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Expires ., This Certificate issued pursuant to the requirements of Section 110 of the Residential / ❑ International ; e� �> Building Code certifying that at the time of issuance this structure was i compliance with the various `i;"; �;i� `.- ' ordinances of the City of Prior Lake regulating building construction or use For the following: ` ! ` Os -, Use Classification R � SIN FAMILY VN Bldg. ermitNo• R1S 3-0055 '� ( —r; Occupancy Type Type Construction Zoning District (g b..1 L6, B8, BRENTWOOD PASS r �, Legal Description n ; _ 4 ( `l' • ) Owner of Building Site Address (;'r KEYLAND HOMES ` {,, Contractor's Name &Address , , ROBERTY D , Ht.JTCH I NS %`, � n ° . 7 ( �, City Planner l ^" > Building Official (, � t.' . ..: Date: ( 217/3 Date: ?�l ti a: � P OST IN CONSPICUOUS PLACE ti 111-R14 �; u . �•� i. . . � � � � ;- �n� i ;, :i��i �t 9� -- ' �. .. ' .. . .. - � r� � � u i u t q w i n �iit�' t � 1� Jf ' r. 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Z z > .0 .G- R. o 0 cnmm30 m D m �s�0 • Z m0Z m 7 ,n -� N Z Z m r 0 5 ❑ ❑ 0 ❑ ❑ ❑ ❑ ❑❑ 0 > �o . a o o* O N � ZT OO Z 5 0 m 0 ro 0 0 3 -.4zcn 0 m O b D ° x 7J 7 C z Z 0 =o 0 23 De h r m - n i D Z N D O z- t0 D N fit 0 Z z O 23 ' s 2c n ...I • m O n z n • -fi 0 D o mm O r = ° m O 0 O 00000 0 '' ni m m m m 3�N*3 F., c * N ° ° =3 m03 v n N .� Z m -nWMX71G m 0 0 (T1 fil i O -o ° 0 Z Z 2 2 Z Z Z C m 6 0 D G)O 0 G) 3 -I M r-n 00 z 7.:1 0 . 9 o z Z cc z I� r • z n m r v v 0 1 0 A -T1 r n x m O c ▪ y m >o7,? U N °° R. • 0 z > o 73 - 11 m Z �� to • > 0 0Zv y � y m z m n 7� r - I "C NZ - Z m -t r 0 o . to PR/p CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / ,5 f,3 x AND UTILITY CONNECTION PERMIT k �A'NE sett' I. White File 2. Pink City PERMIT NO. /3 55' 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) I 4 , 0 z 32E -1 N 742 /Z / .5 . LEGAL DESCRIPTION (office use only) LOT BLOCK Pj ADDITION 6TEVI '1.FP 13]C. PID OWNER (Name) (Phone) (Address) BUILDER -c--7_ I (Company Name) K E l L SID �T' 1 E $ (Phone) 952 — 44 - 4 .nO (Contact Name) 52_14 . - Pc..••,,-4 /Th4 pin t T 4 (Phone) 1AF (Address) )1 0 2 I FIs 14 POt t-1 2 < . P2 i ora_ LAV-E TYPE OF WORK 16 New Construction ❑Deck EPorch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace Addition ❑Alteration ❑Utility Connection CODE: I.R.C. ❑I.B.C. ❑ Misc. 2 Type of Construction: I II III IV V AB PROJECT COST /VALUE $ 34o / OCU Occupancy Group: A B E F H I M S U (excluding land) Division: D 2 3 4 5 I hereby certify that I have punished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the above - mentioned property ' d that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building official can r v i e this per fir just cause Furthermore, I hereby agree that the city official or a designee maa enter upon the property to perform needed inspections. Signature Contractor's License No. Date Permit Valuation 3,Ga- - Park Support Fee # $ Permit Fee $ 4-,1 co SAC # $ -3G -- Plan Check Fee $ 1 10 Water Meter Size 5/8 "; ('; $ 5%9 State Surcharge $ ( / ©_ - Pressure Reducer $ l 600 Penalty $ Sewer /Water Connection Fee # $ C 5-C Plumbing PermitFee $ l e it . c Water Tower Fee # $ ( - Mechanical Permit Fee $ l s O Builder's Depos $ f C'oo. Sewer & Water Permit Fee $ CO Other $ Gas Fireplace Permit Fee $ 54 5c-) TOTAL DUE Z , 5.1-7 $ /I/ 057 Zb This Appli lion c our Building Permit en Ap 1 , oved Paid A L/e 2 ( e (O ipt No. p O Date c'.. (c7 . / 7c / Building Ufticial-____ _ _ ____ _ Date This is to ce • ify that the rcqu .st in the above application and accompanying doe iments is in accordance with the City Zoning Ordinance and may proceed as requested. This document when sign .