HomeMy WebLinkAboutBuilding Permit 01-0149
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.? -J.'")... -2CXJI
Date Rec'd
2 - Z- "7.--0)
I. While
2_ Pink
3_ Yellow
File
City
Applicant
01-0/411
(Please'!ype or print and sign at bottom)
ADDRESS
~ 1,1), ,-Sh(i1:k~, {1UG W'I tl +-
. u
LEGAL DESCRIPTION (office use only)
ZONING (office use)
121 "5D
LOTOO BLOCK
ADDITION f0(Jr/hl,Uood Oak-s 2nd kdd;+'bYl
PID 25 -'37' - 6W-O
. ~':'e~R S20tt -:PMrSClh ~ Lara!, Goc}
(Phone)
(Address)
BUILDER
(Name)
(V\()JlIUl- &O~ers _GOVl'S./..
u
(Address) 4/70 Efhem DrIUC, bOtJ,Ort
(Phone) &6/- LfSl/ -4Cf3.'3
fI.1lU 55(;)3
J
TYPE OF WORK ~ew Construction
DDeck
DPorch
DRe-Roofing
DRe-Siding
-g[Lower Level Finish
D Fireplace
DAddition
DAlteration
DUtility Connection
DMisc.
PROJECT COST IV ALUE (excluding land) $. m OOrJ
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon~ property to perfoI1Jl)fded inspections.
X ~Juir.. D ~tftlU2~ J.CXJ54,2;J1 ;< -,;? 1-0 I
Signature V Contractor's License No. Date
I Permit Fee $ ~.1\3.15 I I Park Support Fee # $ 82>.a:>
1 Plan Check Fee $ 1.3t'J3.~ I SAC # $ L \~.C>~
1 State Surcharge $ 15'O.C)~ I Water Meter Si~'; 1"; $ , .
I~.oo
I Penalty $ I Pressure Reducer $ 4S.l'tn
I Plumbing Permit Fee $ lM . <90 I Sewer/Water Connection Fee # $ ',~OO.c;O
I Mechanical Permit Fee 1$ [(j () . DO I Water Tower Fee # $ 7f"J(j.tJO
1 Sewer & Water Permit Fee $ 35 SO I Builder's Deposit $ l.~ 500 ./9,.)
1 Gas Fireplace Permit Fee $ 4'J.tX) I Other $
ca_ I TOTAL DUE ~ $ 'l4t;3. /1 I
es Your Building Permit When Approved ::J --;1,..(') I
.
9. <23-2oo{ I Paid 941'3. /9 I ~;cer/C:?Jo/(} zl
Y Buildin Date I Date ?/?,-tJ/
~
This is to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and nut proceed as requested. This document
when signed by the Ci Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
'''hi ~ :j/7/(g\. ~ r~~
~~ Plan ngDi~ector Date Sp dale itions,ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~1
O\-o(4~
Tl1r C..nln of Ih.. L.ke COtlnlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~l A N U:', \J F) 12 oS _
I
2-22-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~177_ Sf-IADV ~))VS P I
f
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
AI /l 13
Date: 2.~ ZI'.of
Comments: ~pp Rpvpr!';p. Side for Additional Information!
::iee Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Frn!';inn r.nntrnl PI::.n
"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."
~~
01-014-1
Tht' CE-nl..r of thr L.kr Country
White . Building
Canary . Engineering
Pink - Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tvlANUSY PJr2OS.
2-2.2- 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~!22 SHAD\! C1JVS P I
I
Accepted With Corrections X
Accepted
Denied /J()/l.., j
Reviewed~V/~
nmen~s:
~~~, 11~
Date: 2 ~ 2 ~ -,20" I
f.kJ2 ~
-
"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."
..~~
QI-OI4-Q
1:
The Crnurof Ihe l,akeCountry
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~.\A~,LLJ 1:,/<,(5.
I
2-Z2-D/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"7 -)
- ) I / ._
:/Hf\L)Y
(I) VS
.~---...
i/)
Accepted
Denied
v
Accepted With Corrections
Reviewed By:
~AL~
~ ..
Date:
3/7/CJ(
Comments:
JJc (.AMSW.)g-~ 111) I~ t'~~ ~~!
~~ -R. ( ./LMf~ 10lir/J UV\P ~~ 19-{-
~~~JC>
.. M~~ r:J F, ~~~~ ~':J.,~
G ~/h>l~. /
- ------ -
"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."
03/14/01 WED 11:30 FAX 6128902753
STOCKER EXCAVATING
1aJ00l
.........1'lUI
"IIU.OW . .lrPUc.un
GOUl - CITY
CITY OF PRIOR LAKE NO. 01- 01.4.4
SEWER AND WATER PERMIT . I
NOTE: Sewer and Water
contractors must
be re'11stered
with the Clty.
APPLICANT: OIl Mechanical/Scocker Excavacing
PHONE:
890-4241
ADDRESS: 824Vllb,c 125.t. b S~4:
SIGNATURE: !l ~.A~ffA _
SITE ADDRE~ ~h~dY Cov.. Point
55ll8.....DATE:
March 14. 2001
BLDG. PERMIT #.ll.1-1I.q
PIDi/25-3i/-- 020 - 0
FILL IN THE BLANKS
1. Estimated length of water service
feet'.
