HomeMy WebLinkAboutHLP2025-000948ADDRESS
3000 Grapevine Mills
Pkwy., 244C
Grapevine, TX 76051
LEGAL
Grapevine Mills Addition
Blk 1 Lot 1R3
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
INFORMATION FIELDS
**APPLICANT NAME (Individual)Susan Bitros
**APPLICANT PHONE NUMBER 9726364009
DATE & TIME OF HELICOPTER LIFT 03/13/2025 8:00 AM
RAIN DATE FOR HELICOPTER LIFT 03/21/2025 8:00 PM
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.
March 12, 2025
Signature Date
City of Grapevine
PO Box 95104
Grapevine, Texas 76099
817) 410-3166
Helicopter Lift Permit
Project # 25-000948
Project Description: Helicopter Lift Permit for "Skechers"
Issued on: 03/12/2025 at 5:06 PM
MYGOV.US 25-000948, 03/12/2025 at 5:06 PM Issued by: Connie Cook
Page 1/2
ADDRESS
3000 Grapevine Mills
Pkwy., 244C
Grapevine, TX 76051
LEGAL
Grapevine Mills Addition
Blk 1 Lot 1R3
PERMIT HOLDER
Donald Pope
DEP HEAT AND AC
(121) 450-0196 (2)
COLLABORATORS
•Donald Pope
DEP HEAT AND AC
(121) 450-0196 (2)
OWNERS
•Grapevine Mills Mall
Lp
(317) 636-1600
INSPECTIONS 6
1. Mechanical Duct
2. Mechanical Ceiling
3. Mechanical Rough
4. Mechanical Vent Hood (1st Wrap)
5. Mechanical Vent Hood (2nd Wrap)
6. Mechanical Final
INFORMATION FIELDS
**APPLICANT NAME (Individual)Donald Pope
**APPLICANT PHONE NUMBER 214-500-1813
VALUATION 97000
Square Footage 9796
Is Duct Work Being Installed?YES
FEE TOTAL PAID DUE
Mechanical Permit Fee
{Value}$ 806.00 $ 806.00 $ 806.00
TOTALS $ 806.00 $ 806.00 $ 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.
March 12, 2025
Signature Date
City of Grapevine
PO Box 95104
Grapevine, Texas 76099
817) 410-3166
Mechanical Permit
{VALUE}
Project # 25-000934
Project Description: Change out two rooftop units. Furnish and
install ductwork, diffusers, and equipment per plan. [Interior
Demo & Alteration, Combining 244A & 244B, Creating 244C] for
"Skechers"
Issued on: 03/12/2025 at 1:32 PM
MYGOV.US 25-000934, 03/12/2025 at 1:32 PM Issued by: Connie Cook
Page 1/2
3353 Peachtree Road NE, Suite 1000
Atlanta, GA 30326
Certificate of Insurance
Certificate Number:181.1
Issued By and Date:MARCH 12, 2025 (GD)
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
1957 SIKORSKY S-58BT ⠀N4XY ⠀$650,000 ⠀$10% OF IV/10% OF IV
⠀
$5,000,000 ⠀CSL INCL PAX
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
THE CERTIFICATE HOLDER IS A COMMERCIAL AVIATION CUSTOMER OF THE NAMED INSURED, AND, IN THEIR NON-OPERATIONAL CAPACITY AS
SUCH, IS PROVIDED THE FOLLOWING:
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, UH-60 EXPRESS, INC., AND
AVIATION RESOURCES HOLDINGS LLC
285 BLACKLAND ROAD
ROYSE CITY, TX 75189-4746
Policy Period: From:⠀FEBRUARY 15, 2025 ⠀To:⠀FEBRUARY 15, 2026 ⠀
Policy Number:SASICOM60184925-05 ⠀
Issuing Company:STARR INDEMNITY & LIABILITY COMPANY ⠀
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
N170MC MESSERSCHMITT TRANSPORTCATEGORY
PILOTINFORMATION:ROBERTSMITH
PREPAREDBY:
APPROVED BY:
OPERATING CERTIFICATE #LDUL599B
285 BLACKLAND ROAD
FATE,TEXAS75189
(972) 636-4009
WWW.5STATE.COM
COMMERCIAL CERTIFICATE # 3493515
COMMERCIAL CERTIFICATE # 3
031325
March 11, 2025
North Texas FSDO
March 13, 2025
8:00AM 10:00AM
Grapevine Mills Mall - Sketchers
3000 Grapevine Mills Pkwy
Grapevine, TX 76051
Donald Pope
214-500-1813
Donald Pope
214-500-1813
DEP Heat & AC, LLC
2536 FM 36 South
Caddo Mills, TX 75135
Susan Bitros
APPROVED
NTX FSDO SW19
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 10
200 2,000 47%
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 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
85 BLACKLAND ROAD
FATE, TEXAS 75189
(972) 636-4009
Notification of Grapevine, TX City Officials
5 State Helicopters has contacted the following city officials about the lift to be
performed on March 13, 2025: 3000 Grapevine Mills Pkwy #244C 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 March 13, 2025 in Grapevine, TX at
approximately 8:00 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 13 March 2025 in Grapevine,
Texas at approximately 8:00AM-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 13 March 2025 in Grapevine,
Texas at approximately 8:00AM-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 March 13, 2025.
Best Regards,
5 State Helicopters