Forms & Permits

All information related to forms, permits, and fees can be found here.

The forms below may be downloaded, completed, and submitted the following ways:

  • Save electronically or scan, then email to email@nddh.org
  • Fax to NDDH at (860) 774-1308
  • Mail to NDDH at 69 South Main Street, Unit 4, Brooklyn CT 06234
  • Forms and payments may be left in our outdoor drop box (please do not leave cash in the drop box)

The fillable forms may be completed online, but still require submission by the above-listed methods.

Fillable PDFs may be signed electronically by downloading Adobe Acrobat Reader. Open, and fill out, the PDF with Adobe Acrobat Reader. Then use the digital signature button on the toolbar to add your signature. Save a copy for your records, and email the completed form to email@nddh.org.

Fee Schedule

Ordinances and Technical Standards

Food Service Ordinances
Salon Ordinances
Subsurface Technical Standards

Submit the permit packet for your specific permitted business by December 15, 2021 to avoid late fees and penalties. See packet information for new payment options for 2022 permits:

Food Service: Class I – IV

Apply for an annual food service permit. This form is used for Class I, II, III, and IV food service establishments and caterers.

General PDF | Fillable PDF | RTF File


Food Service: Multi / Non-Commercial

For multiple class food service establishments. Any business with department(s) that are classified as separate food establishments; and non-commercial function. (A function where food is sold or distributed by a person not regularly engaged in the business of selling such food for profit).

General PDF | Fillable PDF | RTF File


Food Service: Itinerant

For vehicle-mounted, self-contained, mobile food establishments. All itinerant food vending establishments are required to have a hand-washing sink with hot and cold running water under pressure, holding tank, and mechanical refrigeration.

General PDF | Fillable PDF | RTF File


Bed & Breakfast

Apply for a required annual registration for a bed and breakfast.

General PDF | Fillable PDF | RTF File


Cosmetology, Barbershop, Nail Salon: Owners

For owners of personal services establishments with employees.

General PDF | Fillable PDF | RTF File


Independent Contractors: Cosmetology, Barbershop, Nail Salon, Other

For independent contractors who rent a chair in a permitted cosmetology, barbershop, nail salon, or other personal services establishment.

General PDF | Fillable PDF | RTF File


Hotel / Motel

Apply for an annual permit and inspection for a hotel or motel. You may also need to complete a Food Service Application and Swimming Pool Application depending on services offered.

General PDF | Fillable PDF | RTF File


Swimming Pools: Indoor

Apply for an annual permit and inspection for any public swimming pool located at venues such as town halls, hotels, motels, campgrounds, nursing homes, schools, YMCAs, etc.

Note – this permit is for PUBLIC pools only. If you are looking to install a pool at a private residence you need to fill out the B100a form under Building, Construction, and Property Projects.

General PDF | Fillable PDF | RTF File

Brooklyn Fair

Food vendor permit application for the 2022 Brooklyn Fair. The fair permit packets for 2023 will be available in February, 2023.

General PDF | Fillable PDF | RTF File


Woodstock Fair

Food vendor permit application for the 2022 Woodstock Fair. The fair permit packets for 2023 will be available in February, 2023.

General PDF | Fillable PDF | RTF File

Spring permit packets for 2023 will be available in February, 2023.

Campgrounds

Apply for an annual inspection required to permit a campground facility. You may also need to complete a Food Service Application and Swimming Pool Application depending on services offered.

General PDF | Fillable PDF | RTF File


Food Service: Itinerant

Apply for an annual food service permit for a vehicle-mounted, self-contained, mobile food establishment. All itinerant food vending establishments are required to have a hand washing sink with hot and cold running water under pressure, holding tank, and mechanical refrigeration. “Pushcarts” are limited to the sale of hot dogs and pre-packaged foods only.

General PDF | Fillable PDF | RTF File


Food Service: Seasonal

Apply for an annual seasonal food service permit. This form is used for food establishments that operate for a period of six months or less at the same geographic location.

General PDF | Fillable PDF | RTF File


Swimming Pool: Outdoor

Apply for an annual permit and inspection for any public swimming pool located at venues such as town halls, hotels, motels, campgrounds, nursing homes, schools, YMCAs, etc.

Note – This application is not to be used by private homeowners seeking to install a pool on their property.

General PDF | Fillable PDF | RTF File

B100a

Add a pool, garage, deck, or other structure to an existing property.
Convert an existing structure or change the use of an existing building.

General PDF | Fillable PDF | RTF File


B100a Brochure

Learn more about putting an addition on your property.

General PDF | RTF File


B51d

Build a new home, replace, or add to an existing property, that is served by city (public) sewer, but will have a private well.

