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Home My WebLink AboutHLP2023-004194ADDRESS 3000 Grapevine Mills Pkwy., 202 Grapevine, TX 76051 LEGAL 1grapevine Mills Addition Blk 1 Lot 1r3 S *41307097* PERMIT HOLDER Susan Bitros 5 State Helicopters Inc (972) 636-4009 COLLABORATORS •Susan Bitros 5 State Helicopters Inc (972) 636-4009 OWNERS •Grapevine Mills Mall Lp (317) 636-1600 TENANTS •J Crew Outlet #75 INFORMATION FIELDS **APPLICANT NAME (Individual)Susan Bitros **APPLICANT PHONE NUMBER 9726364009 DATE & TIME OF HELICOPTER LIFT 11/28/2023 7:30 AM RAIN DATE FOR HELICOPTER LIFT 12/08/2023 7:30 AM READ AND SIGN Any changes to the date of the lift (not including the rain date) will require a new application to be submitted and reviewed. November 28, 2023 Signature Date City of Grapevine PO Box 95104 Grapevine, Texas 76099 817) 410-3166 Helicopter Lift Permit Project # 23-004194 Project Description: Helicopter Lift [November 28, 2023 @ 7:30 a.m. with Raindate of December 8, 2023 @ 7:30 a.m.] "J Crew" Issued on: 11/28/2023 at 10:09 AM MYGOV.US 23-004194, 11/28/2023 at 10:09 AM Issued by: Connie Cook Page 1/2 ADDRESS 3000 Grapevine Mills Pkwy., Shell Grapevine, TX 76051 LEGAL Grapevine Mills Addition Blk 1 Lot 1r3 S PERMIT HOLDER Quai Quai Miller Lennox National Account Services (214) 876-4953 COLLABORATORS •Quai Quai Miller Lennox National Account Services (214) 876-4953 OWNERS •Grapevine Mills Mall Lp (317) 636-1600 TENANTS •Grapevine Mills Shell Building INSPECTIONS 1 1. Mechanical Final INFORMATION FIELDS **APPLICANT NAME (Individual)Quai Miller **APPLICANT PHONE NUMBER 214-876-4953 VALUATION 55000 Is Duct Work Being Installed?NO FEE TOTAL PAID DUE Mechanical Permit Fee {Value}$ 512.00 $ 512.00 $ 512.00 TOTALS $ 512.00 $ 512.00 $ 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. November 01, 2023 Signature Date City of Grapevine PO Box 95104 Grapevine, Texas 76099 817) 410-3166 Mechanical Permit {VALUE} Project # 23-003937 Project Description: Replace (1) Rooftop Unit Same for Same (Contractor will provide location prior to inspection) "Grapevine Mills Mall" Issued on: 11/01/2023 at 2:34 PM MYGOV.US 23-003937, 11/01/2023 at 2:34 PM Issued by: Victoria Hecko Page 1/2 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 WWW.5STATE.COM SIKORSKY UH-60A RESTRICTED CATEGORY SHAWN HARRIS ROBERT MROZ EVAN DEWAN COMMERCIAL CERTIFICATE # 3493515 ATP # 2727633 COMMERCIAL CERTIFICATE # 2807125 COMMERCIAL CERTIFICATE # 3720738 %1123 November , 2023 North Texas FSDO November , 2023 7:30AM - 10:00AM Grapevine Mills Mall 3000 Grapevine Mills Pkwy Grapevine, TX 76051 4XDLTXDL 0LOOHUE4XDLTXDL 0LOOHUE IHQQR[ ,QGXVPULHV GRJRRRG 3DUN GU5LFOODQG +LOOV 7; Susan Bitros 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 ^/<KZ^<z^ͲϱϴddZE^WKZdd'KZzEϵsz N170MC EϲϬ MESSERSCHMITT TRANSPORTCATEGORY PILOTINFORMATION: ROBERTSMITH PREPAREDBY: APPROVED BY: OPERATING CERTIFICATE #LDUL599B 285 BLACKLAND ROAD FATE,TEXAS75189 (972) 636-4009 WWW.5STATE.COM ^/<KZ^<zh,ͲϲϬZ^dZ/dd'KZz SHAWN HARRIS ZKZdDZK sEtE COMMERCIALCERTIFICATE # 