2d. Renewal of Water Obstacle Permit, Minnewashta Ski Clubi
t
C I TY OF
---
CHANHASSEN
x - 690 COULTER DRIVE 9 P.O. BOX 147 • CHANHASSEN, MINNESOTA 55317
(612) 937 -1900 • FAX (612) 937 -5739
MEMORANDUM
Action by Ctty Administrator
Endors
Modfe
TO: Mayor ut~iecte
City Council rt 5-L- S _
Don Ashworth, City Manager bate suhmtted to Commission
FROM: Scott Harr, Public Safety Director r Date P-.- ,:,<<d to council
DATE: April 14, 1995
SUBJ: Water Obstacle Permit Renewal
Attached please find a water obstacle permit renewal. from the Minnewashta Ski Club. This
organization has operated a ski course for the past 10 years without incident.
It is the recommendation of the Public Safety Director that the application be approved with
the same conditions that have existed in the past:
1) No skiing occurring before 7:00 AM or on holidays or weekends;
2) Verification of insurance be received by the Public Safety Director;
3) Authorization be granted by the Carver County Sheriff's Water Patrol Division.
g:\s a fet y\,s h4ninnski. e
01/07/1991
03:13
612 -471 -1963
CENTERLINE
SALES
PAGE 02
04/07/95
11:14
CITY OF CHANHASSAN
PUBLIC SAFETY -+
612 474 1963
N0. 323 D(,
a ' CITY OF CHANHASSEN
690 Coulter Drive
Chanhassen, Minnesota 55317
937 -1900 '
WATER OBSTACLE PERMIT
(Section 6, Ordinance No. 73) '
Date: f' o Application Fee $25.00
(Non- refundable)
Paid
APPLICANT
NAME: A
11��
ADDRESS: ���— � �� Ape,
TELEPHONE NO: Home; Work: LP 'y 7'- I
ORGANIZATION
NAME: !� / /N/�tG s !'�` . C- '
ADDRESS:
TELEPHONE NO:
Describe nature of Organization:
TYPE OF WATER OBSTACLE
Ski Jump
Slalom Ski Course
Diving Tower
Other (please specify)
APR 1 0 799
d�tq�yyAS��y /c
s4 f%
SIZE (Dimensions, Height, etc. }: 16)
LOCATION ( include map): N•4&
Method used to Reflectorize Obstacle:
Dates Permit Requested:
Zf this is a Special Event, please describe: /����
01/07/1991 03:13 612 -474 -1963 CENTERLINE SALES PAGE 03
' e4 %07/95 11.14 CITY OF CHANHASSAN PUBLIC SAFETY y 612 474 1963 N0.323 003
t
' Additional Information
I , the applicant, assume full
' responsi z z or the instal a non, maintenance and removal of the
above described water obstacle. I will obtain and maintain during
the effective period of the requested permit a policy of comprehen-
sive general public liability insurance, including insurance against
' injuries to persons and /or property, in the minimum amount for each
occurrence and for each year of 51,000,000 for public liability and
endorsed to show the City of Chanhassen as an additional insured.
' I understand that this permit may be revoked if said water obstacle
is found to be a hazard or obstruction to the safe use of the lake
by the gen ral public, I acknowledge that I am responsible for all
costs as cia w the removal of said water obstacle under the
' pr4visi, s on 6.05 of City Ordinance No. 73.
' APp sic S ' ture
Dat
' Approved by the City Council on subject to all
Of the following conditions:
1 •
2.
