In northern Canada where permafrost is prevalent, a shortage of accessible, affordable, and high-quality housing has been ongoing for decades. Design of foundations in permafrost presents unique engineering challenges due to permafrost soil mechanics and climate change. There is no specific design code for pile or shallow foundations in northern Canada. Consequently, the design process heavily relies on the expertise and experience of Arctic geotechnical engineers who have specialized knowledge in this field. Therefore, a comprehensive review of the practice or literature in foundation design in the Arctic would be necessary. The main objective of this review paper is to provide an overview of the common foundations in permafrost and the techniques adopted to counteract the effects of frozen soils. This study conducted a literature review of state-of-the-art practices on deep and shallow foundations used in northern Canada, including common steel pipe piles and thermosyphons. The review summarized the current principles, including adfreeze strength, creep settlement, and frost heave, used in the foundation design in permafrost. Then this paper summarized the findings from interviewing several engineers or professionals who have experiences in the design of foundations in permafrost. The interviews revealed the technical and non-technical aspects of foundation design practice in northern Canada. Lastly, in order to demonstrate the design methods, the paper presented two examples where screw piles and steel pipe piles were designed to support a residential building in northern Canada, according to the state-of-practice criteria for adfreeze strength, long term settlement and frost heave.