EA180722 - Building - Commercial/Industrial - Eagan Tobacconist - Issued Date 02/07/2023PERMIT
City of Eagan ®® Permit Type: Building
3830 Pilot Knob Rd °®®e ®®°®AL "AN
Permit Number: EA180722
Eagan, MN 55122 •® -®EAU
(651) 675-5675 111111111111111111111111111111111111 HIM
www.cityofeagan.com * E R 1 8 0 7 Z Z*
Date Issued: 2/7/2023
Site Address: 4130 Blackhawk Rd 100
Lot: 1 Block: 1 Addition: Blackhawk Plaza
PID: 10-14388-01-010 11111111111111111111111111 IN 111111111111111111111 11111M
Use: Eagan Tobacconist * 1 0— 1 4 3 8 8— 0 1— 0 1 0*
Description:
Sub Type: Commercial/Industrial
Work Type: Int Impr
Description: Suites 100 - 104
Census Code: -
Zoning:
Square Feet: 2,450
Comments:
Construction Type: II -B
Occupancy: M
Fee Summary: BL - Base Fee $331.75 0801.4085
Valuation: 17,000.00 BL - Plan Review 65% $215.64 0720.4222
Surcharge - Based on Valuation $8.50 9001.2195
Total: $555.89
Contractor:
Owner:
Thomas C Kite
% Suntide Commercial Realty Inc
2550 University Ave W Ste 416-S
Saint Paul MN 55114
- Applicant -
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B .Signature
ECEIVE
2 G 2922
1 0 0
•�.• •ai E AG A N
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810
(651) 675-56751 FAX: (651) 675-5694
Plan Submittal: buildinainsaectionsO)citvofeaaan.com
0 2/I called
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For Office Use Q
Building Permit #: 1 2 2 I
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S&W Permit M
I Permit Fee: I
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Date Received:
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Date Issued:
--------------------------I
COMMERCIAL BUILDING PERMIT APPLICATION
Date: 12/05/2022 Site Address: 4130 Blackhawk Rd, Eagan, MN 55122 suite #: 100-104
Tenant Name: Eagan Tobacconist Tenant Is: New 13 Existing
Former Tenant (if applicable):
Name: Adam Mishal Phone: (651) 366-1563
Applliaant
Applicant is: ;4 Owner ❑ Contractor ❑ Agent Email:
Type of
Description of work: Building Walk -in -Humidor, New carpet, New -ceiling panels, extending an exciting wall
Work
Construction Cost: $17,000.00
Company: Store Owner contact: Adam Mishal
Building
Address/City/zip: 2090 Samuel Street unit 11, Roseville, MN 55113
Contractor
Phone: (651) 366-1563 Email: adammishal@gmail.com
"
License #: Store Owner Expiration Date:
Company: Jim Mackey Architect Contact: Jim
Archttectl
Eoglrleer
Address/City/Zip: 1723 Lafond Ave, Saint Paul, MN
Phone: 55104 Email: Jim.mack@q.com
Sewer &
Company: Contact:
Water
Contractor
Address/City/Zip:
Required for
new construction
Phone: Email:
and additions
License #: Expiration Date:
1 understand that Plumbing, Mechanical, Fire Suppression, and Sign work require separate applications.
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the Information
mut,°be classified as non-public if you provIde,spbolfic reasons that would ermit the CI to conclude that thq, are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan;
that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
ADAM M I S HAL Digitally signed by ADAM MISHAL
Adam Mishal Dafe: 2022.12.20 01:43:44 -08'001
x x
Applicant's Printed Name Applicant's Signature
SUB TYPES
_ Foundation
Commercial/Industrial
— Apartments
WORK TYPES
— New
— Addition
— Alteration
— Public Facility
— Accessory Building
Greenhouse/Tent
Interior Improvement
_ Exterior Improvement
— Retaining Wall
Site Address: 4130 ftckhawk Rd, Eagan, MN 55122
Eagan Tobacconist
Antennae Ea
— Tenant: 9
-11
Permit #: 150-7- —
_ Demolish Building*
Demolish Interior
Demolish Foundation
*Demolition of entire building - give PCA handout to applicant
DESCRIPTION
1-7,o6b
�� g
Retaining Wall
Valuation
Code Edition
Vapor Barrier
MCES System
Plan Review
Zoning
—�—
SAC Units
Census Code
Stories
Roof: —Decking _Insulation _Ice & Water _Final
City Water
# of Units —"
Square Feet
®
Fire Sprinklers
Type of Construction
Length
s
�—
i< Yes No
Occupancy
Width
Reviewed By: , Building Inspector
REQUIRED INSPECTIONS
Footings _ New Building —Addition
Retaining Wall
Foundation Foundation Before Backfill
Other:
Vapor Barrier
Other:
Framing 30 Minutes '71( 1 Hour
Insulation
Sheetrock
Final / C.O. Required
Roof: —Decking _Insulation _Ice & Water _Final
Final / No C.O. Required
Siding: — Lath _Brick — EFIS
Fireplace: —Rough In _Air Test _Final
Pool: Air/Gas Tests
_Footings _Final
Final C/O Inspection: SchedF're Marshal to be present:
U,New
i< Yes No
Business to Eagan:
Reviewed By: , Building Inspector
FEES -7S
Base Fee Landscape Guarantee (9001.2257)
Surcharge Tree Mitigation (9111.4677)
Plan Review �d d �� Tree Performance Security (9111.2257)
MCES SAC Stormwater Performance Security (6501.2257)
City SAC
S&W Permit & Surcharge
Treatment Plant
Treatment Plant (Irrigation)
Park Dedication (9328.4670)
Trail Dedication (9375.4671)
I—
It 9
TOTAL: $ 0.00 15-5
Revised 8/10/2022
MCES USE: Letter Reference: 230113A1 Address ID: 4861 Payment ID: 465352
Date of Determination: 1/13/22
Greetingsl
Please see the determination below.
Determination Expiration: 1/13/24
Project Name:
Eagan Tobacconist
Project Address:
4130 Blackhawk Road
Suite/Campus :
100-104
City Name:
Eagan
Applicant:
Adam Mishal, Eagan Tobacconist
lgri -7-
Special Notes: The City is required to report this project with the normal SAC Activity Report if a permit is issued.
Charge Calculation:
Retail: 2796 sq. ft. @ 3050 sq. ft. / SAC = 0.92
Total Charge: 0.92
Credit Calculation:
Blackhawk Plaza (SAC 11/86)
Retail: 2796 sq. ft. @ 3000 sq. ft. / SAC = 0.93
Total Credit: 0.93
Net SAC: -0.01 = 0 SAC Due
The business information was provided to MCES by the applicant at this time. It is the City's responsibility to substantiate the
business use and size at the time of the final inspection. If there is a change in use or size, a redetermination will need to be
made. If you have any questions email me at: sara.runnine@metc.state.mn.us
Thank you,
Sara Running
SAC Technician
Please visit our SAC website by going to: http://www.metrocouncil.org/SACprogram
METROPOLITAN
C 0 U N C I L