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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