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Home My WebLink AboutHLP2023-0568City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (817) 410-3166 Voice (817) 410-3012 Fax HELICOPTER LIFT PERMIT Issue Date: February 22, 2023 PROJECT DESCRIPTION: Helicopter Lift Permit to Install RTU for \"The Disney Store\" February 22, 23 @ 7:30 a.m. with a Rain Date of March 5, 23 @7:30 a.m. PROJECT # HLP-23-0568 (817) 410-3010 Inspections www.mygov.us Permits LOCATION TENANT LEGAL 3000 Grapevine Mills Pkwy. Suite # 600 Grapevine, TX 76051 Disney Stores USA LLC Grapevine Mills Addition Blk 1 Lot 1r3 CONTRACTOR 5 State Helicopters Inc 285 Blackland Rd. Fate, TX 75189 (972) 636-4009 Phone (903) 303-7383 Fax OWNER Grapevine Mills Mall Lp INFORMATION **APPLICANT NAME Max Greocym **APPLICANT PHONE NUMBER 9726364009 APPROVAL CITY MANAGER YES APPROVAL DEVELOPMENT SERVICES YES APPROVAL RISK MANAGEMENT YES County Tarrant DATE & TIME OF HELICOPTER LIFT 2023-02-22 07:30 am RAIN DATE FOR HELICOPTER LIFT 2023-03-05 07:30 am Zoning CC - Community Commercial MYGOV.US City of Grapevine | HELICOPTER LIFT PERMIT | HLP-23-0568 | Printed 02/22/23 at 3:27 p.m. Page 1 of 1 City of Grapevine P.O. Box 95104 Grapevine, TX 76099 (817) 410-3166 Voice (817) 410-3012 Fax MECHANICAL PERMIT {VALUE} Issue Date: January 23, 2023 PROJECT DESCRIPTION: Unit replacement 20 ton package unit [Unit is like for like, no modifications to building is needed] "Disney Stores USA" PROJECT # MECH-23-0248 (817) 410-3010 Inspections www.mygov.us Permits LOCATION TENANT LEGAL 3000 Grapevine Mills Pkwy. Suite # 600 Grapevine, TX 76051 Disney Stores USA LLC Grapevine Mills Addition Blk 1 Lot 1r3 CONTRACTOR CMS / NEXTECH, LLC (MECH) State ID # TACLA95695C 1045 S John Rodes Blvd MELBOURNE, FL 32904-0000 (321) 473-0435 Phone (321) 727-2270 Fax (321) 473-0435 Mobile OWNER Grapevine Mills Mall Lp 225 W Washington St Indianapolis, IN 46204-6120 ph. (317) 636-1600 AVAILABLE INSPECTIONS Mechanical Final (required) INFORMATION Is Duct Work Being Installed?NO Square Footage 8000 VALUATION 56677 FEES TOTAL =$ 523.74 Mechanical Permit Fee {Value}$ 523.74 PAYMENTS TOTAL = $ 523.74 CMS / NEXTECH, LLC (MECH) (Richard Chrysler) Cc on 01/23/2023 ($523.74) NOTICES ALL work must be done in compliance with the 2006 INTERNATIONAL MECHANICAL CODE. PLAN SUBMITTAL: WHEN PLANS ARE REQUIRED BY CODES, ORDINANCES, OR AS DETERMINED BY THE BUILDING OFFICIAL, THREE (3) SETS OF PLANS SHALL BE SUBMITTED IN HARD COPY FORMAT. ENGINEER SEALED PLANS AND CALCULATIONS SHALL BE SUBMITTED AS REQUIRED BY CODES, ORDINANCES OR WHERE OTHERWISE REQUIRED BY STATE LAW. READ AND SIGN I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND ALL WORK WILL BE PERFORMED ACCORDING TO THE DOCUMENTS APPROVED BY THE BUILDING DEPARTMENT AND IN COMPLIANCE WITH THE CITY OF GRAPEVINE CODES REGULATING CONSTRUCTION. IT IS UNDERSTOOD THAT THE ISSUANCE OF THIS PERMIT DOES NOT GRANT OR AUTHORIZE ANY VIOLATION OF ANY CODE OR ORDINANCE OF THE CITY OF GRAPEVINE. I FURTHER CERTIFY THAT ALL WORK THAT IS REQUIRED TO COMPLY WITH ANY FEDERAL, STATE, AND / OR LOCAL LAW REGARDING ENERGY CONSERVATION WILL BE PERFORMED IN ACCORDANCE WITH THOSE LAWS, AND THAT VERIFICATION OF ENERGY CODE COMPLIANCE SHALL BE SUBMITTED TO THE CITY UPON REQUEST. Signature Date MYGOV.US City of Grapevine | MECHANICAL PERMIT {VALUE} | MECH-23-0248 | Printed 02/22/23 at 3:28 