HomeMy WebLinkAbout18100129 Accessibility Form12I30/2019
Registered Design Professionals 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.
CITY OF CARMEL
Accessibility for Public Accommodations and Commercial Facilities Certification
Permit Number: (�� 00 I 2� Date: 12 • 30• I�(
Name of Project: bE-Rrut A-TD 1..0(��(' �( ti[ L
Address of Project: % 2 5 LA-K E� R on�-r GT
� � Nf" =`�� , the Registered Design Professional of the
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above subject property have personally prepared the drawings and personally or my qualified
representative,
Derm Inc - Carmel local Accessibility form for sig.bmp (2550•3507)
of qualified Representative)
have/has performed a physical inspection at the above subject project and attest that all the
requirements of the Indiona Bui/ding Code Chopter 11: Accessibiliry for Public Accommodations
and Commercial Facilities are code compliant.
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Si ature of Design Professional
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