HomeMy WebLinkAboutHLP2026-000422ADDRESS
3000 Grapevine Mills
Pkwy., 138
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
•Loft Outlet
INFORMATION FIELDS
**APPLICANT NAME (Individual)Susan Bistros
**APPLICANT PHONE NUMBER 9726364009
DATE & TIME OF HELICOPTER LIFT 02/10/2026 7:45 AM
RAIN DATE FOR HELICOPTER LIFT 02/14/2026 7:45 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.
February 11, 2026
Signature Date
City of Grapevine
PO Box 95104
Grapevine, Texas 76099
817) 410-3166
Helicopter Lift Permit
Project # 26-000422
Project Description: Helicopter Lift Permit for 2/10/2026 and
2/14/2026 - "Loft Outlets"Helicopter Lift: February 10, 2026 @
7:45 a.m. & Rain Dater for February 14, 2026 @ 7:45 a.m. for
"Loft Outlets"
Issued on: 02/11/2026 at 3:38 PM
MYGOV.US 26-000422, 02/11/2026 at 3:38 PM Issued by: Connie Cook
Page 1/2
ADDRESS
3000 Grapevine Mills
Pkwy., 138
Grapevine, TX 76051
LEGAL
Grapevine Mills Addition
Blk 1 Lot 1R3
S
PERMIT HOLDER
Kaelee Fay
WTR Companies
(940) 371-7351
COLLABORATORS
•Kaelee Fay
WTR Companies
(940) 371-7351
OWNERS
•Grapevine Mills Mall
Lp
(317) 636-1600
TENANTS
•Loft Outlet
INSPECTIONS 1
1. Mechanical Final
INFORMATION FIELDS
**APPLICANT NAME (Individual)Kaelee Fay
**APPLICANT PHONE NUMBER 9403717351
VALUATION 52446
Square Footage 6561
Is Duct Work Being Installed?NO
DOCUMENTS - MISC 01 TRANE SUBMITTAL FOR 1997 UNIT
2.pdf, Loft Outlet-Carrier Submittal.pdf
DOCUMENTS - MISC 02 Grapevine QA.pdf
FEE TOTAL PAID DUE
Mechanical Permit Fee
{Value}$ 494.12 $ 494.12 $ 494.12
TOTALS $ 494.12 $ 494.12 $ 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.
February 05, 2026
Signature Date
City of Grapevine
PO Box 95104
Grapevine, Texas 76099
817) 410-3166
Mechanical Permit
{VALUE}
Project # 26-000360
Project Description: Replace 25-Ton RTU for "Loft Outlets"
Issued on: 02/05/2026 at 2:49 PM
MYGOV.US 26-000360, 02/05/2026 at 2:49 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 ⠀
PROJECT ADDRESS:
HOLD HARMLESS ANO INDEMNITY AGREEMENT
Grapevine Mills Mall #138 3000 Grapevine Mills Pkwy Grapevine, TX 76051
NATURE OF OPERATION: Helicopter externa! lift operation of Roof Top Units to building roof.
DATE OF OPERATION:
date mentioned.
with rain date of with a 10 day grace period for each
1, Shawn Harris, the undersigned, representing 5-State Helicopters, lnc., binding my heirs, executors,
administrators, estate and assigns, do hereby agree to completely and wholly release indemnify the hold
harmless the city of Grapevine, íts officers, agents, independent contractors, and employees from any and
all claims, damages, personal injury, including death, property damage, lawsuits and judgments, including
court costs, expenses and reasonable attorney's fees, and all other expenses resulting from any and all
activlties conducted within the clty of Grapevine, Texas.
lt Is the understanding of ali parties that this release, indemnity, and hold harmless agreement shall apply
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, índependent contractors, other representatíves, invítee, licensee, or guests.
1, the undersigned individual and/or company company's officer, certifies, warrants and represents that
the individual whose signature appears below is duly authorized to execute this agreement on behalf of the
firms, corporation, partnership or other entity who will operate within the city of Grapevine, Texas.
In witness whereof, this agreement has been executed this _ day of ___ 2021
COMPANY: 5-STATE HELICOPTERS, 1
STATE OF _ ...... T .... E ... XA..x....,....,S:...--_COUNTY OF -�B ..... O�G...,K ...... W-A ..... L .... L __
This instrument was acknowledged befare me on this the __ day of ___ 2021
NOTARY PUBLIC IN AND FOR THE STATE OITEXAS
My comm�•:7:•z-2!}#ª
S1gnature � .& ---_.
2-10-26 2-14-26
9th February 2026
9th February 2026
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
OFFICE@5STATE.COM
WWW.5STATE.COM
COMMERCIAL CERTIFICATE # 3493515
COMMERCIAL CERTIFICATE # 3
021026
February 4, 2026
North Texas FSDO
February 10, 2026
7:45AM 9:00AM Grapevine Mills Mall- Ste 138
3000 Grapevine Mills Pkwy
Grapevine, TX 76051
Kaelee Fay
940-371-7351
Kaelee Fay
940-371-7351
WTR
10700 TX-191
Midland, TX 79707
Susan Bitros
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 BLACKLANDROAD
FATE,TEXAS75189
(972) 636-4009
WWW.5STATE.COM
XX
XX
1 5
350 3,000 71%
XX
85'
XX (if yes see narrative)
ONE
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 commercial and residential 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
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 February 10, 2026: 3000 Grapevine Mills Pkwy. Ste 138 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 10 February 2026 in Grapevine,
Texas at approximately 7:45AM-9:00AM.
Police: Mike Hamlin 817-410-3225
Your message has been delivered to the following recipients:
Subject: 5 State Helicopter Lift of HVAC Equipment 10 February 2026 in
Grapevine, Texas at approximately 7:45AM-9:00AM.
Fire: Darrell Brown 817-410-4400
Your message has been delivered to the following recipients:
Subject: 5 State Helicopter Lift of HVAC Equipment 10 February 2026 in
Grapevine, Texas at approximately 7:45AM-9:00AM.
ATC: DallasFort Worth Intl. Airport 972-615-2650
Your message has been delivered to the following recipients:
'
Subject: 5 State Helicopters lift operations 4 miles North East of DFW on February 10, 2026.
Best Regards,
5 State Helicopters