p.m. Page 1 of 2 Helicopter Lift Permit Submittal City of Grapevine Applicant Name * Applicant Phone Number Applicant Email * Date of Helicopter Lift *Rain Date * Do You have a Mechanical Permit * Helicopter Lift Address * Location Map * Flight Path Map * Hold Harmless & Indemnity Agreement * 5 State Helicopters (972) 636-4009 2/22/2023 07:30:00 AM 3/5/2023 07:30:00 AM Yes No City Grapevine State / Province / Region TX Postal / Zip Code 76051 Country United States Street Address 3000 Grapevine Mills Pkwy Address Line 2 Ste 600 location_map.pdf 358.5KB City Manager Grapevine TX 02-22-23_rev1.pdf 758.33KB flight_path_map.pdf 285KB 2023-HOLD HARMLESS.pdf 666.07KB Planning/ Building Services Permit Authorization https://grapevine.mccicloud.io/Forms/form/avsubmission?RemoveHead... 1 of 2 2/22/2023, 3:37 PM Certificate of Insurance * FAA Approval * Signature Date Submitted * COI HL - City of Grapevine.pdf 226.1KB CAP #022223.pdf 1.87MB 2/17/2023 08:33:30 AM Planning/ Building Services Permit Authorization https://grapevine.mccicloud.io/Forms/form/avsubmission?RemoveHead... 2 of 2 2/22/2023, 3:37 PM Disney Store at Grapevine Mills 3000 Grapevine Mills Pkwy Ste 600 Grapevine, TX 76051 Date of Lift: 02/22/2023 Time: 7:30AM 32°57’ 53.6”N 97°02’ 36.6”W Grapevine Mills Mall - Disney3000 Grapevine Mills Pkwy Ste 600 Grapevine, TX 76051 2-22-23 3-5-23 16th February 3 Shawn Harris TEXAS ROCKWALL 16th February 3 TEXAS 08-26-24 CAP#________ DATE: TO: FAA OFFICE REFERENCE: CONGESTED / CONTINGENCY - SAFETY PLAN ** SHOULD A WEATHER, MECHANICAL OR MATERIAL DELAY BE EXPERIENCED, THIS PLAN IS APPROVED FOR ABOVE LISTED DATE PLUS 14 CALENDAR DAYS. ** AIRCRAFT INFORMATION: N6BL N4XY SIKORSKY S-58T TRANSPORT CATEGORY SIKORSKY S-58T TRANSPORT CATEGORY SIKORSKY S-58T TRANSPORT CATEGORY N9VY N170MC N60A MESSERSCHMITT TRANSPORT CATEGORY PILOT INFORMATION: ROBERT SMITH PREPARED BY: APPROVED BY: OPERATING CERTIFICATE #LDUL599B 285 BLACKLAND ROAD FATE, TEXAS 75189 (972)636-4009 OFFICE@5STATE.COM WWW.5STATE.COM SIKORSKY UH-60A RESTRICTED CATEGORY SHAWN HARRIS CHRIS JABLONSKI COMMERCIAL CERTIFICATE # 3493515 ATP # 2727633 ATP # 3123734 February 16, 2022 022223 North Texas FSDO February 22, 2023 7:30AM 9:30AM Disney Store at Grapevine Mills 3000 Grapevine Mills Pkwy, Ste 600 Grapevine, TX 76051 CMS Nextech 3923 Morse St, Ste 101 Denton, TX 76208 Norman Nguyen Norman Nguyen (214) 516-8980(214) 516-8980 Max Greczyn LOAD DESCRIPTION HAZMAT: YES (DOT-SP 16606 & DOT-SP 20490) NO ROOFTOP UNITS MATERIALS EQUIPMENT OTHER: NUMBER OF TOTAL LIFTS (RANGE) - WEIGHT RANGE - PERCENTAGE OF LIFT ABILITY OF AIRCRAFT LOAD AERODYNAMIC: YES NO LENGTH OF ATTACHING GEAR (FROM HOOK TO BOTTOM OF LOAD) BUILDING OCCUPIED DURING LIFT: YES NO * IF YES, ESTIMATED LOAD PENETRATION OF FLOORS AREA CONSIDERED CONGESTED: YES NO OPERATING CERTIFICATE # LDUL599B 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 WWW.5STATE.COM XX XX 1 4 1800 lbs 2500 lbs 60% XX 85 feet XX XX 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 WWW.5STATE.COM NARRATIVE PLAN OF OPERATION ______ CONGESTED COMMERCIAL AREA ______ CONGESTED RESIDENTIAL AREA ______ CONGESTED AREA PROBABILITY/POSSIBILITY This is congested area operations. Items are located in staging area(s) on either transportable vehicles or ground surface. Item(s) to be placed on building/structure roof top(s) or designated areas. Direct flight