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ELECTRICAL PERMIT .?'�°
Job Address: 473 STATION AVE Unit:
Owner Name: SANDY ISLAND LLC
Owner's Address: 159 CAMBRIDGE ST Phone: Email:
Purpose of
Building Commercial Utility Authorization No.: 14771467
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19620
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Electrical installation for new gas station and convenience store. Installation
inlcudes, power, lighting, tele/data cabling, underground conduits,fueling equipment wiring, fire alarm installaion, etc.
No.of Receptacle Outlets: 55 No.of Switches: 21 Generator KW Rating: 100 Type: Diesel
No.Luminaires: 860 No.of Recessed Luminaires: 20 No.Wind Generators: Wind KW Rating:
No.Appliances: 0 KW: 0 No.Water Heaters: 2 KW: 0.5 No.Transformers: 0 Total KVA: 0
Space Heating KW: 0 Heating Equipment KW: 0 No.Motors: 3 Total HP: 6 Total KW:
No. Heat Pumps: 0 Total KW: 0 Total Tons: 0 Fire Alarm System 0 No.of Devices: 15
Swimming Pool: In-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: 0
No.Oil Burners: 0 No.Gas Burners: 0 Video System ❑ No.of Devices:
No.Air Conditioners: 2 Total Tons: 15 Telecom System 0 No.of Outlets:
No. Energy Storage Systems: 0 KWH Storage Rating: 0 Security System ❑ No.of Devices:
Solar PV KW DC Rating: 0 Solar PV KW AC Rating: 0 No.of Electric Vehicle Supply Equipment: 0
No.of Modules: 0 Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: 0
Estimated Value of Electrical Work: $200,000 Work to Start: October 4, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: MICHAEL P MURZYCKI License Number: 15936
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number: l-1 tO 1—2 6 DZL1
Address: BELLINGHAM, MA, 020191665 BELLINGHAM MA 020191665 Fee Paid: $650.00
Email: pm@advance-electrical.com Business Telephone: 401-641-0008
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the
licensee provides proof of liability insurance including "completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE: Beacon Mutual
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10/3/23, 4:10 PM \^ J about:blank
Commonwealth of Massachusetts - y-1. .
TownofYarmouths,
ELECTRICAL PERMIT:4.: .
Job Address: 473 STATION AVE Unit:
Owner Name: SANDY ISLAND LLC
Owner's Address: 159 CAMBRIDGE ST Phone: Email:
Purpose of
Building Commercial Utility Authorization No.: 14771467
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19620
Existing Service Amps / Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps / Volts Overhead ❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: Electrical installation for new gas station and convenience store. Installation
inlcudes, power, lighting, tele/data cabling, underground conduits, fueling equipment wiring, fire alarm installaion, etc.
No. of Receptacle Outlets: 55 No. of Switches: 21 Generator KW Rating: 100 Type: Diesel
No. Luminaires: 860 No. of Recessed Luminaires: 20 No. Wind Generators: Wind KW Rating:
No. Appliances: 0 KW: 0 No. Water Heaters: 2 KW: 0.5 No. Transformers: 0 Total KVA: 0
Space Heating KW: 0 Heating Equipment KW: 0 No. Motors: 3 Total HP: 6 Total KW:
No. Heat Pumps: 0 Total KW: 0 Total Tons: 0 Fire Alarm System 0 No. of Devices: 15
Swimming Pool: In-Grnd. ❑ Above-Grnd. ] Hot Tub ❑ No. of Self-Contained Detection/Alerting Devices: 0
No. Oil Burners: 0 No. Gas Burners: 0 Video System No. of Devices:
No. Air Conditioners: 2 Total Tons: 15 Telecom System ❑ No. of Outlets:
No. Energy Storage Systems: 0 KWH Storage Rating: 0 Security System ❑ No. of Devices:
Solar PV KW DC Rating: 0 Solar PV KW AC Rating: 0 No. of Electric Vehicle Supply Equipment: 0
No. of Modules: 0 Roof-Mount ❑ Ground-Mount ❑ Level 1 ❑ Level 2 — Level 3 ❑ Rating: 0
Estimated Value of Electrical Work: $ 200,000 Work to Start: October 4, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: MICHAEL P MURZYCKI License Number: 15936
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number: L m t - 2 E YUZL
Address: BELLINGHAM, MA, 020191665 BELLINGHAM MA 020191665 Fee Paid: $650.00
Email: pm@advance-electrical.com Business Telephone: 401-641 -0008
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the
licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE: Beacon Mutual
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