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HomeMy WebLinkAboutItem 7 New Body Artist - Anna Sokolova 28 Barnstable Road HyannisTown of Barnstable, MA October 20, 2026 Record No: BAPR-55 Body Art - Practitioner License Status: Active Submitted On: 9/8/2026 Primary Location 28 BARNSTABLE ROAD Hyannis, MA 02601 Owner MOROZOVA ENTERPRISE LLC Smoke Valley 60 Osterville , MA 02655 Practitioner Information Full Name of Practitioner* Anna Sokolova Practitioner Permit Type* Body Art Practitioner - Tattooing Only Name of Establishment that you are employed by* Lash and Brow Boutique Practitioner Mailing Address</stong> Street or PO Box:* 1872 Commonwealth ave City:* Boston State:* MA Zip:* 02135 Practitioner Education & Services Did you complete a college course in Anatomy and Physiology?* Yes Are you currently a Trainee?* No Requested Services Approved Body Art/Tattoo Permanent Makeup Body Piercing Micro Blading I agree to restrict my body art work to tattoos only. Tattoo Artist Agreement* Anna Sokolova Aug 31, 2026 Body Artist experience in the past two years. Business Name Sokolova.PMU Full Address 15 oak street , Needham, 02492 Start Date 09/01/2025 End Date – Business Name Sokolova.PMU Full Address 150 Arsenal St, Watertown, MA 02472 Start Date 08/01/2023 End Date 08/01/2025 Other Businesses you have been engaged in during the past two years: Business Name* NA Full Business Address* NA Business Email Business Phone Number Applicant Signature Applicant / Body Artist Statement of Consent I have received a copy of the Barnstable Board of Health’s regulations and their recommended infection control procedures regarding body piercing, if licensed for this. I agree to abide by these regulations and procedures. I agree to work only out of the facilities that are in compliance with requirements. I agree to post the required documents conspicuously in my place of business at all times. I hereby certify, under pains and penalties of perjury, that to the best of my knowledge, the information provided on this application is complete and accurate and not misrepresented in any way. I have received a copy of the Town of Barnstable's regulations and their recommended infection control procedures regarding body piercing, if licensed for this. I agree to abide by these regulations and procedures. I agree to work only out of the facilities that are in compliance with requirements. I agree to post the required documents conspicuously in my place of business at all times. I hereby certify, under pains and penalties of perjury, that to the best of my knowledge, the information provided on this application is complete and accurate and not misrepresented in any way. Applicant / Body Artist Statement of Consent* Anna Sokolova Aug 31, 2026 Certificate of Completion Anna Sokolova has successfully completed requirements for Bloodborne Pathogens Training Date Completed: 9/9/2026 Valid Until: 9/9/2027 Conducted by: American Red Cross To verify certificate, scan code or visit redcross.org/digitalcertificate and enter ID. Learn and be inspired at LifesavingAwards.org 02F5C1E Town of Needham