Senior Clerk Mary Grenier mgrenier@belchertown.org 413-323-0406

Forms and Applications


2022 License/Permit Renewal Application   Worker's Comp. Affidavit
Checks can be made out to Town Of Belchertown 

Please submit to Board of Health P.O. Box 670 Belchertown, MA  01007-0670

New Food Establishment

info

Plan Review Forms

Application  

Remodeled  Food Establishment

info

Plan Review Forms 

Application  

Food Establishment

info

 

Application 

Food Establishment Renewal

info

Affidavit General Business

Application  

Retail Food  

info

 

Application

General Application for Permit

Ecology Can
Tobacco Sales

 

Application

Limited Type II

   

Application

Mobile Food

info

 

Application

Temporary Food 

info

Operation Requirements

Application

 Catering

info 

 

 Application  

Residential Kitchen

info 

 

Application


Farmer's Market

info

info

Application

Allergen Awareness

info

   

 Perc Test Application
Perc and Final $320.00
2-17*22

info 

Trench Permit thru Building Inspector's office needed before perc will be scheduled

Application 

Beaver Permit

Disposal Works Construction Permit 
(Septic)
$110.00 2-17-2022

 Title V Review for Additions/Expansions

 
 

Tanning Facility

 Body Art Piercing

 
 
 
 Application
 

 

 

 

 

 Abandon Septic Form

 

 

Application

Annual Permit Renewal Form

AffidavitGeneral Business  

 

Renewal Application

 

Septic Local Upgrade 

info

 

 Application

 Well Permit
$80.00 2-17-22

Regulations

 

Plan review Requirements   

 

 

Application

 

Installer's Permit

Requirements 

Worker's Comp. Affidavitt

Application

 Hauler's Permit

 

 Worker's Comp. Affidavitt

Application