3493515 ATP # 2727633 KDDZ/>Zd/&/d η ϮϴϬϳϭϮϱ COMMERCIALCERTIFICATE # 3ϳϮϬϳϯϴ %1123 November , 2023 North Texas FSDO November , 2023 7:30AM - 10:00AM Grapevine Mills Mall 3000 Grapevine Mills Pkwy Grapevine, TX 76051 4XDLTXDL0LOOHU 4XDLTXDL0LOOHU /HQQR[,QGXVWULHV 'RJZRRG3DUN'U 5LFKODQG+LOOV7; Susan Bitros APPROVED NTX FSDO SW19 Digitally signed by MICHAEL S KIMBALL Date: 2023.11.22 10:50:48 -06'00' 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 0 % XX 85' XX (if yes 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 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 inside the operational area will be vacant during operations. XX XX 285 BLACKLAND ROAD FATE, TEXAS 75189 (972) 636-4009 www.5state.com Notification of Grapevine City Officials 5 State Helicopters has contacted the following city officials about the lift to be performed on November Ϯϴ, 2023: 3000 Grapevine Mills Pkwy 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 , 2023 in Grapevine, TX at approximately 7:30 AM - 10:00 AM. Police: Mike Hamlin 817-410-3225 Your message has been delivered to the following recipients: Subject: 5 State Helicopter Lift of HVAC Equipment November 2023 in Grapevine, Texas at approximately 7:30AM-10:00AM. Fire: Darrell Brown 817-410-4400 Your message has been delivered to the following recipients: Subject: 5 State Helicopter Lift of HVAC Equipment November 2023 in Grapevine, Texas at approximately 7:30AM-10:00AM. 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, 2023. Best Regards, 5 State Helicopters BeBeBeBeBeBeeBeeBeBeBeBeBeBeBeeeeeBeBeBeBeBeBeeeBeBeBeeBeeBeBeBeeBeBeBeBeeBeBeeeeBeBeBeBeeBeeeeeBeeeBeeeeeBBeeeeBeBeeBeBeeBBeeBeeBeBeeBeeBeBeeeeeeeBeeBBBBest Regards, 5 SHli NO F L Y ZO N E Op e r a t i o n a l A r e a Fl i g h t P a t h La n d i n g A r e a St a g i n g a r e a Em e r g e n c y A r e a Bl o c k e d A r e a s Li g h t P o l e s Po w e r L i n e s Gr a p e v i n e M i l l s M a l l # 2 0 2 30 0 0 G r a p e v i n e M i l l s P k w y Gr a p e v i n e , T X 7 6 0 5 1 Da t e o f L i f t : 11 / 2 8 / 2 0 2 3 Ti m e : 7: 3 0 A M 32 ° 5 7 ’ 5 6 . 8 ” N 97 ° 0 2 ’ 3 4 . 8 ” W La n d i n g Ar e a St a g i n g Ar e a 32 ° 5 7 ’ 5 6 . 8 ” N 97 ° 0 2 ’ 3 4 . 8 ” W Gr a p e v i n e M i l l s M a l l # 2 0 2 30 0 0 G r a p e v i n e M i l l s P k w y Gr a p e v i n e , T X 7 6 0 5 1 Da t e o f L i f t : 11 / 2 8 / 2 0 2 3 Ti m e : 7: 3 0 A M 32 ° 5 7 ’ 5 6 . 8 ” N 97 ° 0 2 ’ 3 4 . 8 ” W He l i c o p t e r w i l l n o t Be m o r e t h a n 1 2 5 ’ Ab o v e a 4 0 ’ b u i l d i n g Wh e n a i r l i f t i n g Eq u i p m e n t t o t h e Ro o f . Pi l o t w i l l c o n t a c t Da l l a s F o r t W o r t h Ai r p o r t . Gr a p e v i n e M i l l s M a l l # 2 0 2 30 0 0 G r a p e v i n e M i l l s P k w y Gr a p e v i n e , T X 7 6 0 5 1 Da t e o f L i f t : 11 / 2 8 / 2 0 2 3 Ti m e : 7: 3 0 A M 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 Shawn Harris ROCKWALLTEXAS 3 TEXAS 08-26-2024 Grapevine Mills Mall #202 3000 Grapevine Mills Pkwy Grapevine, TX 76051 11-28-23 12-08-23 22nd November 3 22nd November