■ by he Iity Pla r constitutes a- temporary Certificate of Zoning c mpliance nd allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued .,ri '�_ J l z 5 / 3 Plannr _ Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 4646 Dakota Street Prior Lake, MN 55372 P RIp CITY OF PRIOR LAKE p , :; k:= �. H PERMIT EATING /AIR. CONDITIONING /FIREPLACE PEIT i >j sot* i. : c4 FPERMIT NO. 3. Ye.LVw app!i- -ant I • 'lease type or print an gip at bottom) ADDRESS ZONING (cal= e) 16gb 1 'i 'as N LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION p J OWNER p (Name) �A l i 40Y1\4)-S _ (Phone) ace ".. , (Address) I -7 or. • L Liim1 �" ° i ..ck (/ a1 ct .. ).A) 5 37 L.- (Name ) AN T `) r f M ' t e t + ", +- IN ♦ ° � --i (Name), ` t.�"- f-r (Phone) ' T.' `� I (Address) • i1 ii r . , . , _ - 35 t drr, s) (city) ( Zr, Cod) (Contact Person) P - i (Phone) ! 7` s 1� ) y c� ! / APPLICANT SIGNATURE LOP (— DATE E I : r 3 AP ICANT PLEASE COMPLETE BELOW [NEW CONSTRUCTION Q REPLACEMENT ❑ ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM ITEATING OR POWER PLA.NT � — ❑W plans Steam PLEASE NOTE: Air Conditioner OGrat i , Units and Fireplaces Cannot Encroach tilcc n iGrl afcr into Required Side Yard Setbacks. (] Radiation A ir Conditioning 10 Special Devices Fireplaces with Box Additions or ❑ti'cnt. System [] Other Devices Cantilevers to the Outside of Buildings t Require a Hooding Permit. FIREPLACE MAKE AND MOD l' L . 4 , "� FEE SCHEDULE industrial, Comnamciai & Multi-Family l% of job cost Residential, Gas Fireplace $49.50 549.50 minimum Residential, }eating & A/C (New Construction) $149,50 . Residential, Additions & Altcraticrs I,g0 Residential, Heating Only (New Cons fiction) $64,50 Residential, AC Only 4 50 The Minnesota Statutes § 32613.148 'SURCHARGE" has been extended Cost $ Building Permit # \ 'unt.:_;1J.p. n 80, 21313, The minimal surcharge for a HEATING PERMIT FEE $$ L f q' ,..5 'fixed fee' permit is $5 STATE SURCHARGE $__S; OD .50 _ ..TOTAL PERMIT FEE 5 . (Office Vse Only) This Application Becomes Your Building Permit When Approved _ Paid Receipt No. I Date Buiidina Official - D '1 PERM T • 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 - 4245 4646 Dakota Street S.P., Prior Lake, lvlinnesota 55372 CIf a/TO 3St1d HleiV3H 911I M010 94�03Z6bZ56 t'o PI £T9Z/ t /£© • `s o• 4 • viP • I D ate Rec' O P Rlp� t / CITY OF PRIOR LAKE L / I � x SEWER AND WATER PENT t:, '== 4?:`I - ` - t. Green Fiic PERMIT NO. 2. 