HomeMy WebLinkAboutLicense - Massage Establishment Renewal - Southside Massage Retreat1316 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
May 27, 2025
Ms. Sara Cozort
Southside Massage Retreat
401 E. Colfax Ave., Suite 180
South Bend, IN 46617
smretreat(iDhotmail. corn
RE: Approval — License Renewal of Massage Establishment
Dear Ms. Cozort
At its May 27, 2025 meeting, the Board of Public Works approved your request for the
renewal of the Massage Establishment at 401 E. Colfax Ave.
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: 03/04/2025
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: SOUTHSIDE MASSAGE RETREAT
ADDRESS: 401 E. COLFAX AVE., SUITE 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 Recommendation (passed fire inspection)
COMMUNITY INVESTMENT: A massage establishment is a permitted primary use in the
DT Downtown district.
For all muniwaI business Ikensequestions, contact: Cty of South Bend • Oepartmeni of Community Investment �• f1 �-L
227 West Jefrerson Blvd • Suite 14005 •South Bead, IMiarra 46601 •57d.23S.5912 • F: 5 74.2 25.9021 Q p(1 Tj 1P�m
LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT
MUNICIPAL CODE SECTION - 4-35
I. APPLICATION TYRE Check One:
II, BUSINESS DATA
A. Business Name:
B. Business Address:
New Renewal
C. Mailing Address (If different from above):
City:
D. Business Telephone Number:
E. Business Fax Number:
F. E-Mail Address: QV\1
G. Zoning of Business Location:
State; Zip;
State: Zip:
H. Have you ever had a Mass a Establishment license, or similar license, suspended or revoked
by any governing municip ty within three (3) years prior to the date of thisapplication:
YES Np
1. If yes, what was the reason:
2. If yes, what was the business pation following thesuspension/revocation:
I. Describe the nature and scope of the business:RSSEe[et�_
For Office Use Only
Application Filed MAR 0 3 2025 Public Safety Approval
Application Fee Paid 13 IRI License Fee Paid
Sent to Dept. 'e., i I . "
License Number . (l')SCo'�Q,�6--(] j
A5Q1+06$ ��K -
C L, CITY OF SOUTH BEND, INDIANA
Not Approved BOARD OF PUBLIC WORKS
Reason VA�a P1
Elizabeth A. Maradik, President
Gary A. Gilot, Member
Joseph R. Molnar, Vice President
Briana Micou, Member
Murray L. Miller, Member
Attest: Theresa M. Heffner, Clerk
Date: May 27, 2025
For all municipal business license quenions, wndG: CKy of South Bend • Departmentof Community Imes[mert
222 Wesilefferson Blvd • Suite 1400 S 'South Bend, Indiana 46601 •574.235.5912 • F: 57423S.9021
LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT
MUNICIPAL CODE SECTION - 4-35
III. OWNERSHIP
A. Type of ownershi check one):
Sole Proprietorship (If sole proprietorship, proceed to 1).
Partnership (If partnership, proceed to 2).
Corporation (If corporation, proceed to 3).
1. Sole Proprietor
Name:
Restd
City: State:
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 Addres .
City: State: Zip:
Re, de nti Address:
City State: Zip:
2
For au municipal business license questions, contact: city of South Bend • Department of Comm unity Investment
227 West Jefferson Blvd •sulte 1400 s 150uth Bend, Ind lam 0501 •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:
Business Address:
Residential Address:
IV.PERSOP
A.
B.
C. Residential Telephone Number
D. Residential Fax Number:.
E. Cellphone Number:
F. E-Mail Address:�—
G. Position with business:
H. Please list all criminal convictions (if any), excluding traffic ofations:
Nature of Conviction City State Date
(Attach additional sheets if neces%ary)
I, Please list all addresses forthree (3) years priorto application date:
Dates
I , I. It it
For all municipal business Ilconse questions, contact: Chy of South Bend • Department of Community Imenment
227 West lefferwn Blvd • Suite 1EW 5 •South Bend, Ind are 46601 • 574.235.5912 • F. 574.235.9021
LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT
MUNICIPAL CODE SECTION - 4-35
IV. PERSONAL DATA (Continued)
CO dreg ity,5tate,ZIP Dates
9'�Vcrk6\o5 GpPEtE �ciSi�:2>E ! 1{f�fJ �i
�ETf26'iR't _ 1
(Attach additional sheets if necessary)
V. INCLUDE WITH APPLICATION:
Three (3) passport photos taken within 6 months of application.
V. 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 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
C e, Section 4
FIT) C
Sign t
re Date
4
Massage Services and Rates
Ashiatsu Bar Therapy
Better know as Deep -Feet Therapy, this technique uses deep compression effleurage strokes that
glide over the body. Gravitational force is combined with centrifugal and centripetal
movements. This creates a structural change in chronic soft tissue damage. This creates deep
relaxation and stimulates the lymphatic system.
30 Minutes: $50
60 Minutes: $100
75 Minutes: $125
90 Minutes: $150
Deep Tissue
This massage uses techniqes that affect the sub -layer of musculature and fascia. It helps with
chronic muscular pain, injury rehabilitation, and reduces inflammation -related pain. It is generally
integrated with other massage techniqes.
30 Minute: $50
45 Minute: $75
60 Minute: $100
90 Minute: $150
Swedish Massage
A Therapeutic Massage that is light or moderate pressure that is applied. Relieves muscle
tension, stimulates circulation, increase serotonin levels, improves muscle tone, and
promotes total mind and body relaxation.
30 Minutes Upper Body. $50
45 Minutes Upper Body. $75
60 Minutes Full Body: $100
90 Minutes Full Body: $150
Trigger Point
Trigger Point Therapy Massage is specifically designed to alleviate the source of the pain through
cycles of isolated pressure and release. In this type of massage for trigger point therapy, the
recipient actively participates through deep breathing as well as identifying the exact location and
intensity of the discomfort.
The results and benefits of trigger point massage are releasing constricted areas in the muscles
thus alleviating pain. You can experience a significant decrease in pain after just one
treatment. Receiving massage with trigger point therapy on a regular basis can help naturally
manage pain and stress from chronic injuries.
30 Minutes: $50
45 Minutes: $75
60 Minutes: $100
90 Minutes: $150
Sports Massage
Post -event sports massage is given after a competition and is mainly concerned with recovery. It
is geared toward reducing the muscle spasms and metabolic build-up that occur with vigorous
exercise. Recovery after a competition involves not only tissue normalization and repair, but also
general relaxation and mental calming. A recovery session might be 15 to 90 minutes in length.
30 Minutes: $50
45 Minute: $75
60 Minutes: $100
90 Minutes: $150
Prenatal Massage
A gentle massage geared to relieving the muscle cramps, spasms, and pain often encountered in
the lower back, neck, hips, and legs during pregnancy. Side by side body positioning with pillows
for extra comfort.
30 Minute Upper Body: $50
45 Minute Upper Body: $75
60 Minute Full Body. $100
90 Minute Full Body. $150
Couple's Massage Lesson
What a fun, romantic, and instructional way to spend the evening! You and your loved one now
have the opportunity to learn some basic massage techniques together. This private lesson is 90
minutes, and it includes tutoring in massage techniques, along with each of you giving and
receiving a 30 minute massage to one another.
90 minutes: $100
Paraffin Wax Treatments
Paraffin wax treatments are a form of heat therapy; they're often used for muscle, tendon and
ligament ailments. As with conditions like arthritis, they increase blood flow, improve joint stiffness
and reduce pain. They're also used to treat bursitis, tendinitis, sprains, and pulled muscles.
Hands: $10
Feet. $10
Hands, Feet, Knees, & Elbows: $30
Lemon -Sage Exfoliating Sugar Srub
This sweet scrub is the answer! Jojoba, Oive, and Safflower oils are combined with sugar to scub
away imputities and dead skin cells. Refresh, revive, and reveal a healthy glow to the skin. This
wonderful sugar srub is then followed by a relaxing massage with the Lemon -Sage Body Butter
Finishing Cream.
30 Minute... $40 (Hands & Feet)
Peppermint & Eucalyptus Salt Glow
Time to refresh, revive, and reveal a healthy glow to the skin! Flaky, dry, or dull skin is no longer an
issue with this stimulating formula. Therapeutic Dead Sea Salt removes imputities and dead skin
cells, while Jojoba, Olive, and Safflower oils soften and moisturize. This rejuvenating salt glow is
then followed by the Peppermint & Eucalyptus Body Butter Finishing Cream.
30 Minutes: $40 (Hands & Feet)
Add Hot Stones to any massage for $10
Aromatherapy is complimentary for any service
_�Q St. Joseph County Department of Health
To promote health and wellness with compassion and integrity
through partvrships, education, protection, and advocacy for all who
reside in and visit St Joseph County. "
ST. JOSEPH COUNTY
DEPARTMENT OE HEACTH
Permit For: Operation of a Massage Establishment
Issued To: SOUTHSIDE MASSAGE RETREAT
Owner: SARA OVORT
Expires: 2/28/2026
SR/Permit No: 2501058
The St. Joseph County Health authorizes Massage Therapy to be performed at the facility identified above in
accordance with St. Joseph County Code 113. Any person performing a massage must have a Massage Therapist
Permit.
This permit must be posted in view of the public
Michelle Migliore, DO
St, Joseph County Health Officer