1887 Silver Bell Rd - Elevator Inspections443 Lafayette Road N.
St. Paul, Minnesota 55155
www.dli.mn.gov
November 4, 2009
Ellen Hilla
Countrywood Mgmt
2905 Countrywood Dr
Burnsville MN 55337
annon Glen on.o
1887 Silver Bell Rd
Eagan 55122
Site
Dear Sir /Madam:
Sincerely,
CONSTRUCTION-GS LICENSING
Tim D. Warren
State Elevator Inspector
tdw /rsg (CE -2)
c: Schoeppner, Dale R., BO, City of Eagan
Otis Elevator Company
MINNESOTA DEPARTMENT OF
LABOR INDUSTRY
NOY 06
RE: Hydraulic Passenger Elevator ID# 19063AL09 -01
This information can be provided to you in alternative formats (Braille, large print or audio).
An Equal Opportunity Employer
APPROVED FOR USE
(651) 284-5005
1- 800 DIAL -DLI
TTY: (651) 297 -4198
Minnesota Statutes Chapter 16B 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.
THIS APPROVAL APPLIES TO THE NEW PUMP, CONTROLS, FIXTURES CAB.
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.doli .state.mn.us /bc_elevators.html
ElFormCE2
443 Lafayette Road N.
St. Paul, Minnesota 55155
www.dli.mn.gov
March 1, 2010
Countrywood Mgmt
2905 Countrywood Dr
Burnsville MN 55337
RE: Hydraulic Passenger
Site: Shannon Glen III
1887 Silver Bell Rd
Eagan 55122
Dear Sir /Madam:
Minnesota Statutes - Chapter - 16B 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.
THIS APPROVAL APPLIES TO CAB PANELS & CAR DOORS 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.doli.state.mn.us/bc_elevators.html
Sincer -ly,
CO : RS1 C ION • r. & ` ING
Dave J. Westphal)
State Elevator Inspector
djw /rsg (CE -2)
c: Schoeppner, Dale R., BO, City of Eagan
Otis Elevator Company
MINNESOTA DEPARTMENT OF
LABOR & INDUSTRY
- Elevator ID# - 19063.02AL10 -01
This information can be provided to you in alternative formats (Braille, large print or audio).
An Equal Opportunity Employer
APPROVED FOR USE
(651) 284-5005
1- 800 - DIAL -DLI
TTY: (651) 297 -4198
ElFormCE2