murawski <JMURAWSKI@sjcindiana.com>
Subject: Zoning Verification
Good morning Kari,
RE: AB Reflexology & Massage II — 2614 S. Michigan St. — Zoned Neighborhood Center
The above business has a new owner and is applying for the Massage Establishment license. Please verify that
this type of establishment is an allowable use.
Please include Jeff Murawski, Health Department, in your response.
Thank You,
.Mic`ieCCe .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
1
or u�4, 4:.5u r-1v1 r-ermas
FIRE DEPARTMENT RECOMMENDATION
Permit Done
2614 S. Michigan St. 153'�E
Print • Download • Email • Email Log • Revoke • Renew
View ESO Properties Record
Permit Type MASSAGE ESTABLISHMENT
Applicant AB Reflexology and Massage II
Location 2614 S Michigan ST
South Bend IN 46614
County: St. Joseph
Contacts
- -
Application Filed
06/13/2024
Effective
06/17/2024
Expiration
03/01 /2025
Authorized
06/17/2024
Authorized By
Doug Hylkema
Issued
06/17/2024
Issued By
Douglas Hylkema
Fee
Checklists
1 Passed, 0 Failed, 0 Not Applicable
View Checklists
Notes
MSE2024-014
Attachments
AB Reflexology & Massage II_Redacted.pdf
View
0
L.14.--. //......... '.....-.•:a� �•.�I..�.�:M/..�..-..4. "1.... �..•:lI.J-7C']i!1'J .-.. 74AM A —A L 0-. LA
414
From: Theresa Heffner
To: Hillary Horvath
Subject: FW: Massage Establishments
Date: Tuesday, July 30, 2024 8:37:17 AM
Attachments: imaae001.ona
image002.g_ng
Will this work?
Theresa
theffnerCDsouthbend in.g_ov
9251
Southbendin.eov
Theresa Heffner
Office Administrator
Clerk to the Boards of Public Works & Public Safety
City of South Bend
Department of Public Works
Division of Engineering
County -City Building
227 W. Jefferson Blvd.
South Bend, I N 46601
Excellence Accountability Innovation Inclusion Empowerment
From: Michelle Adams <madams@south bend in.gov>
Sent: Tuesday, July 30, 2024 8:34 AM
To: Theresa Heffner <theffner@south bendin.gov>
Subject: Massage Establishments
Good morning Theresa,
Derek Erquhart is on vacation this week and is unable to log into the Share Drive to approve
AB Reflexology and L & L Bodyworks. Is the email below from Doug H. on July 30th sufficient,
or does Derek have to approve through the memo on the S Drive?
.. MicheCCe Adams
City of South Bend
Business License Administrator
Department of Community Investment
227 W. Jefferson Blvd., Suite 1400 S.
South Bend, IN 46601
Y (574)235-5912
From: Derek Erquhart <derquhart(@south bend in.gov>
Sent: Tuesday, July 30, 2024 8:27 AM
To: Michelle Adams <madamsPsouthbend in.gov>
Subject: Fw: Business License Apps.
See Doug's reply below. I am away on vacation so I cannot log into the Share Drive until
next week to approve. Unless this email is sufficient.
derauhartCcbsouthbend in.gov
574-235-7564
Southbendin.�ov
Derek Erquhart
Assistant Chief
City of South Bend
Fire Department
Fire Prevention/Fire Marshal
South Bend Fire Department
1222 S. Michigan St.
South Bend, I N 46601
Excellence Accountability Innovation Inclusion Empowerment
From: Doug Hylkema <dhylkemaPsouthbend in.gov>
Sent: Tuesday, July 30, 2024 8:09 AM
To: Derek Erquhart <derquhart(@south bend in.gov>; John Fleming <ifleming(@ south bend in.gov>;
James Weinberg <iweinber(d)south bend in.gov>
Subject: RE: Business License Apps.
Good morning,
AB Reflexology & Massage II passed inspection and are compliant.
