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Home My WebLink AboutHLP2024-003389ADDRESS 3000 Grapevine Mills Pkwy., 117 Grapevine, TX 76051 LEGAL Grapevine Mills Addition Blk 1 Lot 1r3 S PERMIT HOLDER Susan Bitros 5 State Helicopter's (972) 636-4009 COLLABORATORS •Susan Bitros 5 State Helicopter's (972) 636-4009 OWNERS •Grapevine Mills Mall Lp (317) 636-1600 TENANTS •James Thompson Cavender's Boot City (903) 747-1300 INFORMATION FIELDS **APPLICANT NAME (Individual)Susan Bistros **APPLICANT PHONE NUMBER 9726364009 DATE & TIME OF HELICOPTER LIFT 09/18/2024 7:30 AM RAIN DATE FOR HELICOPTER LIFT 09/28/2024 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. September 17, 2024 Signature Date City of Grapevine PO Box 95104 Grapevine, Texas 76099 817) 410-3166 Helicopter Lift Permit Project # 24-003389 Project Description: Helicopter Lift 9/18/2024 at 7:30 a.m. with a Rain Date of 9/28/24 at 7:30 a.m. "Cavender's Boot City" Issued on: 09/17/2024 at 4:15 PM MYGOV.US 24-003389, 09/17/2024 at 4:15 PM Issued by: Connie Cook Page 1/2 ADDRESS 3000 Grapevine Mills Pkwy., 117 Grapevine, TX 76051 LEGAL Grapevine Mills Addition Blk 1 Lot 1r3 S PERMIT HOLDER EXPRESS SERVICE CO NTRACTORS, LLC WESLEY MICHAEL ASB URY (214) 697-9024 COLLABORATORS •EXPRESS SERVICE CONTRACTORS, LLC WESLEY MICHAEL ASBURY (214) 697-9024 OWNERS •Grapevine Mills Mall Lp (317) 636-1600 TENANTS •James Thompson Cavender's Boot City (903) 747-1300 INSPECTIONS 2 1. Mechanical Rough 2. Mechanical Final INFORMATION FIELDS **APPLICANT NAME (Individual)Wesley Asbury **APPLICANT PHONE NUMBER 9727717807 VALUATION 10000 Square Footage 22011 Is Duct Work Being Installed?NO FEE TOTAL PAID DUE Mechanical Permit Fee {Value}$ 117.00 $ 117.00 $ 117.00 TOTALS $ 117.00 $ 117.00 $ 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. September 12, 2024 Signature Date City of Grapevine PO Box 95104 Grapevine, Texas 76099 817) 410-3166 Mechanical Permit {VALUE} Project # 24-003330 Project Description: Interior Alteration for Future Tenant [Replace 3 Exhaust Fans and 6 Grills] "Cavender's Boot City" Issued on: 09/12/2024 at 4:43 PM MYGOV.US 24-003330, 09/12/2024 at 4:43 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 ^/<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 sEtE ^d&E,/>dZhEEZ COMMERCIAL CERTIFICATE # 3493515 ATP # 2727633 COMMERCIAL CERTIFICATE # 3ϳϮϬϳϯϴ dWηϯϮϭϭϵϱϲ North Texas FSDO 6HSWHPEHU, 2024 :0AM 10:00AM Grapevine Mills Mall 3000 Grapevine Mills Pkwy Grapevine, TX 76051 WesOH\:HDYHU :HVOH\:HDYHU Dallas Mechanical Group 18383 Preston Rd. Ste 410 Dallas, 75252 Susan Bitros September 12, 2024 APPROVED NTX FSDO SW19 Digitally signed by MICHAEL S KIMBALL Date: 2024.09.12 10:21:14 -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 2 20 200 1,500 35% XX 85' XX (if yes see narrative) NONE 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 www.5state.com Notification of Grapevine, TX City Officials 5 State Helicopters has contacted the following city officials about the lift to be performed on ^ĞƉƚĞŵďĞƌϭϴ, 2024: 3000 Grapevine Mills Pkwy Ste.117 Fort Worth, TX 76131 City Manager: delivered to the following recipients: Connie Cook ( Subject: 5 State Helicopter Lift of HVAC Equipment 6HSWHPEHU, 2024 in Grapevine, TX at approximately :0 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 ϭϴ^ĞƉƚĞŵďĞƌϮϬϮϰ in Grapevine, Texas at approximately ϳ:ϯ0AM-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 ϭϴ^ĞƉƚĞŵďĞƌ2024 in Grapevine,Texas at approximately ϳ:ϯ0AM-10:00AM. ATC: Dallas Fort Worth Intl. Airport 972-615-2650 Your message has been delivered to the following recipients: 'AJT-DFW-OM (AJT-DFW-OM@faa.gov) Subject: 5 State Helicopters lift operations 4 miles North East of DFW on ^ĞƉƚĞŵďĞƌϭϴ, 2024. Best Regards, 5 State Helicopters55555555555555555555555555555555555555555555555555555StateHelicopters 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 – C a v e n d e r ’ s 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 : 09 / 1 8 / 2 0 2 4 Ti m e : 7: 3 0 A M 32 ° 5 7 ’ 4 7 . 7 ” N 97 ° 0 2 ’ 3 9 . 4 ” W 32 ° 5 7 ’ 4 7 . 7 ” N 97 ° 0 2 ’ 3 9 . 4 ” W Gr a p e v i n e M i l l s M a l l – C a v e n d e r ’ s 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 : 09 / 1 8 / 2 0 2 4 Ti m e : 7: 3 0 A M 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 . 