path(s) from staging area(s) to placement area(s) will occur unless otherwise notated on provided maps. Lift(s) amount(s), description(s), order and placement could be altered by contractor personnel, however, pick up site and drop site shall not be outside the parameter of this request. Helicopter landing area(s) will be secured at all times (prior, during and departure). Flight path(s) during lift operations inside the designated operational area(s) will remain clear of unauthorized personnel, equipment, obstacles at all times. Flight path(s) will remain within operational area(s) at all times. The operational area(s) has been surveyed for hazard(s) and mitigated to the lowest risk level acceptable to, or able to obtain, by both 5 State Helicopters, Inc. and contractor(s). Should a unforeseen, or additional hazard(s) surface, lifting will immediately halt till the hazard(s) have been rectified or mitigated. Primary means of communication via radio will be maintained constantly during the operation. Secondary means of communication via hand signals will be immediately incorporated should radio communications fail. Appropriate ATC communications will be maintained by pilot in all possible and/or feasible situations. Narrative: Due to the jobsite being a shopping mall in a residential and commercial area we classify this to be a potential congested area. However, all entrances will be blocked and controlled by security personnel so that no unauthorized persons shall enter or cross the operational area. The building will be vacant during operations. XX XX 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 office@5state.com www.5state.com Notification of Grapevine City Officials 5 State Helicopters has contacted the following city officials about the lift to be performed on February 22, 2023: 3000 Grapevine Mills Pkwy, Ste 600 Grapevine, TX 76051 City Manager: Connie Cook Your message has been delivered to the following recipients: Subject: 5 State Helicopters lift of HVAC equipment on February 22, 2023, in Grapevine, TX at approximately 7:30AM - 9:30PM Police: Mike Hamlin Your message has been delivered to the following recipients: Subject: 5 State Helicopters lift of HVAC equipment on February 22, 2023, in Grapevine, TX at approximately 7:30AM - 9:30PM Fire: Darrell Brown, Russell Batchelor Your message has been delivered to the following recipients: Subject: 5 State Helicopters lift of HVAC equipment on February 22, 2023, in Grapevine, TX at approximately 7:30AM - 9:30PM ATC: Dallas-Fort Worth International Airport Your message has been delivered to the following recipients: ' Subject: 5 State Helicopters lift operations 4 nautical miles north of DFW on February 22, 2023 Best Regards, 5 State Helicopters Operational Area Flight Path Landing Area Staging area Emergency Area Blocked Areas Disney Store at Grapevine Mills 3000 Grapevine Mills Pkwy Ste 600 Grapevine, TX 76051 Date of Lift: 02/22/2023 Time: 7:30AM 32°57’ 53.6”N 97°02’ 36.6”W Disney Store at Grapevine Mills 3000 Grapevine Mills Pkwy Ste 600 Grapevine, TX 76051 Date of Lift: 02/22/2023 Time: 7:30AM 32°57’ 53.6”N 97°02’ 36.6”W Disney Store at Grapevine Mills 3000 Grapevine Mills Pkwy Ste 600 Grapevine, TX 76051 Date of Lift: 02/22/2023 Time: 7:30AM Helicopter will not Be more than 125’ Above a 40’ building When air lifting Equipment to the Roof. Pilot will contact Dallas Fort Worth Airport. 