3560 Blue Cross Rd - Elevator Inspection Results443 Lafayette Road N.
St. Paul, Minnesota 55155
www.dli.mn.gov
4/28/2011
DeCare Dental
3560 Delta Dental Dr.
Eagan, MN 55122
RE: HYD _ _ _ GER Elevator ID# ELV -04838
Site: be to Dental
3560 Delta Dental Dr
Eagan, MN 55122
Dear Sir /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.
NOTE: THIS APPROVAL APPLIES TO THE JACK ASSEMBLY REPLACEMENT.
ALL ELEVATOR RELATED EQUIPMENT IS SUBJECT TO ANNUAL RENEWAL OF THE OPERATING
PERMIT: It is the owner's responsibility to maintain and keep current with all tests in accordance with the
ASME A17.1 and the ASME A17.3. Frequencies for the required tests can be found in Chapter 1307 of
the Minnesota State Building Code. Failure to maintain and perform the required tests may result in
revocation of the annual operating permit. Operation of an elevator related device without a valid
operating permit may result in an issuance of a "stop order" from the department and possible penalty of
up to $10,000. For more information see our website at: http: / /www.dli.mn.gov /CCLD /Elevator.asp
Sincerely,
CONSTRUCTION CODES & LICENSING
400 4444
Tim Warren
State Elevator Inspector
c: OTIS ELEVATOR COMPANY
Dale Schoeppner, City of Eagan Building Official
MINNESOTA DE.PARTM NT OF
LABOR & II' USTRY
This information can be provided to you in alternative formats (Braille, large print or audio).
An Equal Opportunity Employer
(651) 284 -5005
1-800- DIAL -DLI
TTY: (651) 297 -4198
APPROVED FOR USE
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