2. Si~e of water service
inch(es) .
J. Location of any couplings trom structure
feet.
4. Type of sewer pipe. ABS
PVC-x-- Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
_____========~===___~&~=~====__===== ==~==========~s_______&&=~
This apPlicationj~~~ your permit when approved.
BY !Y IfJl fl--. . DATE: 3 . 2--"2- - 0 I
--=--_:========;t:-~-=:===~------~==-------=------------===------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surchar'18
TOTAL
* Fee for elther sewer or water individually is $20.00 plus
S .50 surcharge.
.
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
1 :uued . - 1\-\
, pp..\O \N\-~i-J\\1
AMOUNT PAID \ "J rING'r'c:.r'
~UI~-
DATE PAID
RECEIPT #
REC'D BY
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesola 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opponunity Employer
({\\).\\~
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CITY OF PRIOR LAKE ~ =- :.-
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-'-'-'---~--
15:36 651 633 BBB4
FIRESIDE CORNER
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFJREPLACE PERMIT
#7009 P.001l002
Date Rec'd
I,Pin!l:
,.""'"
'-.....,~
~.."\ PERMJ.. f'lU. !-!L{1
(PI..", IYPi or llrillt and. .j"" at boIlDm)
ADDRESS
.;$/~ Sh~ fk. P.r
I.EGAL DESCR..r uv,. (office use only)
LOTJSLOCK I ADDITION '--11 &tXtiJLa2i ((}(Ju 8-+.
-,
ZONING (olli""...)
K r 5IJ
PID;)S- jll- tJ:}o-o.
OWNER
(Name)
(.1Jak~ ~-
(Phone)
(Address)
APPUCANT
(Name) ALLIED FIRESIDE DBA FlJilESIOE COMER.
(Phone) 651-633-2561
(Address) 2700 N. FArRVJ:n:W AVENl:Jl':
(Acl<l....)
(C P ) J>RENDA HUSTON (ph )
ontact erson a J one
APPLICANT SIGNATIJRE p/J4-..J...i~ DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT 0 AI. TERA nONS
Fl.JRNACE MAKE AND MODEL fUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM. HEATING OR POWER PLANT
DWlIll1I Air Plants 0 Steam
OOJ'3'fty 0 Hot Willet
o Mechanical 0 ll.udillllon
OAiT Coruli'loning 0 Spocilll De,ic.s
OVonl. Sy!llom 0 Other DeYlc..
FlREPf.ACE MAKE AND MODEL ~f ;J ~'" t,Vo'VI'<-
~1"'\r;:'M''l;rTT.T.~ M1"J
(City)
651-633-2561
5'\.1' ,
(ZIp Cod.)
1-/J-n/
PLEASE NOTE:
Air Conditioner Unilll
CBnnot EnCTOoch i1IlO
Required Side Yard
Setbacks
fndusuiaf. CommerciaL & Multi.Family
FEE SCHEDULE
1% of job ""'I Residential, 0.., Fi"'p'""e
$39.50 minimum
$99.50 R.~ldentinl, Addition. & Alte.ation.
$64.50 Rcsidcnlinl, AC Only
539.~u
RcsidentioJ, He..ting &: NC (New Con.....ctlon)
R..id..ntiol, H<&ting Only (Ne'" Construction)
539.50
$39.50
Estimated Cost $
Building Pennlt It
IlEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT fEE
$
$
S
.50
au PAID WITH
. ILDING PSRM,T
(om.. Use OIIly}
This Application Becom.. YOJlT Building POTmil When App",YCd
Pall;!
__ -Ata......~t".. ~ ~.....
DaHdlJJc OfJld./
D...
):>aJs;__ /3 -0 J
~
'-"
:z4 hOIl. nolle. rDr .11 in.pecllons (952) 447-9SSO, t.. (952) <l47..d24S
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. ~ -0144
Prior Lake, MN 55372 . I
Address
. ,1INNEA;- ..:;.;.:;, ~N 55408-"lmO
Telephone # g; ?-8?4."656
Furnace Make & Model 6 (\ACt~3S5 AIR CONOmONER UNITS CANNOT
~.~ U / ENCROACH INTO SIOEYARO SETBACKS.
Model Size <lU. GOO ID L1
\ TYPE OF SYSTEM
Warm Air Plants X
Gravity
Mechanical
Air Condrtioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Conn. load I
Fuel t"\c<1'", ruf
fiJ;rze
Supply Openings
x
Return Openings
Input$;.n..~ Output
Edr.
Cfm.
A~erations
TYPE~~ WORK
Replacement ^ New ponstruction
Est. Comp. Date <: I, 1 () I
I nl-n 144
I
'0 VJn~ ,~
pp.:, pe.p.iJ., I
\ 6U\\J)\tlG
Receipt #l
Repair
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Permi! #
cr'1,50
.50
ft)8.CO
f
TYPE OF STRUCTURE
L Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
x
Multi-Family
Other
Two-Family
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Healing Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1% of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough. in and one linal inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with building oermil number before build.
ing certificate of occupancy will be issued.
