HomeMy WebLinkAboutNew Massage Establishment - A Healing Oasis1316 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
August 12, 2025
Ms. Deborah Barton
A Healing Oasis
714 E. Jefferson Blvd.
South Bend, IN 46614
ahealinfzoasisSB(&jzmail.com
RE: Approval — License Application for New Massage Establishment
Dear Ms. Barton:
At its August 12, 2025 meeting, the Board of Public Works approved your request
for the New Massage Establishment at 714 E. Jefferson Blvd.
If you have any further questions, please call this office at (574) 235-9251.
Sincerely,
Is/Hillary Horvath
Hillary Horvath, Clerk
Enclosures
HH
ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT MURRAY L. MILLER BREANA N. MIcou
INTEROFFICE MEMORANDUM
BOARD OF PUBLIC WORKS
DATE: 04/22/2025
TO: Brad Rohrscheib, Police Department
St. Joseph County Health Department - see attached
Derek Erquhart, Fire Department
Kari Myers, Zoning Department
Tim Staub, Zoning Department
FROM: Theresa Heffner, Clerk
SUBJECT: NEW - MASSAGE ESTABLISHMENT LICENSE
RECOMMENDATION
BUSINESS NAME: A HEALING OASIS
ADDRESS: 714 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 Recommendation (passed fire inspection)
COMMUNITY INVESTMENT: A massage establishment is a permitted primary use in the
NC Neighborhood Center district.
Forall muniCipal business &arise questions, coritKt C'FW of 5oukh Bernd - @epartrnent at Commurftf Investment
227 West leTferson Blvd ■ Suite 1400 5 -South Bend, Indana 46601 - 574.235591.2 - F: 574.235.9022
LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT
MUNICIPAL CODE SECTION - 4-35
I. APPLICATION TYPE Check One:
ll. BUSINESS DATA
A. Business Name: A Healing Oasis
New x Renewal
B. Business Address: 714 E. Jefferson 13W.
City: South Bend State: IN Zip: 46614
C. Mailing Address (If different from above):
City: State, -
Zip-D. Business Telephone Number: 574-286r2M
E. Business Fax Number; NIA
F. E-Mail Address: AHeaiing4asis$B@gma€i.com
G. Zoning of Business Location:
NEIGHBORHGGD CENTER
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 X
I. if yes, what wasthe reason:
2. If yes, what was the business occupation following the suspension/revocation:
I- Describe the nature and scope of the business: A Healing Oasis rents out space to
different precticlioners so they can have indiWidual sessions as wall as group
meetops, classes or e►rerits. This includes massage therapists.
- a o
For Office Use Only
Application Filed APR 2 2 2025 Public Safety Approval
Application Fee Paid License Fee Paid
Sent to Dept. License Number P ISC b - 1
Not Approved
Reason
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
Elizabeth A. Maradik, President
Gary A. Gilot, Member
P2wy /' -;- +
",�2_ 7rt
Joseph R. Molnar, Vice President
Breana Micou, Member
Murray L. Miller, Member Attest: Hillary R. Horvath, Clerk
Date: August 12, 2025
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2D Wert leearsen 8IM•Sune1000 S eSnuM Bend, Indiana 4601• 524135.59111 F: s24]a5 2
LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT
MUNICIPAL CODE SECTION - 4-35
Ill. OWNERSHIP
A Type of ownership (check one):
uc Sole Proprietorship (If sole proprietorship, proceed to 1).
Partnership (If partnership, proceed to 2).
Corporation (If corporation, proceed to3).
1. Sole Proprietor
Name: Berton Enterprises LLO
Residential Address:
Chr South Bend State: IN Zip:
2. Partnership (List at least two (2) partners)
Name q1:
Residential Address:
City: State: Zip:
Name M2:
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 N3:
Title:
BusbessAddress:
City: —State;—ZIP;
Residential Address:
City. State: Ip:
Name#2:
Title:
BusinessAddress:
City State: zip:
Residential Address:
City: —State:—rip:
2
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LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT
MUNICIPAL CODE SECTION - 4-35
III.OWNERSHIP (Continued)
3. Corporation (Cominued)
Name83:
Business Address:
Residemul Address:
City: State: ZIP:
V7A94 ]0C19 YA0
A. Applicant's Legal Na Deborah A. Barton
B. Residential Address:
citv„ South BendState: IN Zip:
C. Residential Telephone Number.
D. Residential Fax Number. WA
E. Cellphone Number. 574-28&2956
F.E-Mail Address: dabartonlOG6@91scglobal.nat
e 15.41...... ith1....G.me. Founder/Owner
H. Please list all criminal convictions (if any), excluding traffrcvtolations:
Nature of Conviction City State Date
N/A
(Attach additional sheets If necessary)
I. Please list all addresses for three (3) years prior to application date:
Street Address City State Dales
lived at same address over 25 years
(Attach addition
�ry)
J. Date of birth:
IC Gender:
L. Social Secur Number:
M. Race:
3
For all munlcipaf business license questions, corrtact- City of South Send • Dopartincrrt of Community Investmenr
227 West Jefferson Bird + Surte 1400 5 -South Bend, Indiana 46601 • 574.235,5912 • F: 574.235,9021
LICENSE APPLICATION FOR - MASSAGE ESTABLISHMENT
MUNICIPAL CODE SECTIDN - 4-35
IV_ PFRSONAI DATA iContinuedl
0, Please list all previous employment for three (3) years prior to the date of this application:
Company
1st Source Bank
Address City, State, ZIP Dates
100 N. Michigan St. South Bend, IN 46614 1995 - 2024
(Attach additional sheets if necessary)
V. INCLUDE WITH APPLICATION:
Three (3) passport photos taken within 5 months of application.
VI. INCLUDE $5.00 PROCESSING FEE WITH APPLICATION
VII. INCLUDE A LIST OF ALL MASSAGE THERAPIST EMPLOYED BY ESTABLISHMENT None at this time
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
Code, Section 4.35.
&&,-A Jn, 4` JUd��
Signature
Date
SERVICES: yoga, reiki,card readings, breathwork, holistic wellness, crystal healing, essential oils, sound healing,
energy balance healing art, and soon to come massage therapy.
J3E
MR"
UR
00 rRS TN R it CEVENUZ SERVCE Y
l CINCINNATI OR 45999-0023
BARTON F'HTERPIzrSES LLC
A HEALING OASIS
g DEBORAH A BARTON SOLE MM
50UrK BEND, IN
Date of this notice; 10-17-2022
ification Nufter:
Fo=- 93-4
Number of this notice. CP 575 0
For assistance you may call us at!
1-86d-829-4933
IF YOU WRITE, ATPACH THE
STUB AT THE END OF THIS NOTICE.
WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER
or applying for an Employer Identification Number (EIN). We assigned. you
This EIN will identify you, youx business accounts, tax returns, and
documents, even if you have no employees. Pleaae keep this notice in your permanent
records.
Taxpayers request an EIN for their buEiness. Some taxpayers receive CP575 notices when
another person has stolen their identity and are opening a business using their information.
If you did not apply for this EIN, please contact us at the phone number or address listed
on the top of this notice.
When filing tax documents, making payments, or replying to any related correspondence,
it is very important that you use your ETN and complete name and address exactly as shown
above. Any variation may cause a delay in processing, result in incorrect information in
your account, or even cause you to be assigned more than one EIN. If the information is
not correct as shown above, please make the correction using the attached tear -off stub
and return it to us.
A limited liability company (LLC) may file Form 0632, Entity Classification Election,
and elect to be classified as an association taxable as a corporation_ If the LLC is
eligible to be treated as a corporation that meets certain tests and it will be electing 5
corporation status, it must timely file Form 2553, Election by a Small. Business
Corporation. The LLC will be treated as a corporation as of the effective date of the S
corporation election and does not need to file Form 8832.
To obtain tax forma and publications, including those referenced in this notice,
visit our Web site at www.irs.gov. If you do not have access to the Internet, call
1-800-629-3676 (TTYITDD 1-800-829-4059) or visit your local IRS office.
State of Indiana
Office of the Secretary of State
Certificate of Organization
Of
BARTON ENTERPRISES, LLC
I, HOW SULLIVAN, Secretary of State, hereby certify that Articles of Organization of the above
Domestic Umited Liability Company have been presented to me at my office, accompanied by the fees
prescribed by law and that the documentation presented conforms to law as prescribed by the
provisions of the Indiana Code.
NOW, THEREFORE, with this document I certify that said transaction will become effective Monday,
October 17, 2022,
In Witness Whereof, I have caused to be affixed my
signature and the seal ofthe State of Indiana, at the City
of Indianapolis, October 17, 2022.
HOW SULLIVAN
SECRETARY OF STATE
202210171631906 19597108
To ensure the certificate's validity, go to https://bsd.sm.in.gm/Publ!cBusinessSearch