'fallow City 3 7. Gold Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) U, &1 7 • %rt,n#u. oo a ?OA S s NV.) LEGAL DESCRIPTION (office use only) LOT LD BLOCK ADDITION 'tmrn-r '`• ac\Q' PID OWNER y (Name) LP JO Pnr Es (Phone) ct6. - yt-l0- cv-1 (Address) 1 1 0 2- 1 t='► St-F Portz - 1 , SG s-re 1D0 ` iorz_ LA1z.i1 553 - 1 Z (Address) (City) (Zip Code) APPLICANT (Name) STOCKER EXCAVATING COMPANY, INC. (Phone) 952/890 -4241 • (Address) 12336 Boone Avenue Savage, MN 55378 (Address) / (City) (Zip Code) • • Cur t / (Contact Person) =� (Phone) same APPLICANT SIGNATURE / ,F`%T' i DATE ,/ A "� `3 . F. . APPLICANT PLEASE COMPLETE BELOW Size of water service inches. • Location of any couplings from structure feet. Type of sewer pipe. 1 ( ABC ( PVC (l Cast Iron Estimated length of sewer line feet. Clean out (if required) located at - feet - from structure. FEE SCHEDULE Residential sewer and water line connection $35.50. Industrial, Com'l & Multi- family 1% of job cost with a $39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ _50 1) V11 TOTAL PERMIT FEE $ e` vl'"�� � G p 1 (Office Use Only) This Application Becomes Your Building Permit When Approved ' Paid Receipt No. - • Date By Building Official Datc 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245 lb.** V Ir lk JAN. 17. 2013 1:45F /ETRO AIR 952- 447 -8126 NO. 486 P. 1 0 A t�IU CITY OF PRIOR LAKE wt.(.. Resod .s, �' A T CONDITIONING /FIRE LACE' PERMIT «�'��* r �, HEATING/AIR A �� �I��12. j 1 I� j, ` : i t 7 . ,� 1 3'; 1- � � . ' Ferri �'t`i0isr•.s��'?' a.'' cu P'LR.11'11'[' i46. }, Y¢Ihaw Alp{iant -- • ...I�I ~ (.tica9c t L1 si ,5u9tt)p 1 v----.- ADO I p� �' i - -- --- % �111�� __ .... 1 . Y~ ,st,v "1/ o s P c1 S s k) V , ... LLGAL DESCRIPTION (ulC,cc tilt! only} ..,.._ ... . - LOT 1 11 , BLOCKI ADDITIONS ' '4, l.. e e„.k, t _ - • lalO OWNER (�Titd77C) r Ey . R . ! l c V 1 1� 0 '+ 1 r. "� - -- — (1'honc) -.--f J ....• � :-,. ;i J . _.. (Arltlt�css) 1 \. C `\ _ I, ° fi t,_ � ', ) t ( k...:� `\ SAC• r 1 v t, SN.'' . � , , _ { ,� _...._. APPLICANT (Nalne) 0\ r- i; I I ..N, ..._..!' 1 �., (Phone) 9 \A ^ . 1 .._. \.. r __' 1 .... .._ (Ac�c toss) �� iN�,, i '1\ Lq.,- 6.J k ( , r' r 0 - -t' \ ' ..,, V\ N — ?'' 's - i _ (Add)cs2) (Ci :y) (tip Code) ot (Contact 1'crsol �� . � �r hone E'1 "� k..) ' ' A APPLICANT SIGNATU,( q .1 \-- - - -,• DATE' - - - - -- - ._._._..,_._. __. _..... ,, APPLICANT PLEASE COA1I'LETE BC;i.4011' NEW CO'NSTRUCT:ON C [CLPLACI;A .1 T L - ALTERATIONS, { FUJRNACE AND MODEL E''"` �' 1 �.,. ca+ cs 1+ 1�. -- _ , . U� L, _— E ULiI 1 FLUE srZE -V V (..- R1TLRN4 OPENINGS '1 "Z, 1NP 6 V 0 1.11 c CM TYPE OF SYS'I'EM: - IIEATING 011. POWER PLM4r .. ________ ..... . - - - --. _.. -..,....,...,s. 1 ,1:,1„ ASE NOTE: Air Condit loner ' '`J4aru; Air Pintas 0 S:ca{n Units aid Ifireplacex (; t,llitnt E its.rt»It 1l riGeavity El slat Water into Required sicle Vrtc'd ;;etbticioi, [ m ] Mccltatlietil [j ltadi.ttioo lri - e li :tees with Ilex � Additions or ,I1Ait Conclitto11iltg ❑ Sacci .1 Devices 1 ' _ - - -- --` - — — ' Cantilevers to (he Du(sitic of IRttilctttl ,(c]'d;;ht. System El Other l7eviCck _ -___ -- t, 1Letlu(l'C )t Iiuiltling l'c:rn111. I t i tl_P.i..A CL; A IAICI; AND 111 CJ Dl l _ — _.- - - - - -- _. _ —._ _ ----------- - -..- .._.