HomeMy WebLinkAbout18080055 Accessibility FormCity of Carmel
Accessibility for Public Accommodations and Commercial Facilities Certification
Registered design professional who are the designer of record of any commercial, institutional,
industrial or other building or structure that is required to be accessible by the state of Indiana
in accordance with the Indiana Building Code Chapter 11: Accessibility must complete and seal
this form.
Permit Number: LO J 1 #2-
Name of Project: L q I z
Address of Project: 11,96 51 John
Date: S / i l 19
I, Stuart R Shade, the registered Design Professional of the above subject property have
personally prepared or have oversight of the drawings have performed an observation at the
above subject project and to the best of my knowledge, information and belief represent the
requirements of the Indiana Building Code Chapter 11: Accessibility for Public Accommodation
and Commercial Facilities are code compliant.
Signature of the Design Professio
9 11] / 1cl
Date
, R t SHgO"''�.
No.
* .I AR00034184
` STATE OF
Certification