Health Code Cheat Sheet · Madison County, IL
Madison County, IL Restaurant Equipment Requirements
These are the Madison County restaurant requirements for Edwardsville, Alton, Granite City and the rest of the county. Madison County plan review for Edwardsville, Alton, Granite City and Collinsville: when it applies, what to submit and how the process works.
- Health department
- Madison County Health Department, Environmental Health
- Phone
- 618-692-8954 (Mon to Fri, 8:30 a.m. to 4:30 p.m.)
- eh@madisoncountyil.gov
- Food code
- Illinois Food Code plus the Madison County Food Sanitation Ordinance
- Covers
- Madison County, including Edwardsville, Alton, Granite City, Glen Carbon, Wood River, Godfrey, Highland and Troy
Start with the federal Food Code equipment checklist and the Illinois Food Code guide. Both apply here. This page covers who you deal with locally and what’s different.
When you need plan review
- New construction
- Major remodels
- A change of ownership
- Mobile food trucks, which also need a permitted base of operations (commissary agreement) and route approval from each city
Call first (618-692-8954) before starting the permit process. Your submission should include:
- A completed permit application for your establishment type
- Construction plans showing layout, equipment and plumbing
- Owner and property information
- An equipment list with spec sheets showing NSF/ANSI or ETL Sanitation certification
How it works
- Prepare: gather documents and figure out your permit type.
- Apply: submit online or in person.
- Processing: you get a letter with your permit and payment instructions.
Sources
- Madison County: Plan Review for Food or Beverage
- Madison County: Food Sanitation Program
- Madison County Plan Review Application Packet (PDF)

Questions about Madison County restaurant requirements?
Call the health department listed above before you buy equipment. Getting your list approved first costs nothing and can save you from buying something that won’t pass.
All 18 cheat sheets & city finderFDA Food Code (federal baseline)Illinois Food Code (state baseline)St. Clair County, ILEast St. Louis & East Side Health DistrictMonroe County, ILJersey County, ILClinton County, ILEquipment buying guide
Last reviewed September 2026. This guide is general information to help you plan and ask better questions. It is not legal advice. Codes change and inspectors have final say, so confirm with your health department, building department, fire marshal, and sewer district before you buy or install equipment.