Building Standards Waiver Request Form
Updated: April 2025
Instructions: Complete this form to request a waiver to the Minnesota Housing’s Building Standards. Minnesota Housing, at its sole discretion, reserves the right to request any additional information, deemed necessary to complete its review. Minnesota Housing reserves the right to approve, reject and/or set forth conditions as it deems necessary.
Project Information
Project Name:      
Project Street Address:      
Project City, State ZIP Code:      
Owner/ Developer Full Legal Name:      
Architect of Record:      
General Contractor (if known):      
Request Prepared by (Individual Name, Entity):      
Construction Type: 
Waiver Request Information
A waiver request must be completed for each Build Standard. Which Building Standard is the waiver request for: 
•	If Other was selected, explain:      
•	Provide the Chapter; Section; Item; Sub-Item (if applicable):      
•	If Green Communities, which mandatory criteria:
Number:      
Title:      
•	Explain the standard, criteria, or requirement:      
Why project cannot meet the standard, criteria or requirement:
	Hardship due to existing conditions
	In conflict with local, state, or federal codes or regulations 
	Impractical due to tenant/resident population
	Other
Provide additional details:       

Cost hardship is typically not considered a valid reason for a waiver; however, if the waiver request is due to cost hardship, what is the cost differential? 
     
Other Comments:      

Certification
I, the undersign, hereby certify that the information set forth in this Building Standards Waiver Request Form, and in any supporting attachments (if applicable), is true, correct, and complete to the best of my knowledge.
     
Name of Organization
     	     
Authorized Signatory Printed Name	Title
     	     
Authorized Signature	Date
WAIVER DECISION (to be completed by Minnesota Housing staff)	
 Rejected/Not Approved
 Accepted/Approved	Conditions:
     	
Minnesota Housing staff comments:
     	
Minnesota Housing staff name:      	Date: