Azzoni Construction Debris AffidavitCity of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ● Municipal Building
Northampton, MA 01060
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number __ ________ is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: ___________________________________________________
The debris will be transported by:
Name of Hauler: ______________________________________________________
Signature of Applicant: __________________________________Date: ___________
TBD
89 Market Street, Northampton, MA 01060
Insight Solar
9/15/20
5 Fort St -