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2. Questions?

   Contact the Community Development Department by reaching out to one of the following individuals:

   • Bethany Hovda, Administrative Assistant at 641-792-6622, ext. 2303 or email her by clicking here.
   • Mel Duncan, Building Official at 641-792-6622 ext. 2306, by cell phone at 641-521-9190, or email him by clicking here.
4. Mechanical Permit Application
6. Job Address*
   Please verify the project location is inside the city limits of Newton, Iowa before continuing.
8. Job Type*

   1. Residential

   1. Commercial

   1. New

   1. Existing
10. Owner*
12. Contact First Name*
13. Contact Last Name*
15. Preferred Method of Contact:*

    1. Phone
    2. Email
16. Contact Email Address
17. Contact Phone Number
19. Company/Contractor Name
21. Company/Contractor Address
23. City
24. State
25. Zip
27. Contractor License Number*
28. License Expiration Date*
    License Expiration Date
30. Responsible Licensed Person at Job Site*
31. License #*
32. License Expiration Date*
    License Expiration Date
34. Mechanical Permit Fees
    View Fee Schedule
36. BEFORE YOU DIG, CALL TOLL FREE 1-800-292-8989 IOWA ONE CALL
38. The undersigned hereby makes application for a permit to perform work as described hereon, at the above address.
    THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
40. Acknowledgement
    FEES ARE DOUBLED when work has been started prior to obtaining a permit. It is the responsibility of the permittee to call for all inspections. No work shall be concealed or covered until approved by the inspector. Work that is not approved shall be considered incomplete. The permittee is assumed to be knowledgeable of the Code. Questions should be resolved prior to installation. Permits are non-transferable - all work shall be performed by the permittee or his/her licensed employee. Permits shall not be issued until fees have been paid.
42. Certification and Electronic Signature
    By clicking I agree below, you agree and acknowledge that 1) Your application will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your electronic signature is valid and binding upon you to the same force and effect as a handwritten signature and 3) You hereby certify that you have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.
44. Do you agree?*

    1. I agree
45. eSignature of Applicant*
46. Date*
    Date
50. MECHANICAL WORK FEES
52. FURNACE
53. Price ea
54. Quantity
55. Cost
57. Taxable
58. Furnace Type

    1. Forced Air

    1. Gravity

    1. Floor (includes ducts)
60. Furnace BTU:
61. Furnace Energy Efficiency Rating:
63. HEATER (wall/floor/suspend - includes combo htg/clg wall units)
64. Price ea
65. Quantity
66. Cost
68. Taxable
69. Heater BTU:
71. Appliance Vent
72. Price ea
73. Quantity
74. Cost
76. Taxable
78. BOILER INSTALLATION
79. Price ea
80. Quantity
81. Cost
83. Taxable
84. Boiler Type

    1. Steam

    1. Water
85. Boiler BTU:
87. FUEL BURNING FIREPLACE, STOVE, OR SIMILAR (does not include chimney or vent)
88. Price ea
89. Quantity
90. Cost
92. Taxable
94. WATER HEATER (75 gal or 199,000 BTU Max) If over - considered Boiler
95. Price ea
96. Quantity
97. Cost
99. Taxable
101. GAS PIPING 1-4 Outlets
102. Price ea
103. Quantity
104. Cost
106. Taxable
108. GAS PIPING Additional beyond 4 outlets
109. Price ea
110. Quantity
111. Cost
113. Taxable
115. Electrical Outlet Required within 25 feet of Air Conditioner
117. AIR CONDITIONING UNIT
118. Price ea
119. Quantity
120. Cost
122. Taxable
123. A/C BTU:
124. A/C Energy Efficiency Rating:
126. REFRIGERATION UNIT
127. Price ea
128. Quantity
129. Cost
131. Taxable
132. Refrigeration Unit BTU
134. Alter or Add to Any HTG, Cooling Refrigeration Unit
135. Price ea
136. Quantity
137. Cost
139. Taxable
141. EVAPORATIVE COOLING - non-portable
142. Price ea
143. Quantity
144. Cost
146. Taxable
148. HOOD (including duct) TYPE II
149. Price ea
150. Quantity
151. Cost
153. Taxable
155. HOOD (including duct) TYPE I (Grease Hood)
156. Price ea
157. Quantity
158. Cost
160. Taxable
162. SEPARATE VENTILATION SYSTEM
163. Price ea
164. Quantity
165. Cost
167. Taxable
169. AIR HANDLING UNIT & DUCTS
170. Price ea
171. Quantity
172. Cost
174. Taxable
176. VENTILATION FAN - SINGLE DUCT
177. Price ea
178. Quantity
179. Cost
181. Taxable
183. FIRE DAMPER (includes smoke & ceiling radiation dampers)
184. Price ea
185. Quantity
186. Cost
188. Taxable
190. Hydronic Piping Systems (Geothermal System) Per ground source heat pump loop system
191. Price ea
192. Quantity
193. Cost
195. Taxable
197. Items Not Classified Above
198. Price ea
199. Quantity
200. Cost
202. Taxable
204. REQUIRED BASIC FEE
     Charge for Inspection Services
205. Price ea
206. Quantity
207. Cost
209. Taxable
211. FLAT FEE for One & Two Family Dwelling Units & Townhouse Units as defined by International Residential Code
     Includes fireplace & hydronic piping systems IF done by same contractor.
212. Price each dwelling unit
213. Quantity
     Basic Fee not applicable for this type of permit.
214. Cost
216. Taxable
220. For Office Use Only
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222. Calculate Totals Proceed to Checkout

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