__,.. • I'1 .J SCHEDULE lndustri .l, Coiuntcrcial & M!Illi.lT ;:n)ily 11/4 oI'job cost itesidclttial, Gas Fireplace N49,5(1 $49,50 minimum ltes.de:did, I leatiltg & A/C New Construction) $149.50 .esidciiti;tl, Add Aims & Altcrstin:{s 549.511 Itcs de,uial. limiting 0 ' (New Construction) $64.50 Residential, AC Oaly 849,50 Q Utirtratoci Cost S ; I3uitdi.tg Pet 0 —_. �'L ®� �,. HEATING 'Tam T FEE 5; -- — PAID WITH �� rziA 1'E' SURCHARGE $-- _,,�..,�._s_Q : UILDING PERMIT r 0 TOTAL PERMIT FEE ti (0 ec usa t�-h . , _� -_ — _...._ . Tlu . A tcatiolt 'Becomes Your Building I`etsnit When Approved. I foist Receipt No. Date; ..---•-- - - - - -- -ii - 1 -..___ - -_ -... ...., nutttltn, Official Date I 24 ]tour notice for all Impeetions (952) 447 -935U, fax (952) 447-4245 4646 Dalcoto Street S.E., row' Laths, Minitcsotn 55377. ., it. , ,41 woe i r '40%0 • I R/ Date Recd CITY OF PRIOR LAKE PLUMBING PERMIT Fte: 1 '41,-ic „..,...,..,, c.,...„.„_,,,,,,.„,"„g INNirSO' '. aim He ERM NO. 2. Gold City 3. Yclluw Applicant 1 )1T _______ __... 3:5!).. _ (Please type or print and sign at bottom) ADDRESS ZONING (office use) I /" - i4GA_) ,- ra w t le LEGAL DESCRIPTION (office use only) LOT W BLOCK S ADDITION 3- -- �'.,it'� t y r PID ((NaWNER xt i " N it t'` t`"" ;.� s (Phone) C 5"1-4-1() - °r f n (Address) ) - 7 0 2- 1 _ s f a i ,IN -t- r, c c."s , r-, t ci µ J #, t,-.....c ,, 1 `ki AP p ;,. �'.h `i 01 - (Name) _N I " 1 to A) I CAL- ( 1) 1 (Phone) 6 15 - 2- " 3 3. ` 1 . ' i. & ue t ` . N - 7 1 (Address) (Address) (City) 0 ' (Zip Code) (Contact Person) 6" ' . k ° � ° (Phone) 2 ( 2 - J 2Z - 2 444 , ' "" — 45 APPLICANT SIGNATURE[ a DATE t / _ { APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture a Bath Tub with or without shower C) Rough -ins / Dishwasher / Water Heater Floor Drain / Water Softener Lavatory (Bathroom Sink) / Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink r Sewage Ejector Shower Stall Backflow Assembly / Sinks Backflow Assembly Test Bar Sink / Lawn Sprinkler 5 Water Closet (Toilet) Other FEE SCHEDULE Industrial, Commercial & Multi - family 1% of job cost with a $49.50 minimum Residential, New One & Two- Family $149.50 Residential, Additions & Alterations $49.50 The Minnesota Statutes * 32613.148 ..'ist $ Building Permit # "SURCHARGE" has been changed for one P LUMBING PERMIT FEE $ 0 I year effective .July 1, 2010, until June 30, 2011. STATE SURCHARGE $ .50 N );� { � ( 1 e /' s The minimum surcharge fora "fixed fee" permit TOTAL PERMIT FEE $ " ' is 555, beginning July 1, 2010 This Application Becomes Your Building Permit When Approved Paid Receipt No. Date By Buildiine Official Date 24 hour notice for all inspections (952) 447 fax (952) 447 -4245 PAID WITH ^� 4646 Dakota Street S.E., Prior Lake, Minnesota 55372 BUILDING PERMIT w PRIOR LAK E DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS i G 7 Z f c (...,)„ p,_, NATURE OF WORK -1', (Nc. rU 4- F( /1. L. L . rib D� --k- USE OF BUILDING ------ Asr, �. fid P6c..-- (�c.v. PERMIT NO. (� -55 s DATE ISSUED zS i CONTRACTOR KEc1L . t 5 PHONE - e . NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPA DOCUMENT (N Ci T �� � l ) C-O/ P (2� ' P�/IA ✓7i�{-[ C C .� tom' N / S (� eiATE F OOTING Uk-1 2 0 7 1 1 I FOUNDATION (Prior to Backfill) 1 G't I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 61 - A.( 0\ V1--.4(//ti/ - ROUGH - INS SEWER / WATER / SEPTIC Vt , �' X3/51 FRAMING ,4005.1 ... � , . . a�l- 3 0 C_ 13 INSULATION fl 1 / ELECTRICAL I PLUMBING 1 /,,,,,, u, / 7, - L - 3 HEATING (if required) FIREPLACE 1)-j--/ ^D� —) 3 L t GAS LINE AIR TEST y L: , 9. i�E` - , sj _ ; 'f i k) ` 1 ` COV R O WORK UNTIL ABOVE HAS BEEN SIGNED ' 1 (-6,,,56_,tio.A.