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Home My WebLink AboutMassage Establishment Renewal - Sun Flower 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 TAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS April 22, 2025 Ms. Ping Ye Sun Flower Massage Spa LLC 421 N. Hickory Rd. South Bend, IN 46615 285628644(&00.com RE: Approval — License Renewal of Massage Establishment Dear Ms. Ye At its April 22, 2025 meeting, the Board of Public Works approved your request for the renewal of the Massage Establishment at 421 N. Hickory Rd. If you have any further questions, please call this office at (574) 235-9251. Sincerely, /s/ Theresa Heffner Theresa Heffner, Clerk Enclosures TH/hh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BREANA N. MIcou INTEROFFICE MEMORANDUM BOARD OF PUBLIC WORKS DATE: 02/26/2025 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: RENEWAL - MASSAGE ESTABLISHMENT LICENSE RECOMMENDATION BUSINESS NAME: SUN FLOWER MASSAGE ADDRESS: 421 NORTH HICKORY ROAD 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 Recommendation (passed fire inspection) COMMUNITY INVESTMENT: A massage establishment is a permitted primary use in the C Commercial district. For all municipal husinesslionnsequestions,cnted:City&South Bend• 0epartmeMof Community Investment CARD 222 WertleNrwn Blvd • Suite 14005 -South Bend, Indiana 46601 a 574.235.5912, F: 574.235.9021 ReC.901753 LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT MUNICIPAL CODE SECTION -4-35 I. APPLICATION TYPE Check One: New Renewal �\ II. BUSINESS DATA A. Business Name: 50W K B.Business Address:!41 � < 1 ZQAOIL iulkm6 CHy: State: Zip: C. Mailing Address (If r ifferentfrom above): CRY: kA ff.� State: Zip: '7 D. Business Telephone Number: )l�— 314 � f WY E. Business Fax Number: F.E-Mail Address: G. Zoning of Business Location: H. Have you ever had a Massage Establishment license, or similar license, suspended or revoked by any governing municip lity within three(3) years prior to the date of this application: 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 For Office Use Only Application Filed FEB 2 42026 Public Safety Approval Application Fee Paid' 4 2025 License Fee Paid F FH 2 4 207F, Sent to Dept. License Number /Y1sEmAS-007 CITY OF SOUTH BEND. INDIANA BOARD OF PUBLIC WORKS Not Approved -Eiga cs�2ayl Reason Elizabeth A. Mamdik, President Joseph R. Molnar, Vice Presidcni Gary A. Hurt Member Breana Micou, Member Murray L. Miller, Member Attest: Theresa M. Heffner, Clerk Date: AP^I 22, M25 For all municipal buslnesslicensequestion , comam City of South Send • Department of Community Investment 227 WestleRetson BIW Suite lY0s-South Bend, Indlaw 46601• 574335.5912• F: 57&235.9021 LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT MUNICIPAL CODE SECTION - 4-35 Ill. OWNERSHIP A. Type of ownership (check one): Sole Proprietorship (If sole proprietorship, proceed to 1). Partnership (If partnership, proceed to 2). Corporation (If corporation, proceed to3). 1. Sole Proprietor Name: 4`II Residential Address: City: �W State: Zip: 2. Partnership (List at least two (2) partners) Name #1: Residential Address: City: State: Zio: 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: CRY State: .Zip: Residential Address: City: State: Zip:_. 2 For all municipal business license questions, contact: Gbrof South Bend • Department of Community Investment 227West Jefferson BIW • Suite 1400 S •South Bentl, Indiana 45a01 • 574.235.59I2 • 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'Sc1", taken within 6 months ofthe date ofthis application. tious (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 WITH APPLICATION VII. INCLUDE A LIST OF ALL MASSAGE THERAPIST EMPLOYED BY ESTABLISHMENT Vill. INCLUDE A LIST OF SERVICES AVAILABLE AND THE COST OF SUCH SERVICES IX. 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 noway attempted to mislead the City in this application by omitting facts known tome. 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. 71ro9 YL Z-l� - l� Signature Date For all municipal business license questions, contact: C'4v of south Bend • Department oFCommun'4v Investment 222 aren Jefferson Blvd • Suite 14m9 •South Bend, Indiana 46601 •57C2355912 • F:574.235.9011 LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT MUNICIPAL CODE SECTION - 4-35 III. OWNERSHIP (Continued) 3. Corporation (Continued) Name#3: So FIOWEK a A LETitle: Business Address: 4'2� �m I'�[C-0ril %Aa City: State: Zip: Residentl IAdress�:( 7)q�wk l �i� City:�Yk�Hi State: Zip' IV. PERSONAL DATA '7e A. Applicant's Legal Name: 7 III B. Residential Alllddrerss 11��-- City�1111Ch/l1AilAK/A State: Zip:_ C. Residential Telephone Number: D. Residential Fax Numbe E. Cellphone Number: .�,rr77 F.E-Mail Address: iIA G. Position with business: H. Please list all criminal convictions (if any), excluding traffcviolations: 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 411 Wiri f kA4-kiL IQU{ 13Ak 6y_ 1013 10 Attach additional sheets "f necessa y) MENEM fu | E • %� § E oz k { Va ■ ® 7 ! $ | \ jig -al- ON # Cash Price List Full Body Massage Essential OW Deep Tissue/ Not Stone/Shiatsu 60 mins $ 70 45 mins $ 60 30 mins $ 50 Foot Massage 60 mins $ 60 30 mitt, $ 50 Combination Body&Foot 90 mins $ 120 611 mins $ 90