HomeMy WebLinkAbout18080172 Accessibility FormCITY OF CARMEL
Accessibility for Public Accommodations and Commercial Facilities Certification
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.
Permit Number: ______________________ Date: _______________________________
Name of Project: ________________________________________________________________
Address of Project: ______________________________________________________________
I __________________________________________, the Registered Design Professional of the
(Name)
above subject property have personally prepared the drawings and personally or my qualified
representative, ________________________________________________________________,
(Name of Qualified Representative)
have/has performed a physical inspection at the above subject project and attest that all the
requirements of the Indiana Building Code Chapter 11: Accessibility for Public Accommodations
and Commercial Facilities are code compliant.
__________________________________________________________
Signature of Design Professional
_______________________________
Date
Seal
Michael Evans Balay
N/A
12/28/2019
4160 E. 96th Street, Indianapolis, IN 46240
Tom Wood Jaguar Land Rover Volvo Remodel & Addition