{3 a v zi., 4 t.,121t-“Ar 1 -' 1 ' 13 I FINALS GRADING (Prior to Sodding) Q ff G Z r3 BUILDING i q( (7 j Pk 6/� V, 6 f t'f( � ELECTRICAL PLUMBING 010 HEATING e 6o i /� DO NOT OCCUPY UNTIL ABOVE H BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough -in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447 -9850 DATE TIME CITY OF PRIOR LAKE SCHEDULED /q' 1 INSPECTION NOTICE ADDRESS /6 r CP L I, r xe_ ,,_',j A OWNER CONTR. PHONE NO. PERMIT NO. (''' — 0 055 - ❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING ❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI ❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL ❑ FINAL PLUMBING FINAL ❑ GASLINE AIR TST ❑ SITE INSPECTION ❑ MECH FINAL ❑ COMMENTS: t RQAMILQ--? U 0 ... ft_O '2, ( 1 )\-0.9 0 . ,,\ OJ.i. , ( erg( ❑ WORK SATISFACTORY, PROCEED CORRECT ACTION AND PROCEED ❑ CORREC Wu CALL FOR REINSPECTION BEFORE COVERING Inspector: i Owner /Contra CALL 447=' :50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI 04 PRIpie F U r White - Building 1/21 Eso°P Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT KG t..A N2) HaM APPLICATION RECEIVED k . % . 13 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1 , 1—k, 0i U ► , O A . Accepted k Accepted With Corrections Denied ��1� Reviewed By: /^J"0 Y Date: j-3/ Comments: See Reverse Side for Additional Information! See Attachments: 1 Gradin. Plan 2 Erosion Control "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." • • AbbITIONAL COMMENTS FOR BLAMING PERMIT . APPLICATIONS Surface storm water drainage flowing to the perimeter of this lot to and from adjoining properties must be conveyed to the roadway and /or to the rear of the lot in drainage swales within the drainage easement. • All- bare soil areas must be protected from eroding into neighboring properties through the properly installed and maintained silt fence or bales. . . • • The•silt fence required by the - erosion control plan must be installed prior to any earthwork being started. • The builder is responsible for maintaining the erosion control measures until the turf is established. • . „ The rock construct* entrance must be installed at The time of 4 .. €loackfilling of the f ounda :ion. • • • • • • • • • . G \Admin \dept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS.doc i o� PRro U , m White - Building 4 / < � Canary - Engineering LANES° Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT K-b ( t -fk j RZ APPLICATION RECEIVED k , t ST 13 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1 CO ( 72 B w o - 0 -- 0D Pp\ ss . Accepted `, Accepted With Corrections Denied 4 kt.---__ Reviewed By: Date: ! 2 5// 3 Comments: Tlft-( A 1) CA--- 1/01(_ 5 . "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." .- 91wk vrasq-•yyc., ' r-A.4, ".. ,,,,,. `74.. - 1.11111F a'A+s'M,: 0 00N- 'iNfi, ,. .n. T r < ...+,,. a r.,,..x - �*r. . O . PR /0 4x U m White - Building P Canary - Engineering "'`^NES °� Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections Denied 1 Reviewed By: \ Date: Comments: "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid."