3921 Boston Cir - Elevator PermitDEPARTMENT OF
LABOR AND INDUSTRY
443 Lafayette Road N., St. Paul, MN 55155
(651) 284-5071 www.dli.mn.gov
ELEVATOR PERMIT
ELV-P2107-0010
Permit Date: 07/06/2021
Project Name
Kandace Lackore
Site Address
3921 Boston Cir, Eagan, 55123
Applicant Name ARROW LIFT ACCESSIBILITY
Address PO BOX 34 DULUTH MN 55801
Phone (218) 279-6043
Owner Name
Address
Phone
Contractor Name ARROW LIFT ACCESSIBILITY
Phone 218-279-6043
Inspector Matt P Peterson
Phone (651) 368-4896
Description of Work
New Installation
Fees
Total Fees $160.38
Total Fees Paid $160.38
Total Fees Due $0.00
NOTICE
This permit is valid only for the work described and does not grant permission for
additional or related work. A separate permit may be required for work not included in the
scope of this permit. A permit issued by the department is valid for work commenced within
12 months of application and completed within two years of application.
Contractor: ARROW LIFT ACCESSIBILITY
443 Lafayette Road N., St. Paul, MN 55155 • (651) 284-5005 • www.dli.mn.gov
An Equal Opportunity Employer
6/23/2023 APPROVED FOR USE
ARROW LIFT ACCESSIBILITY
PO BOX 34
DULUTH, MN 55801
RE: PERMIT # ELV-P2107-0010
Project: Kandace Lackore
Location: Eagan, MN 55123
Address: 3921 Boston Cir
Dear Sir or Madam:
Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction Codes &
Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before
they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your
facility and determined it meets requirements of the Minnesota Elevator Safety Code.
NOTE:Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators
does not necessarily assure compliance with the Americans With Disabilities Act of 1990.
Sincerely,
Matt P Peterson
Elevator Code Rep
Construction Codes and Licensing \ Elevator Inspections
CC: ARROW LIFT ACCESSIBILITY
3830 Pilot Knob Road, DALE SCHOEPPNER
ElFormCE2R
443 Lafayette Road N., St. Paul, MN 55155 • (651) 284-5005 • www.dli.mn.gov
An Equal Opportunity Employer
CERTIFICATE OF APPROVAL
PERMIT TYPE; Elevator Permit | Installation | Residential
SITE:Kandace Lackore
Address:3921 Boston Cir
City:Eagan, MN
This approval is for permit work performed by ARROW LIFT ACCESSIBILITY under permit number ELV-P2107-
0010.
If you have questions related to the issuance of this permit call:
(651) 284 5071
Department of Labor and Industry
Construction Codes and Licensing | Elevator Inspections