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Rental Housing Permit Application

  1. Newton Fire Department

  2. Fire-Department-Badge

  3. Primary Contact Information

    Please complete Primary Contact Information (in case of any questions) below:

  4. Preferred Method of Communication:*

    (In case we need to contact you regarding your submission)

  5. Property Information

    Please complete Property/Business Owner and Secondary Contact Information as applicable.

  6. Are you applying for multiple property addresses?*

    If applying for multiple properties, please list additional addresses below.

  7. Please list additional addresses separated by commas.

  8. (If Applicable)

  9. OWNER OR SECONDARY CONTACT MUST BE AVAILABLE IN CASE OF EMERGENCY

  10. Permit Information

  11. Property Type*

    Inspection and 1st Re-inspection No charge. 2nd Re-inspection $50. 3rd Re-inspection $100. 4th Re-inspection $250. Reinstatement Fee after Permit Suspension $50 per unit/Max. $250.

  12. For Multi-Unit Property, please indicate total number of units

  13. NOTE: Property shall pass Rental Inspection prior to permit being issued.

    Rental Inspections may be scheduled with the Fire Marshal by calling 641-792-3347. APPLICATION AND PAYMENT DUE WITHIN THIRTY (30) DAYS.

  14. Acknowledgement

    I hereby apply for a City of Newton Rental housing permit for the above described property. I understand that the issuance of a permit does not imply that the above rental dwelling complies with the requirements of the City of Newton Minimum Rental Housing Code and that the permit may be revoked if, after inspection, it is found that the unit/room does not substantially comply with the provisions of the Housing Code. I agree to notify the Newton Fire Department within Thirty (30) days of any change in address, phone number, or secondary contact information.

  15. Do you agree?*

    By clicking I agree, 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.

  16. Leave This Blank:

  17. This field is not part of the form submission.