Public Health Division 178 Rosemary Street Needham, MA 02494 www.needhamma.gov/ health Phone: 781-455-7940 THE COMMONWEALTH OF MASSACHUSETTS Town of Needham, Board of Health Permit No. BAP-10002 Issue Date: February 5, 2026 Expires: December 31, 2026 BODY ART PRACTITONER In accordance with the Board of Health Regulation, specifically, ARTICLE -REGULATION '03#0%:"35ESTABLISHMENT "/%13"$5*5*0/&34, a permit is hereby issued for the following Bodywork Practitioner: This is to certify that: Anna Sokolova IS HEREBY GRANTED A LICENSE TO WORK AT: Bodywork Establishment: 1SFNJVN4LJO Establishment Address: 0BL4U4VJUF, Needham, MA 02492 Establishment Phone: 617  This license is granted in conformity with the Statutes and ordinances relating thereto, and expires on December 31, unless sooner suspended or revoked. NOTE: This license is Non-TransferrableSainath Palani, MPH Environmental Health Agent 1/1 Abbey Myers, REHS / RS Director of Public Health City of Watertown Board of Health Parker Annex 124 Main Street, 3G Watertown, MA 02472 P: 617-972-6446 | F: 617-972-6499 www.watertown-ma.gov Fee: $150.00 Date Issued: May 19, 2025 Permit Number: BAP-51 2025-2026 BODY ART PRACTITIONER PERMIT Practioner Name: Anna Sokolova IS HEREBY GRANTED A PERMIT IN ACCORDANCE WITH REGULATIONS PROMULGATED UNDER AUTHORITY OF CHAPTER III, SECTION 31 OF THE MASSACHUSETTS GENERAL LAWS. THE PERMITTED ESTABLISHMENT MUST ADHERE TO THE TERMS AND THE CONDITIONS OF THE WATERTOWN BOARD OF HEALTH RULES AND REGULATIONS PERTAINING TO BODY ART ESTABLISHMENTS AND PRACTITIONERS Permit Expires: May 31, 2026 Abbey Myers, REHS / RS Director of Public Health Conditions: MICROBLADING ONLY WATERTOWN BOARD OF HEALTH Dr. Dominic Amirtharaj, MD Kim Netter, MPH Jessica Malenfant, MPH, CSPO Abbey Myers, REHS / RS Director of Public Health City of Watertown Board of Health Parker Annex 124 Watertown Street, 3G Watertown, MA 02472 P: 617-972-6446 | F: 617-972-6499 www.watertown-ma.gov Fee: $200.00 Date Issued: May 19, 2025 Permit Number: BAE-39 2025-2026 BODY ART ESTABLISHMENT PERMIT Establishment Name: PMU.sokolova Address: 130-150 ARSENAL STREET IS HEREBY GRANTED A PERMIT IN ACCORDANCE WITH REGULATIONS PROMULGATED UNDER AUTHORITY OF CHAPTER III, SECTION 31 OF THE MASSACHUSETTS GENERAL LAWS. THE PERMITTED ESTABLISHMENT MUST ADHERE TO THE TERMS AND THE CONDITIONS OF THE WATERTOWN BOARD OF HEALTH RULES AND REGULATIONS PERTAINING TO BODY ART ESTABLISHMENTS AND PRACTITIONERS Permit Expires: May 31, 2026 Abbey Myers, REHS / RS Director of Public Health Conditions: COSMETIC BODY ART ONLY WATERTOWN BOARD OF HEALTH Dr. Dominic Amirtharaj, MD Kim Netter, MPH Jessica Malenfant, MPH, CSPO Abbey Myers, REHS / RS Director of Public Health City of Watertown Board of Health Parker Annex 124 Main Street, 3G Watertown, MA 02472 P: 617-972-6446 | F: 617-972-6499 www.watertown-ma.gov Fee: $150.00 Date Issued: June 5, 2024 Permit Number: BAP-51 2023 BODY ART PRACTITIONER PERMIT Practioner Name: Anna Sokolova IS HEREBY GRANTED A PERMIT IN ACCORDANCE WITH REGULATIONS PROMULGATED UNDER AUTHORITY OF CHAPTER III, SECTION 31 OF THE MASSACHUSETTS