32°57’ 53.6”N 97°02’ 36.6”W 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 office@5state.com www.5state.com February 16, 2023 Connie Cook, City of Grapevine Attention: City Manager Reference: 5 State Helicopters Landing and Operations This letter, with the location, dates, and time of a helicopter external load operation that is being flown by 5 State Helicopters, Inc. is to ensure there are no restrictions or regulations preventing the helicopter from landing within the city limits of Grapevine, Texas. Helicopter Type: Sikorsky S58T, Kawasaki BK 117 TRANSPORT CATEGORY Sikorsky UH-60 Restricted Category Call Sign: N4XY (Blue), N6BL (Red), N9VY (Orange), N170MC (Yellow) or N60A (Black) Pilots: Robert Smith, Chris Jablonski or Shawn Harris 5 State Helicopters, Inc. assures the City of Grapevine, Texas that it will comply with all State, Federal and local regulations, holds and required permits and is licensed to do the type of work as described in this request. The City releases responsibility to 5 State Helicopters and hiring contractor to vacate this jobsite of unauthorized personnel during operations. Please feel free to contact 5 State Helicopters with any questions and/or concerns that you may have. Office: 972-636-4009 Please sign and e-mail back to: Office@5state.com SINCERELY, APPROVED / DISAPPROVED BY____________________________ DATE________________________ Date / Time of Job: Location: Contractor: February 22, 2023 Disney Store at Grapevine Mills 7:30AM - 9:30PM 3000 Grapevine Mills Pkwy, Ste 600 Grapevine, TX 76051 CMS Nextech 3923 Morse St. Suite 101 Denton, TX 76208 Operational Area Flight Path Landing Area Staging area Emergency Area Blocked Areas Disney Store at Grapevine Mills 3000 Grapevine Mills Pkwy Ste 600 Grapevine, TX 76051 Date of Lift: 02/22/2023 Time: 7:30AM 32°57’ 53.6”N 97°02’ 36.6”W Disney Store at Grapevine Mills 3000 Grapevine Mills Pkwy Ste 600 Grapevine, TX 76051 Date of Lift: 02/22/2023 Time: 7:30AM 32°57’ 53.6”N 97°02’ 36.6”W Disney Store at Grapevine Mills 3000 Grapevine Mills Pkwy Ste 600 Grapevine, TX 76051 Date of Lift: 02/22/2023 Time: 7:30AM Helicopter will not Be more than 125’ Above a 40’ building When air lifting Equipment to the Roof. Pilot will contact Dallas Fort Worth Airport. 32°57’ 53.6”N 97°02’ 36.6”W 3353 Peachtree Road NE, Suite 1000 Atlanta, GA 30326 Certificate of Insurance Certificate Number:2.1 Issued By and Date:FEBRUARY 14, 2023 (BAR) By Starr 10200 (6/06)(Authorized Representative) This is to certify that the policy(ies) listed herein have been issued providing coverage for the listed insured as further described. This certificate of insurance is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policy(ies) listed herein. Notwithstanding any requirement, term or condition of any contract, or other document with respect to which this certificate of insurance may be concerned or may pertain, the Insurance afforded by the policy(ies) listed on this certificate is subject to all the terms, exclusions, and conditions of such policy(ies). Aircraft:Reg Insured Deductibles Year Make and Model No.Value NIM / IM Liability Limit - SEE ATTACHED ⠀ $ $ $ FLEET SCHEDULE - ⠀ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ THE CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED, BUT SOLELY AS RESPECTS THE OPERATIONS OF THE NAMED INSURED. THE