L & L Bodyworks LLC passed inspection and are compliant.
dhylRem aCcpsouthbend in.Fov
574-235-9818
Southhendin.�ov
Douglas Hylkema
Fire Inspector
Lead Paramedic
City of South Bend
Fire Department
Community Risk Reduction
Central Fire
1222 S Michigan St
South Bend, i N 46601
Excellence Accountability Innovation Inclusion Empowerment
From: Derek Erquhart <derquhartCcpsouthbendin.gov>
Sent: Tuesday, July 30, 2024 8:03 AM
To: John Fleming <ifleming(@southbendin.gov>; Doug Hylkema <dhylkemaPsouthbend in.gov>;
James Weinberg <iweinber(@southbendin.gov>
Subject: Fw: Business License Apps.
I need to do recommendations for these for BPW. Can you let me know if they have been
done.
der auhartPsouthbendin.Eov
574-235-7564
Southhendln.aov
Derek Erquhart
Assistant Chief
City of South Bend
Fire Department
Fire Prevention/Fire Marshal
South Bend Fire Department
1222 S. Michigan St.
South Bend, i N 46601
Excellence Accountability Innovation Inclusion Empowerment
From: Michelle Adams <madamsPsouthbend in.gov>
Sent: Wednesday, July 24, 2024 11:14 AM
To: Brad Rohrscheib <brohrsch(@south bend in.gov>; Derek Erquhart <derquhart(@southbend in.gov>
Subject: FW: Business License Apps.
Good morning Brad & Derek,
I was wondering if you could add your comments to the BPW memo for the following
applications. If you do not know how to access the memo, please contact Theresa Heffner,
BPW Office Administrator, at 574-235-9251 or email her at theffner(@southbendin.gov.
• AB Reflexology & Massage II — 2614 S. Michigan St. — Submitted 6/13/2024 — Need
Police and Fire to put comments on memo
• L & L Bodyworks LLC — 3524 Mishawaka Ave. — Submitted 6/17/2024 — Need Police..."
• Rachel T Massage & Essential Oils — 616 E. Colfax Ave. — Submitted 3/21/2024 — "Need
Police..."
• LAZ Parking Midwest— 119 W. Wayne St. —Submitted 7/1/2024— No review has been
done yet.
Thank You,
Mic eCCe .Adams
City of South Bend
Business License Administrator
k Department of Community Investment
x 227 W. Jefferson Blvd., Suite 1400 S.
x South Bend, IN 46601
(574)235-5912
From: Theresa Heffner <theffnerPsouthbend in.gov>
Sent: Wednesday, July 24, 2024 10:21 AM
To: Michelle Adams <madamsPsouthbend in.gov>
Subject: RE: Business License Apps.
Michelle —
See below for comments. Also, can you tell me why BPW has to approve massage
establishments? I don't understand why we do those, but not restaurants, etc.
theffnerPsouthbend in.eov
9251
Southbendin. oo
Theresa Heffner
Office Administrator
Clerk to the Boards of Public Works & Public Safety
City of South Bend
Department of Pubk Works
Division of Engineering
County -City Building
227 W. Jefferson Blvd.
South Bend, I N 46601
Excellence Accountability Innovation Inclusion Empowerment
From: Michelle Adams <madamsPsouthbend in.gov>
Sent: Wednesday, July 24, 2024 10:13 AM
To: Theresa Heffner <theffner(@southbend in.gov>
Subject: Business License Apps.
Good morning Theresa,
I'm following up to see if the following business license applications have been approved by
the BPW. If not, please let me know if you need additional information or if you are waiting to
hear back from an inspector.
• AB Reflexology & Massage II — 2614 S. Michigan St. — Submitted 6/13/2024 — Need
Police and Fire to put comments on memo
• L & L Bodyworks LLC — 3524 Mishawaka Ave. — Submitted 6/17/2024 — Need Police..."
• Rachel T Massage & Essential Oils — 616 E. Colfax Ave. — Submitted 3/21/2024 — "Need
Police..."
• LAZ Parking Midwest— 119 W. Wayne St. —Submitted 7/1/2024— No review has been
done yet.
I believe for the following two applications; you were waiting for the image of the sign with
the hours and rates. Please let me know if there is anything else you are waiting on for these
two.
• LAZ Parking Midwest — 401 E. Colfax Ave. —Image of the sign is attached
• LAZ Parking Midwest — 430 E. LaSalle Ave. — I'm still trying to get an image of the sign.
Thank You,
- '
l�
ee,.• '
-Michelle .dams
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