Instructions for Completing Construction Plan Submittal Form

Submit the Construction Plan Submittal Form (PDF) along with: 

• a certified copy of final construction plans
• a writable PDF copy of final certified construction plans and digital specs,
• a check for the fee, made payable to: “Commissioner of Finance, Treasury Division”

Materials can be sent via mail or courier to the addresses below.

Mail:
MDH Engineering Services Section
ATTN: Plan Review
PO BOX 64900
St. Paul, MN 55164-0900

Courier:
MDH Engineering Services Section
ATTN: Plan Review
85 E 7th Place, Suite 200
St. Paul, MN 55101-2143

Filling out the form

Fill in the fields below as follows:

• Project Name: enter project name as it appears on the submittal plans
• Date: enter date submittal package is being submitted
• Project Narrative: give a description to describe the project/work
• Project Address: enter address/city/zip of building where project is happening
• HFID#: Health Facility Identification Number can be found at MDH Provider Directory
• Facility Information: enter name/address as it appears on facility license
• Submitter Information: enter information for individual submitting project and to whom we should direct questions about the project
• MDH Staff: If a preliminary review was done, select name of MDH staff member who did review

State License Type:

• FOSC: Freestanding Outpatient Surgical Center
• HSP: Hospital
• NH: Nursing Home
• RES HOSPICE: Residential Hospice
• SLF A: Supervised Living Facility Class Ambulatory
• SLF B: Supervised Living Facility Class Non- Ambulatory
• SLF A & B: Supervised Living Facility Class Ambulatory & Non-Ambulatory
• Off Site Unit of HSP: Facility at a different location from the hospital
• PPEC: Prescribed Pediatric Extended Care Center

Federal Certification Type:

• ASC: Ambulatory Surgical Center
• CAH: Critical Access Hospital
• ESRD: End Stage Renal Disease
• HOSPICE: Certified Hospice
• HSP: Hospital
• ICF/IID: Intermediate Care Facilities for Individuals with Intellectual Disabilities
• PRTF: Psychiatric Residential Treatment Facility
• SNFNF: Skilled Nursing Facility/Nursing Facility (Nursing Home)