General PDF | Fillable PDF | RTF File

Application B and Letter of Consent

Install a new septic system, repair or replace an existing septic system, complete a soil test, or have a plan reviewed.

General PDF | Fillable PDF | RTF File


Installer’s As-Built Check List

Check your work after installing or repairing a septic system.

General PDF | Fillable PDF | RTF File


Sewage Disposal Regulations and Technical Standards for latest revision

Understand the regulations and technical standards that govern the installation of septic systems.

Web-site


Diagram of Septic System

Get a visual idea of what a septic system installation looks like.

General PDF


Water Treatment Wastewater System Installation Application

Application for the installation of a water treatment wastewater system.

General PDF | Fillable PDF | RTF File


Water Treatment Wastewater Installation Form As-Built

Check your work after installing or repairing a water treatment wastewater system.

General PDFRTF File


Water Treatment Wastewater System Installation Information

Information on water treatment wastewater system installation.

General PDFRTF File

Food Service Application

Apply for an annual food service permit. This form is used for all food service establishments including restaurants, food stores, schools, non-profit organizations, and others.

General PDF | Fillable PDF | RTF File


Temporary Food Permits

Serve food to the public at an event for a duration of 1 – 14 days.

General PDF | Fillable PDF | RTF File


Itinerant Food Vending Application

Apply for an annual food service permit for a vehicle-mounted, self-contained, mobile food establishment. All itinerant food vending establishments are required to have a hand-washing sink with hot and cold running water under pressure, holding tank, and mechanical refrigeration.

“Pushcarts” are limited to the sale of hot dogs and pre-packaged foods only.

General PDF | Fillable PDF | RTF File


Food Establishment Permit Application and Plan Review Form with Guidelines (Red Book)

Open a new food service establishment or make major renovations to the kitchen facilities in an existing food service establishment.

General PDF | RTF File


Food Awareness Safety Training Class (FAST)

Take a class that provides training in proper food handling techniques. This class is ideal for business owners, volunteers, and new employees working in food service who have not taken the Certified Food Protection Manager Course.

General PDF | Fillable PDF | RTF File


Certified Food Protection Manager Course (CFPM)

Become a Certified Food Protection Manager. This is a one day course for Class II, Class III, and Class IV food service establishments, as required by the Connecticut Public Health Code, 2017 FDA Model Food Code. Class II establishments have until January 1, 2019 to attain CFPM Certification, which is valid for five years.

General PDF | Fillable PDF | RTF File


Simple Ownership Transfer Form (Food Service Application also required)

When an existing licensed food service establishment changes ownership, the new owner must apply for a new food service license from the health district. Check this form to see if you qualify for a simple transfer of ownership.

General PDFFillable PDFRTF File

Bed and Breakfast

Apply for a required annual registration for a bed and breakfast.

General PDF | Fillable PDF | RTF File


Campground

Apply for an annual inspection required to permit a campground facility. You may also need to complete a Food Service Application and Swimming Pool Application depending on services offered.

General PDF | Fillable PDF | RTF File


Cosmetology, Barber, Nail Salon – Owners

Apply for a new permit or renewal for nail salons, hair salons, and barbershops. Note – This application is for personal services establishment owners who have employees. Independent Contractors who rent chairs or space from an owner / operator are to fill out the Independent Contractor application listed below.

General PDF | Fillable PDF | RTF File


Day Care

Apply for a required inspection conducted every two years for a group day care facility licensed by the State of Connecticut.

General PDF | Fillable PDF | RTF File


Hotel / Motel

Apply for an annual permit and inspection for a hotel or motel. You may also need to complete a Food Service Application and Swimming Pool Application depending on services offered.

General PDF | Fillable PDF | RTF File


Independent Contractor – Personal Services

Applies to cosmetology, barber, nail salon, and other trades. An Independent Contractor is a person who engages in an independent trade, business, or profession in which they offer their services to the public. They are generally not employees of a salon or company and perform services under an expressed or implied agreement. Note – This application is not for owners / operators.

General PDF | Fillable PDF | RTF File


Request for Copies of Public Information

Request copies of public documents on file.

General PDF | Fillable PDF | RTF File


Swimming Pool Application

Apply for an annual permit and inspection for any public swimming pool located at venues such as town halls, hotels, motels, campgrounds, nursing homes, schools, YMCAs, etc. Note – This application is not used by private homeowners seeking to install a pool on their property. For that, use a B100A.

General PDF | Fillable PDF | RTF File


Tick Submission

Please note – NDDH does not submit ticks for testing. Residents may submit ticks on their own by using this packet of information, which gives options to submit ticks to the Connecticut Agricultural Experiment Station (CAES) or the Connecticut Veterinary Medical Diagnostic Laboratory (CVMDL).

General PDF | RTF File