City of Edina Form Center

2. About This Form

   Fill out and submit annually for a new or renewal of a parking ramp license. The fee is $140.

4. What You Will Need to Upload on This Application
   • Completed Engineer's Report (Required)
   • Completed Annual Inspection Form (Required)
     
     • Parking Ramp Annual Inspection Report (PDF)
     • The inspection shall be performed annually, not more than 150 days prior to the application for a new license or the renewal of a license.
   • Certificate of liability insurance or proof of insurance
   • Workers' compensation form, unless exempt
6. Application Type*

   1. New
   2. Renewal
8. Ramp Owner*
10. Address*
12. City*
13. State*
14. Zip Code*
16. Phone Number*
17. Email*
19. Provide your Minnesota Tax ID Number. If a Minnesota Tax ID Number is not required, explain why.*
20. Federal Tax ID Number

    Required if you have one

22. Social Security Number

    Provide only if you do not have a Federal Tax ID

26. Primary Contact Name*
28. Email Address*
29. Phone Number*
33. Management Company Name (if applicable)
35. Contact Name & Title
37. Address
39. City
40. State
41. Zip Code
43. Phone Number
44. Email Address
48. Ramp Details
50. Date Ramp Was Built*
    Date Ramp Was Built
51. Who Owns the Ramp?*

    1. City Owned
    2. Privately Owned
53. Street Address of Ramp*
55. Number of Parking Spaces*
56. Number of Parking Levels*
58. Complete Engineer's Report*
60. Engineer's Certificate of Liability Insurance*
62. Workers' Compensation Liability

    Upload a valid Certificate of Insurance or proof of insurance that includes the insurance company name, policy number, and expiration date.

64. Workers' Compensation Liability Exemption (if applicable)

    I am not required to have workers' compensation liability coverage because:

    1. I have no employees.
    2. I am self-insured.
    3. I have no employees who are covered by workers' compensation law (spouse, parents, children).
66. Self-insurance Permit
68. Annual License Fee
70. Payment
    Annual license
71. Quantity
72. Shipping Cost
73. Taxable
75. For questions about parking ramp licensing, contact Building Inspections at 952-826-0372.

77. Application is hereby submitted for a license to operate a parking ramp within The City of Edina, Minnesota, in accordance with the ordinances of the city regarding the same (Ref-Edina City Code Section 10-570. Parking Ramps)Application is hereby submitted for a license to operate a parking ramp within The City of Edina, Minnesota, in accordance with the ordinances of the city regarding the same (Ref-Edina City Code Section 10-570. Parking Ramps)

79. Data Practices Act*

    The Minnesota Data Practices Act requires that we inform you of your rights about the private data we are requesting on this form. Private data is available to you, but not to the public. We are requesting this data to determine your eligibility for a license from the City of Edina. Providing the data may disclose information that could cause your application to be denied. You are not legally required to provide the data, however, refusing to supply the data may cause your license to not be processed. Under MS 270.72, the City of Edina is required to provide the Minnesota Department of Revenue your MN Tax ID Number or Social Security Number. This information may be used to deny the issuance, renewal or transfer of your license if you owe the Minnesota Department of Revenue delinquent taxes, penalties, or interest. The Department of Revenue may supply information to the Internal Revenue Service. In addition, this data can be shared by Edina City Staff, the State of Minnesota Driver License Section, Hennepin County Auditor, Bureau of Criminal Apprehension, Hennepin County Warrant Office, Ramsey County Warrant Office, the Minnesota State Auditor and if required by a court order. Applicant’s residence address and telephone number will be considered public data unless you request this information to be private and provide an alternative address and telephone number. Applicant’s signature on this application indicates the applicant has read and understands their right regarding Data Practices. Applicant’s residence address and telephone number will be considered public data unless you request this information to be private and provide an alternative address and telephone number. Your residence address and telephone number will be considered public data unless you request this information to be private and provide an alternative address and telephone number below.

    1. I agree.
81. Certification*

    1. I certify that all the information given on this application is complete and accurate.
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