HomeMy WebLinkAboutHLP2023-004009ADDRESS
3000 Grapevine Mills
Pkwy., 414
Grapevine, TX 76051
LEGAL
Grapevine Mills Addition
Blk 1 Lot 1r3
S
PERMIT HOLDER
Susan Bitros
5 State Helicopters Inc
(972) 636-4009
COLLABORATORS
•Susan Bitros
5 State Helicopters Inc
(972) 636-4009
OWNER
•Grapevine Mills Mall
Lp
(317) 636-1600
INFORMATION FIELDS
**APPLICANT NAME (Individual)Susan Bitros
**APPLICANT PHONE NUMBER 9726364009
DOCUMENTS - MISC 01 Map Templates.pdf
DATE & TIME OF HELICOPTER LIFT 11/07/2023 8:00 AM
RAIN DATE FOR HELICOPTER LIFT 11/18/2023 8:00 AM
The granting of this permit does not presume to give authority to violate or cancel
the provisions of City, State, or other local laws regulating construction or the
performance of construction. All provisions, laws, and ordinances governing this
type of work shall be complied with, whether specified or not and shall be enforced
at any and all times
Any changes to the date of the lift (not including the rain date) will require a new
application to be submitted and reviewed.
City of Grapevine
PO Box 95104
Grapevine, Texas 76099
817) 410-3166
Helicopter Lift Permit
Project# 23-004009
Project Description: Helicopter Lift Permit for "Hey Dude" [
November 7, 2023, 8:00 a.m., Rain Date November 18, 2023,
8:00 a.m.]
Issued on: 11/08/2023 at 7:53 AM
MYGOV.US 23-004009, 11/08/2023 at 7:53 AM Issued by: Connie Cook
Page 1/1
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11/7/23, 9:36 AM Planning/ Building Services Permit Authorization
https://grapevine.mccicloud.io/Forms/form/submission/history/242591/983997?hideHeader=true 1/2
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 Inc
972-636-4009
11/7/2023
08:00:00 AM
11/18/2023
08:00:00 AM
Yes No
City
Fate
State / Province / Region
Texas
Postal / Zip Code
75189
Country
United States
Street Address
285 Blackland Rd
Address Line 2
Map Templates.pdf 861.18KB
Map Templates.pdf 861.18KB
HOLD HARMLESS.pdf 386.29KB
11/7/23, 9:36 AM Planning/ Building Services Permit Authorization
https://grapevine.mccicloud.io/Forms/form/submission/history/242591/983997?hideHeader=true 2/2
Certificate of Insurance *
FAA Approval *
Signature
Date Submitted *
23-24 HL - City of Grapevine.pdf 226.09KB
CAP - Grapevine #110723.pdf 1007.57KB
11/2/2023
09:47:32 AM
Operational Area
Flight Path
Landing Area
Staging area
Emergency Area
Blocked Areas
Light Poles
Power Lines
Grapevine Mills Mall – Hey Dude
3000 Grapevine Mills Pkwy.
Grapevine, TX 76051
Date of Lift:
11/07/2023
Time:
8:00AM
32° 58’ 04.4”N
97° 02’ 33.3”W
Grapevine Mills Mall – Hey Dude
3000 Grapevine Mills Pkwy.
Grapevine, TX 76051
Date of Lift:
11/07/2023
Time:
8:00AM
32° 58’ 04.4”N
97° 02’ 33.3”W
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.
Grapevine Mills Mall – Hey Dude
3000 Grapevine Mills Pkwy.
Grapevine, TX 76051
Date of Lift:
11/07/2023
Time:
8:00AM
32° 58’ 04.4”N
97° 02’ 33.3”W
ADDRESS
3000 Grapevine Mills
Pkwy., 414
Grapevine, TX 76051
LEGAL
Grapevine Mills Addition
Blk 1 Lot 1r3
S
PERMIT HOLDER
Gregg Steve Davis,
Travis Mechanical
(972) 242-7079
COLLABORATORS
•Gregg Steve Davis,
Travis Mechanical
(972) 242-7079
OWNERS
•Grapevine Mills Mall
Lp
(317) 636-1600
TENANTS
•Q
INSPECTIONS 2
1. Mechanical Rough 2. Mechanical Final
INFORMATION FIELDS
**APPLICANT NAME (Individual)Gregg Davis
**APPLICANT PHONE NUMBER 972-242-7079
VALUATION 57771
Square Footage 3808
Is Duct Work Being Installed?NO
FEE TOTAL PAID DUE
Mechanical Permit Fee
{Value}$ 531.40 $ 531.40 $ 531.40
TOTALS $ 531.40 $ 531.40 $ 0.00
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.