INSURANCE EVIDENCED BY THIS CERTIFICATE SHALL NOT APPLY TO, AND NO PERSON OR ORGANIZATION TO WHICH COVERAGE IS EVIDENCED IN THE CERTIFICATE SHALL BE INSURED FOR BODILY INJURY OR PROPERTY DAMAGE WHICH ARISES FROM THE DESIGN, MANUFACTURE, MODIFICATION, REPAIR, SALE, OR SERVICING OF AIRCRAFT BY THAT PERSON OR ORGANIZATION. Certificate Holder:CITY OF GRAPEVINE 200 S. MAIN STREET GRAPEVINE, TX 76051 Named Insured:5-STATE HELICOPTERS, INC., CENTERPOINTE AEROSPACE AND AVIATION RESOURCES HOLDINGS LLC 285 BLACKLAND ROAD ROYSE CITY, TX 75189-4746 Policy Period: From:⠀FEBRUARY 15, 2023 ⠀To:⠀FEBRUARY 15, 2024 ⠀ Policy Number:SASICOM60184923-03 ⠀ Issuing Company:STARR INDEMNITY & LIABILITY COMPANY ⠀ Starr 10284 (3/06) ADDITIONAL INSURED ENDORSEMENT This policy is amended as follows: The provisions of this endorsement shall apply with respect to:ALL SCHEDULED AIRCRAFT ⠀ (Only the clause(s) indicated by an "X" shall apply.) The scheduled persons or organizations are included as additional insured. The scheduled persons or organizations are the registered owner of and are included as additional insured. The scheduled persons or organizations are included as additional insured but only as respects liability coverages. The scheduled persons or organizations are included as additional insured under liability coverages, but only as respects operations of the named insured. The scheduled persons or organizations are included as additional insured but only as respects operations of the named insured. The insurance extended by this endorsement shall not apply to, and no person or organization named in the schedule shall be insured for bodily injury or property damage which arises from the design, manufacture, modification, repair, sale, or servicing of aircraft by that person or organization. Schedule: Name Address CITY OF GRAPEVINE 200 S. MAIN STREET GRAPEVINE, TX 76051 ⠀ ⠀ All other provisions of this policy remain the same. This endorsement becomes effective FEBRUARY 15, 2023 to be attached to and hereby made a part of: SASICOM60184923-03 5-STATE HELICOPTERS, INC., CENTERPOINTE AEROSPACE AND AVIATION RESOURCES HOLDINGS LLC By STARR INDEMNITY & LIABILITY COMPANY Endorsement No. TBA Date of Issue FEBRUARY 14, 2023 (BAR) ⠀By (Authorized Representative) Policy No. Issued to 3353 Peachtree Road NE, Suite 1000 Atlanta, GA 30326 Issued By and Date:FEBRUARY 14, 2023 (BAR) (Authorized Representative) Certificate of Insurance – Fleet Schedule Attachment Named Insured:5-STATE HELICOPTERS, INC., CENTERPOINTE AEROSPACE AND AVIATION RESOURCES HOLDINGS LLC 285 BLACKLAND ROAD ROYSE CITY, TX 75189-4746 Policy Period:From:⠀February 15, 2023 ⠀To:⠀February 15, 2024 ⠀ Policy Number:SASICOM60184923-03 ⠀ Year Make and Model Reg No. Insured Value Deductibles NIM / IM Liability Limit Passenger Sublimit 1962 SIKORSKY S-58DT N9VY $650,000 10% OF IV / 10% OF IV $5,000,000 CSL INCL PAX 1957 SIKORSKY S-58T N4XY $650,000 10% OF IV / 10% OF IV $5,000,000 CSL INCL PAX 1990 EUROCOPTER BK 117 B- 1 N170MC $850,000 10% OF IV / 10% OF IV $5,000,000 CSL INCL PAX 1985 SIKORSKY UH-60A N60A $1,800,000 10% OF IV / 10% OF IV $5,000,000 CSL INCL PAX Operational Area Flight Path Landing Area Staging area Emergency Area Blocked Areas Disney Store at Grapevine Mills 3000 Grapevine Mills Pkwy Ste 600 Grapevine, TX 76051 Date of Lift: 02/22/2023 Time: 7:30AM 32°57’ 53.6”N 97°02’ 36.6”W