HEAT f;Alf;1 !lATIONS REQUIRED wilh number of supply and return openings listed per
room with CFM's per opening. New structures or addilions send floor plan wilh supply
and return locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
Phone: (952) 447-9850
Fax: (952) 447-4245
I hereby apply for a mechanical systems permit and I acknowledge that the
. information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case ~~ n:::: approval of Pla~ III ( (9 (
-.uFl! . ate \
~al's Signature . D e
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS 31~ s~ Q~~
NATURE OF WORK ~') u .
USE OF BUILDING 3FT)
PERMIT NO. OI-OI4-Q DATEISSUED :l-'"2~-2aO(
CONTRACTOR I T)1l\J\1..e...._ r~ ~ PHONE (0'5'1 - <(scf -C/7'~3
NOTE: THIS IS NOT A P~RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR I DATE
I FOOTING I 'tVlMM/ I 3jLE1~1
I FOUNDATION (Prior to Backfill) I ~-U~ ajl't)O( 11:S\)~ 3k.JOI
PLACE NO CONCRETE UNTIL ABdvE HAS BEEN SIGNEt> .
ROUGH - INS
~.\j~
-g.U~
~ .\;~
.-g--\,~
~\)~,
~ ~. ~Y?/eJ
,
SEWER I WATEFJ I SEPTIC
FRAMING .... /G..
INSULATION LL (,l8-df,~
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE L1- 7 '1,.111 \
GAS LINE AIR TEST
rZJI
3ln)ol
S; '/J- I ~/f' 1
~~t91
nJi!~r
4' 1.J7 ol
A-la..~/'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~ ~r:~
\
1?-.) \r~
't; Oa..J.1
OCCUPY UNTIL ABOVE ~S
NOTICE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I /-(~rtf./
R JBI&(
I ~
A .frJ Of
. ~ R.m
BEEN SiG'NED
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
DATE TIME
I/~~O/
3/22- SHAOY (,0(/8 PT.
SCHEDULED
CONTR.
PERMIT NO.
o/-/l/-q
o PLUMBING RI 0 EXlGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
.sOD/-r7t-665
/
~:;t
/
,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.f>r5!. FINAL
o SITE INSPECTION
COMMENTS:
'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOi)= FOR REINSPECTlON BEFORE COVERING
Inspector: ~ lj Owner/Contr:
CALL 447-9850 FOR ~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSHOfl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~ J~ 30 _
~~~,
CONTR.
ADDRESS
3/2-2-
OWNER
PHONE NO.
() \ - L44.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
fL..{J SEWER HOOKUP
rr ~ PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
!AA {i 111 n Me +V---CJ K
LM..ft-eI s.eIJlS~
/
r-ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~_ ~ Owner/Contr:
CALL 447-98~O FOR TLE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
[NSNOn
~ J'nj L
3/22- .s/#?W M~ PI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
A- 0 INSULATION
'ii"FINAL
/D SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
IL 0 PLUMBING FINAL
,,-X MECH FINAL
COMMENTS:
1
J~lklA
~ "'All,
<.oLt1l1\rL ~s f&- ~-0JOfliUP~+-
I..t .-
I.S<: H.:>/I~a
,/
,/
/
,
DATE TIME
f.~
1- / t./9
o EXIGRAO/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ -
( ~.()<..
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~OR REINSPECTlON BEFORE COVERING
Inspector: ~ .. \ Owner/Contr:
CALL 447-9850 FOR 4HE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I;-It-ol 1111
ADDRESS
3/22 5hcdv(At/L pr
CONTR. 111",,,/<;y j3,-os,
,
PERMIT NO. 0/ -1'-/ 9
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
r..d"FINAL
v o--siTE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)l[ EX/GRAD/FILLING
, 0 '-eoMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
(:7rt:,.~- tJK..
/I C(l/~ 8,,:,)(- f9f(
sJ-r
)(WORK SATISFACTORY, PROCEED
/ O'\:oRRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector:~' _==---- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
__'____~i..........',..~_~._.-" -,~..
DATE TIME
SCHEDULED
9-'/-0/ IftY1
() I -14q
White - Building
Canary . Engineering
Pink . Planning
31:))
5hPd" (' I'l," Pr
CONTR. 1Ilc,1"1/(.,j Brl)!..
I
PERMIT NO. ,,1- JLt9
\IT CHeCKLISt
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
~INAl
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
no( EX~LLING
-~KSHOREANETLAND
o COMPLAINT
o SEPTIC FINAL
(] FIREPLACE
o
"
COMMENTS:
.Slro4'.\ #:);J & IUlI:J-
'eviewed the building permit
C.Wb 130~ -DIt
!:i"".
,
,
JA
l.-.c/
B,;({uJ 5: I
~- Zf-()(
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
'.--dboRRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector:~~ ifi?
OWner/Contr:
CALL 447.4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
. v ' .-"', -, -. --.-.. __....01 Measures
3) Frosiorr ermtrnl PI:::ln"
"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 te-violate or-cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
-----,---~~_._-~~-_._~._-