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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 ElFormCE2