GENERAL LAWS. THE PERMITTED ESTABLISHMENT MUST ADHERE TO THE TERMS AND THE CONDITIONS OF THE WATERTOWN BOARD OF HEALTH RULES AND REGULATIONS PERTAINING TO BODY ART ESTABLISHMENTS AND PRACTITIONERS Permit Expires:May 31, 2025 Abbey Myers, REHS / RS Director of Public Health Conditions: MICROBLADING ONLY WATERTOWN BOARD OF HEALTH Kim Netter, MPH Richard Arnold, FNP, BC Dr. Dominic Amirtharaj, MD Abbey Myers, REHS / RS Director of Public Health City of Watertown Board of Health Parker Annex 124 Watertown Street, 3G Watertown, MA 02472 P: 617-972-6446 | F: 617-972-6499 www.watertown-ma.gov Fee: $200.00 Date Issued: June 5, 2024 Permit Number: BAE-39 2023 BODY ART ESTABLISHMENT PERMIT Establishment Name: PMU.sokolova Address: 130-150 ARSENAL STREET IS HEREBY GRANTED A PERMIT IN ACCORDANCE WITH REGULATIONS PROMULGATED UNDER AUTHORITY OF CHAPTER III, SECTION 31 OF THE MASSACHUSETTS GENERAL LAWS. THE PERMITTED ESTABLISHMENT MUST ADHERE TO THE TERMS AND THE CONDITIONS OF THE WATERTOWN BOARD OF HEALTH RULES AND REGULATIONS PERTAINING TO BODY ART ESTABLISHMENTS AND PRACTITIONERS Permit Expires:May 31, 2025 Abbey Myers, REHS / RS Director of Public Health Conditions: COSMETIC BODY ART ONLY WATERTOWN BOARD OF HEALTH Kim Netter, MPH Richard Arnold, FNP, BC Dr. Dominic Amirtharaj, MD Larry Ramdin, MPH, MA, REHS, CP-FS Director of Public Health City of Watertown Board of Health Administrative Building 149 Main Street Watertown, MA 02472 P: 617-972-6446 | F: 617-972-6499 www.watertown-ma.gov Fee: $400.00 Date Issued: August 21, 2023 Permit Number: BAE-30 2023 BODY ART ESTABLISHMENT PERMIT Establishment Name: sokolova.PMU Address: 130-150 ARSENAL STREET IS HEREBY GRANTED A PERMIT IN ACCORDANCE WITH REGULATIONS PROMULGATED UNDER AUTHORITY OF CHAPTER III, SECTION 31 OF THE MASSACHUSETTS GENERAL LAWS. THE PERMITTED ESTABLISHMENT MUST ADHERE TO THE TERMS AND THE CONDITIONS OF THE WATERTOWN BOARD OF HEALTH RULES AND REGULATIONS PERTAINING TO BODY ART ESTABLISHMENTS AND PRACTITIONERS Permit Expires:May 31, 2024 Larry Ramdin, MPH, MA, REHS, CP-FS Director of Public Health Conditions: COSMETIC BODY ART ONLY WATERTOWN BOARD OF HEALTH Barbara D. Beck, Ph.D. Richard Arnold, FNP, BC Dr. Dominic Amirtharaj, MD Abbey Myers, REHS / RS Acting Director of Public Health City of Watertown Board of Health Administrative Building 149 Main Street Watertown, MA 02472 P: 617-972-6446 | F: 617-972-6499 www.watertown-ma.gov Fee: $150.00 Date Issued: August 23, 2023 Permit Number: BAP-39 2023 BODY ART PRACTITIONER PERMIT Practioner Name: Anna Sokolova IS HEREBY GRANTED A PERMIT IN ACCORDANCE WITH REGULATIONS PROMULGATED UNDER AUTHORITY OF CHAPTER III, SECTION 31 OF THE MASSACHUSETTS GENERAL LAWS. THE PERMITTED ESTABLISHMENT MUST ADHERE TO THE TERMS AND THE CONDITIONS OF THE WATERTOWN BOARD OF HEALTH RULES AND REGULATIONS PERTAINING TO BODY ART ESTABLISHMENTS AND PRACTITIONERS Permit Expires:May 31, 2024 Abbey Myers, REHS / RS Acting Director of Public Health Conditions: PERMITTED FOR PERMANENT MAKE-UP ONLY WATERTOWN BOARD OF HEALTH Barbara D. Beck, Ph.D. Richard Arnold, FNP, BC Dr. Dominic Amirtharaj, MD