Form Dos 1883 PDF Details

In the landscape of New York State's approach to ensuring the safety and compliance of buildings under the custody of its various agencies, the DOS-1883 form plays a pivotal role. This form, an essential document for the State Agency Annual Report, is meticulously designed to gather comprehensive data regarding the administration and enforcement of the Uniform Code. It serves as a detailed record spanning several critical areas: whether the form is filled out for the entire agency or a specific segment, the identification of the agency’s primary code coordinator, and an enumeration of the buildings overseen by the agency. Additionally, the form requires agencies to list all construction permits, code compliance certificates, and temporary approvals for occupancy issued or received within a given year, emphasizing the validity of such documents as of December 31 of the reporting year. It doesn’t stop there; the form mandates the reporting of all fire safety inspections conducted, code violations discovered and their current status, especially those not rectified within 60 days, along with a proposed plan for addressing each uncorrected violation. Moreover, it asks for details regarding code-related complaints made or received during the reporting year and their outcomes. Located at the heart of New York State Department of State Division of Code Enforcement and Administration’s efforts to maintain structural safety and compliance, the DOS-1883 form, effective since September 2009 and outlined under 19 NYCRR PART 1204, intricately details the administrative and enforcement endeavors of state agencies, reflecting a commitment to uphold and enhance the safety standards of buildings within their purview.

QuestionAnswer
Form NameForm Dos 1883
Form Length8 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min
Other names1204form2012Rep ortForm 9 nycrr part 1204 administration and enforcement by state agencies form

Form Preview Example

If form is being completed for anything other than the entire agency, has/will form be submitted to Central Agency:
Name of Primary Agency Code Coordinator:
Title of Primary Agency Code Coordinator :
Code Official NYDOS Certification #:
Phone Number:E-mail Address:
NUMBER OF BUILDINGS WITHIN CUSTODY OF THIS AGENCY

New York State Department of State

Division of Code Enforcement and Administration

99 Washington Avenue, Suite 1160

Albany, NY 12231

Ph:(518)-474-4073 FAX:(518)-486-4487

www.dos.state.ny.us

Page 1 0f 7

Reporting Year: 2012

19 NYCRR PART 1204

UNIFORM CODE: ADMINISTRATION AND ENFORCEMENT BY STATE AGENCIES

STATE AGENCY ANNUAL REPORT

Uniform Code Administration and Enforcement

GENERAL INFORMATION

Name of State Agency:

Mailing Address

This Report is being submitted by:

Entire Agency Campus, Region or Division on behalf of the agency's primary code coordinator

If the form is being completed for anything other than the entire agency, please describe the Campus, Region or Division(be specific):

1.Total number of buildings within the custody of this State Agency for reporting year 2011:

2.Total number of buildings within the custody of this State Agency for reporting year 2010:

ADDITIONAL INFORMATION/COMMENTS

DOS-1883 ( 09/09)

19 NYCRR PART 1204

UNIFORM CODE: ADMINISTRATION AND ENFORCEMENT BY STATE AGENCIES

STATE AGENCY ANNUAL REPORT

Uniform Code Administration and Enforcement

Page 2 0f 7

Reporting Year: 2012

State Agency:

3.List all construction permits, code compliance certificates, and temporary approvals for occupancy which were issued or received by the State Agency preparing this Report during the calendar year covered by this Report, and indicate which permits, certificates

and temporary approvals were still valid on December 31 of the calendar year covered by this Report:

CHECK HERE IF THIS LIST IS INCLUDED OR CONTINUED ON ATTACHED SHEET[S]

 

Permit, Certificate or Approval

Valid on December 31

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOS-1883 ( 09/09)

19 NYCRR PART 1204

UNIFORM CODE: ADMINISTRATION AND ENFORCEMENT BY STATE AGENCIES

STATE AGENCY ANNUAL REPORT

Uniform Code Administration and Enforcement

Reporting Year: 2012

 

Page 3 0f 7

State Agency:

 

 

 

4.List all fire safety inspections conducted within buildings or structures in the custody of the State Agency preparing this Report during the calendar year covered by this Report

Check here if this list is included or continued on attached sheet[s]

 

Date of Inspection

 

Building or Structure Inspected

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOS-1883 ( 09/09)

19 NYCRR PART 1204

UNIFORM CODE: ADMINISTRATION AND ENFORCEMENT BY STATE AGENCIES

STATE AGENCY ANNUAL REPORT

Uniform Code Administration and Enforcement

Page 4 0f 7

Reporting Year: 2012

State Agency:

5.List all code violations within the State Agency’s buildings or structures which were discovered during the calendar year covered by this Report and which were not corrected within 60 days of their discovery, and indicate the current status of each such violation:

Check here if this list is included or continued on attached sheet[s]

 

Date of Discovery:

 

Building or Structure

 

Violation (s) Discovered

 