32 ° 5 7 ’ 4 7 . 7 ” N 97 ° 0 2 ’ 3 9 . 4 ” W Gr a p e v i n e M i l l s M a l l – C a v e n d e r ’ s 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 : 09 / 1 8 / 2 0 2 4 Ti m e : 7: 3 0 A M PROJECT ADDRESS: "R NATURE OF OPERATION: Helicopter external lift operation of Roof Top Units to building roof. DATE OF OPERATION: with rain date of with a 10 day grace period for each date mentioned. 1, Shawn Harris, the undersigned, representing S-State Helicopters, Inc., binding my heirs, executors, administrators_estate�,�<ig,as,-do-bamby-agref- to 'n harmless the c1tv of GL,2_a23tma, its offirPr_-,_&ek..V1_r,,indPn court costs, expenses and reasonable attorney's fees, and all other expenses resulting from any and all activities conducted within the city of Grapevine, Texas, Ten y whether or not the claims, damages, harm, personal injury, including deaths, property damage, lawsuits, judgments, court costs, attorney's fees and any other expenses arise from the negligence of whatever nature, omissions, willful and intentional acts of this individual, company or company's officers, agents, employees, independent contractors, other representatives, invitee, Ncensee, or guests. 1, the undersigned individual and/or company company's officer, certifies, warrants and represents that the individual whose signature appev-s�als,'v is firms, corporation, Partnership or other entity who will operate within the city of Grapevine, Texas. In witness whereof, this agreement has been executed thisl 3thday OiSp2Lembeli2024 COMPANY: 5-STATE HELICOPTERS, I,IgCrl-._- BY: Shawn Harris (printed) ShaWn CIS TITLE: OWNER (signature) STATE OF TEXAS —COUNTY OF J30_QMALL ptembe5o:a4 This instrument was acknowledged before me on this the 13th day 0- ff�� .' � My commission exp,#es --0-5--26-2028 Signature 73264,31 j�'`itj08-26, /Oh"". __ INSURANCE COMPANIES 3353 Peachtree Road NE, Suite 1000 Atlanta, GA 30326 Certificate of Insurance 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, 2024 To: FEBRUARY 15, 2025 Policy Number: SASICOM60184924-04 Issuing Company: STARR INDEMNITY 8t LIABILITY COMPANY 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 Policv(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. COVERAGE INCLUDES AVIATION JOB SITE PREMISES LIABILITY. Certificate Number: 2.1 Issued By and Date: FEBRUARY 16,2024 (BAR) Starr 10200 (6/06) By (Authorized Representative) 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 CITY OF GRAPEVINE Address 200 S. MAIN STREET GRAPEVINE, TX 76051 All other provisions of this policy remain the same. This endorsement becomes effective FEBRUARY 15, 2024 to be attached to and hereby made a part of: Policy No. SASICOM60184924-04 Issued to 5-STATE HELICOPTERS, INC., CENTERPOINTE AEROSPACE AND AVIATION RESOURCES HOLDINGS LLC By STARR INDEMNITY & LIABILITY COMPANY Endorsement No. TBA ,y Date of Issue FEBRUARY 16, 2024 (BAR) By (Authorized Representative) Starr 10284 (3/06) a--&1jjw11 INSURANCE COMPANIES 3353 Peachtree Road NE, Suite 1000 Atlanta, GA 30326 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, 2024 To: February 15, 2025 Policy Number: SASICOM60184924-04 Year Make and Model Reg Insured Value Deductibles Liability Limit Passenger Sublimit No. NIM / IM 1962 SIKORSKY S-58DT N9VY $650,000 10% OF IV / 10% OF IV $5,000,000 CSL INCL PAX 1957 SIKORSKY S-58T WXY $650,000 10% OF IV / 10% OF IV $5,000,000 CSL INCL PAX 1990 EUROCOPTER BK 117 B- N170MC $850,000 10% OF IV / 10% OF IV $5,000,000 CSL INCL PAX 1 1985 SIKORSKY UH-60A N60A $1,800,000 10% OF IV / 10% OF IV $5,000,000 CSL INCL PAX Issued By and Date: FEBRUARY 15, 2024 (BAR), (Authorized Representative) Grapevine Mills Mall — Cavender s . 3000 Grapevine Mills Pkwy. -_4P Grapevine, TX 76051 s N Date of Lift: N -WI 09/18/2024 i Time:° 7:30AM w: T 5 �'��`' ��• y�iuu ;ill �� t �. x TM 7 "Aw .x . Jill ;i ,x t " r , tt ur x t r <� r, Grapevine Mills Mall — Cavender s . 3000 Grapevine Mills Pkwy. -_4P Grapevine, TX 76051 s N Date of Lift: N -WI 09/18/2024 i Time:° 7:30AM w: T 5 �'��`' ��• y�iuu ;ill �� t �. x TM 7 "Aw .x . Jill ;i ,x t " r , tt ur x t r <� r,