Updated 11-2015
In accordance with Edina City Code, Chapter 10, items 1-10 must be completed before parking ramp license issuance
1. Ramp Address:
2. Year Built:
3. Report Date:
4. Ramp inspection date (s):
5. The structure is capable of supporting loads for which it was designed: No Yes
6. For snow plowing provide the maximum capacity of vehicle loads for this ramp:
7. Tests performed:
8. Structural repairs required: No Yes If yes, explain. A schedule for required structural repairs must be
included with this report. Use attachments if necessary.
9. Maintenance recommendations: No Yes If yes, explain. Use attachments if necessary.
10. Statement of professional qualifications:
I hereby certify that this plan, specification or report was prepared by me or under my direct supervision and that I am a duly
Licensed Professional Engineer under the laws of the State of Minnesota.
Signed: License Number: Date:
Print Name: Company:
Address: Telephone:
In accordance with Edina City Code, Chapter 10, Article XIII, Parking Ramps section 10-569, evidence of
professional liability insurance In the sum of not less than $1,000,000 with a company authorized to do business
in the State must be included with this report. Submit a Certificate of Insurance as evidence.