Current Status

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOS-1883 ( 09/09)

19 NYCRR PART 1204

UNIFORM CODE: ADMINISTRATION AND ENFORCEMENT BY STATE AGENCIES

STATE AGENCY ANNUAL REPORT

Uniform Code Administration and Enforcement

Page 5 0f 7

Reporting Year: 2012

State Agency:

6.Provide a statement of a plan to correct each violation which is listed in the preceding section and which remains uncorrected:

Check here if this list is included or continued on attached sheet[s]

7.List all code related complaints made or received by the State Agency preparing this Report during the calendar year covered by this Report, and the disposition of each such complaint

Check here if there were no complaints

Check here if this list is included or continued on attached sheet[s]

 

Complaint

 

Disposition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOS-1883 ( 09/09)

19 NYCRR PART 1204

UNIFORM CODE: ADMINISTRATION AND ENFORCEMENT BY STATE AGENCIES

STATE AGENCY ANNUAL REPORT

Uniform Code Administration and Enforcement

Page 6 0f 7

Reporting Year: 2012

State Agency:

8.List all changes during the calendar year covered by this Report in the list of the buildings or portions of buildings which the State Agency preparing this Report occupies, uses, maintains, or operates and which are within its custody:

Check here if there were no changes

Check here if this list is included or continued on attached sheet[s]

 

Building or Portion of Building

 

Added to or removed from list

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOS-1883 ( 09/09)

19 NYCRR PART 1204

UNIFORM CODE: ADMINISTRATION AND ENFORCEMENT BY STATE AGENCIES

STATE AGENCY ANNUAL REPORT

Uniform Code Administration and Enforcement

Page 7 0f 7

Reporting Year: 2012

State Agency:

9.List all changes during the calendar year covered by this Report in the list of the buildings or portions of buildings which the State Agency preparing this Report occupies, uses, maintains, or operates and which are (i) within the custody of another State Agency or (ii) subject to code enforcement by the authority responsible for enforcement in the particular municipality where the building is located:

Check here if this list is included or continued on attached sheet[s]

 

Building or Portion of Building

 

Nature of and reason for change

 

(e.g., removed from list because this State Agency no longer occupies, uses,

 

 

 

 

maintains or operates this building or portion of building)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOS-1883 ( 09/09)

19 NYCRR PART 1204

UNIFORM CODE: ADMINISTRATION AND ENFORCEMENT BY STATE AGENCIES

STATE AGENCY ANNUAL REPORT

Uniform Code Administration and Enforcement

Reporting Year: 2012

ABOUT THIS FORM

Each State Agency that has not been granted an exemption under 19 NYCRR Section 1204.15 is required to prepare an annual report that includes the following information:

(1)the name and address of the State Agency, the name and address of the State Agency’s code coordinator, and the name(s) and address(es) of the State Agency’s code compliance manager(s), if any;

(2)a list of all construction permits, code compliance certificates, and temporary approvals for occupancy which were issued or received during the preceding year along with an indication of which permits, certificates and temporary approvals were still valid on the preceding December 31st;

(3)a list of all fire safety inspections conducted within buildings or structures in the custody of the State Agency;

(4)a list of all code violations within the State Agency’s buildings or structures which were not corrected within 60 days of their discovery;

(5)a statement of the current status of the violations noted in paragraph (4) and a plan to correct any such violations still uncorrected;

(6)a list of all code related complaints and their disposition;

(7)any changes in the list of the buildings or portions of buildings which the State Agency occupies, uses, maintains, or operates AND which are within its custody; and

(8)any changes in the list of the buildings or portions of buildings which the State Agency occupies, uses, maintains, or operates and which are (i) within the custody of another State Agency or (ii) subject to code enforcement by the authority responsible for enforcement in the particular municipality where the building is located.

The report must be completed by February 1 of each year, and must include the information pertaining to the preceding calendar year. Each State Agency must notify the Department of State of the Agency’s completion of its annual report within 30 days after completion.

This form is provided as a courtesy of the Secretary of State of the State of New York, to assist State Agencies in fulfilling their Annual Report requirements pursuant to 19 NYCRR Part 1204. Use of this form is optional, but may be used to satisfy their Annual Report obligation. State Agencies may instead use other forms, where acceptable to the Secretary of State, to fulfill their Annual Report obligations.

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The way to fill out Form Dos 1883 portion 1

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DOS, Total number of buildings within, and ADDITIONAL INFORMATIONCOMMENTS inside Form Dos 1883

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3. Within this stage, take a look at Reporting Year, Page f, State Agency, List all construction permits, Check here if this list is, Permit Certificate or Approval, and Valid on December. All these need to be completed with greatest precision.

Filling out section 3 of Form Dos 1883

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Stage no. 4 of filling out Form Dos 1883

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DOS, DOS, and DOS inside Form Dos 1883

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