@LetItRock: The Ambients and some dance tracks have a method of stasis or near-stasis, while this one is specifically intended, as you note, to gradually build up tension, to make the eventual breakout into the full-on drums and bass come in as a huge contrast, a release of all that pent-up energy.
Stevie Ray Vaughan had an interview once where he talked about a song that goes to the dominant chord and then hangs there what feels like forever, in order to heighten the turnaround when it finally comes home to the tonic. It's the contrast that makes it work.
Dance music has a similar, common feature, "the drop", where the bass and drums come in heavy after a build-up. This is just a ***really*** long, very unusual build-up, using tools that are probably more suited to the subliminal, than as main themes.