October 31, 2023
Signature Date
City of Grapevine
PO Box 95104
Grapevine, Texas 76099
817) 410-3166
Mechanical Permit
{VALUE}
Project # 23-003902
Project Description: Furnish & install 20 ton Roof Top Unit
"Hey Dude"
Issued on: 10/31/2023 at 12:23 PM
MYGOV.US 23-003902, 10/31/2023 at 12:23 PM Issued by: Connie Cook
Page 1/2
CAP#________
DATE:
TO:FAAOFFICE
REFERENCE:CONGESTED / CONTINGENCY - SAFETYPLAN
**SHOULD A WEATHER,MECHANICALORMATERIALDELAYBEEXPERIENCED,THISPLAN
ISAPPROVEDFORABOVELISTEDDATEPLUS14CALENDARDAYS.**
AIRCRAFTINFORMATION: N6BL
N4XY
SIKORSKY S-58T TRANSPORT CATEGORY
SIKORSKY S-58T TRANSPORT CATEGORY
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MESSERSCHMITT TRANSPORTCATEGORY
PILOTINFORMATION: ROBERTSMITH
PREPAREDBY:
APPROVED BY:
OPERATING CERTIFICATE #LDUL599B
285 BLACKLAND ROAD
FATE,TEXAS75189
(972) 636-4009
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COMMERCIALCERTIFICATE # 3493515
ATP # 2727633
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COMMERCIALCERTIFICATE # 3ϳϮϬϳϯϴ
110723
November 2, 2023
North Texas FSDO
November 7, 2023
8:00AM 9:30AM
Grapevine Mills Mall - Hey Dude
3000 Grapevine Mills Pkwy Ste 414
Grapevine, TX 76051
Keith Patterson
972-242-7079 Keith Patterson
972-242-7079
Travis Mechanical
1919 Old Denton Rd #100
Carrollton, TX 75006
Susan Bitros
APPROVED
NTX FSDO SW19
Digitally signed by
MICHAEL S KIMBALL
Date: 2023.11.03
11:13:23 -05'00'
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
285BLACKLANDROAD
FATE,TEXAS75189
(972) 636-4009
WWW.5STATE.COM
XX
XX
1 5
1,000 2,500 59%
XX
85'
XX (see narrative)
XX
285 BLACKLAND ROAD
FATE, TEXAS 75189
(972) 636-4009
WWW.5STATE.COM
______ 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 job-site being a warehouse 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 inside the operational area will be vacant during operations.
XX
XX
285 BLACKLAND ROAD
FATE, TEXAS 75189
(972) 636-4009
Notification of Grapevine City Officials
5 State Helicopters has contacted the following city officials about the lift to be
performed on November 7, 2023: 3000 Grapevine Mills Pkwy - #414 Grapevine, TX 76051
City Manager: Connie Cook 817-410-3155
Your message has been delivered to the following recipients:
Subject: 5 State Helicopter Lift of HVAC Equipment November 7, 2023 in Grapevine, TX at approximately
8:00 AM - 9:30 AM.
Police: Mike Hamlin 817-410-3225
Your message has been delivered to the following recipients:
Subject: 5 State Helicopter Lift of HVAC Equipment 7 November 2023 in Grapevine, Texas at
approximately 8:00AM-9:30AM.
Fire: Darrell Brown 817-410-4400
Your message has been delivered to the following recipients:
Subject: 5 State Helicopter Lift of HVAC Equipment 7 November 2023 in Grapevine, Texas at
approximately 8:00AM-9:30AM.
ATC: Dallas Fort Worth Intl. Airport 972-615-2650
Your message has been delivered to the following recipients:
'
Subject: 5 State Helicopters lift operations 4 miles North of DFW on November 7, 2023.
Best Regards,
5 State Helicopters
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