3•
r a ro
1
Don A o th, ity manager
[in
Bat
01/07/1991 03:13
' 04/10/1995
08: 38
612 - 474 -1963
6124732804
CENTERLINE SALES
ANCHOR:
Amended Cove rage Data Page
Policy Part 1
A Summary of
Your Coverage
AGENT COPY
PCP 32 5.92
Poi ,.Y Narned Insured
Policy N 3 36 93 96
Information SCNROEDER DAVI
Processing Date: 10 -12.94
Policy Inception: 1201 AM 08 -19.94
Mailing Address
Policy Upirstion:1201 AM 08.19 -115
6331 FIR TREE AVE
original Policy Inception: 08 -18 -82
EXCELSIOR MN $3331 -8556
Effective Date of Change: 10 -12.84
Issued by:
BOSTON OLD COLONY INSURANCE COMPANY
J
Company Cods: 46
Your Insurance ANCHOR INSURANCE AGENCY ,
Representative 14405 21ST AVE NO. SUITE '109
PLYMOUTH MN 55447 ,
(612) 473 -4090
Code: 22213037 0001
A Few Words We are pl eased to provide you with your Continental Unk Five policy which we believe is one
About Your of the finest personal Insurance policies available. As a Unk Plus customer• you have purchased,
comprehensive protection in a single policy that has been tailored to meet your individual life-
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We would also like to take this opportunity to thank you for choosing us to be your Insurance,
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Policy CONTENTS, INTRODUCTION AND GLOSSARY (Policy Part 2)
>—
Explanations For your assistance, this part of your Link Plus policy explains where policy information can be
found. how your policy is organized, and how to find out if a loss is covered. It also includes
definitions of key words and phrases used in your policy.
ss# Ovtirvlew Of The following Overview of your Coverages shows the limits of coverage that apply under your
Your Coverages Unk Plus policy. There's also a brief description of the coverages we provide. Please refer to
the actual Policy for the specific details of these coverages.
law live urod Locations
Loc. Property Coverages (Policy Part 3)
No. Location Address Limit of Coverage
1 0331 FIR TREE AVE S 256,000 '
EXCELSIOR MN SS33t
Mortoagee(s) Name and Address '
APPLI ES TO LOC 1 MTGE ACCT NO 22134581 -2
.� GMAC MORTGAGE CORP. ITS
ss SUCCESSORS WOR ASSIGNS
P.O. BOX 4400
W &TFw► m fA RnTMA -AA —but
PAGE 04
PAGE 01
ffy CA 04V?4A
01/07x'1991 03:13 612 -474 -1963 CENTERLINE SALES PAGE 05
' 04/10/19 08:38 612473280 ANCHOR: PAGE 02
r
' a
' Insured Vshleles
Veh. Description Deductible Class
No. Plan of Vehicle VIN No. Comp. Coll. Limit Code
' 1 A 85 HONDA JHMASS229FCO34339 525OG $ 500 ACV 887220
PRELUDE
2 A 24 FORD 1FMDU34X2RUA01912 325413 S 500 ACV 887120
EXPOLORER
' Operators
No. 1 SCHROEDER DAVID L 2 SCHROEDER MARY
13SMsge To Property (Policy Part 3)
Sullding and Personal Property Coverage - Your limit of coverage for each home insured under
this policy is shown in the 'Insured Locations' section of this Coverage Data Pape. This limit
' applies to loss resulting from physical damage to your home, related structures and personal
property.
A deductible of i 250 applies to each loss.
' Vehicle Coverage (Comprehensive and Collision) - Comprehensive coverage and Collision
coverage may apply to each insured auto listed In the 'Insured Autos' section of this Coverage
Data Page. Coverage applies only when a deductible amount or full coverage (FC) Is displayed
' for the insured auto. Collision coverage applies to damage due to the upset of an auto Of its
impact with another vehicle or object. Comprehensive coverage applies to damage due to
losses other than'coilision. Limits under these coverages are 'actual cash value' (ACV) unless
specific amounts are shown.
' Liability (Policy Part 4)
Your limit of coverage Is 3 $00.000 each accident. This coverage applies to a Covered
' Person's legal responsibility for accidentally injuring someone or accidentally damaging some -
one's pro rt . it Includes accid2nts r vities.
Your Personal Umbrella Liability limit of coverage is $ 1,000,000 each accident. This limit
' applies in excess of your: 500,000 limit described above.
Medical Payments (Policy Part 5)
Your limit of coverage is S 7,000 each person. This coverage provides for the payment
' of medical and funeral expenses for injuries accidentally incurred by a person who is covered
as a result of auto, household or personal activities.
Uninsured (And Underinsured) Motorists (Policy Part 6)
Your Uninsured Motorists limit of coverage is $ 700,000 each accident. This coverage ap-
plies when a Covered Person is entitled to collect damages from an auto accident, but cannot
' because the other driver does not have insurance.
Your Underinsured Motorists limit of coverage is 3 300,000 each accident. This coverage
applies when a Covered Person Is entitled to collect damages from an auto accident, but cannot
because the other driver does not have adequate insurance.
1