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HomeMy WebLinkAboutZ-45875 FOd4r`� Town of Southold 1/10/2025 o�gUf �oG}} 53095 Main Rd y x Southold,New York 11971 4 �ijpl PRE EXISTING CERTIFICATE OF OCCUPANCY No: 45875 Date: 1/9/2025 THIS CERTIFIES that the structure(s)located at: 405 S Oakwood Dr,Laurel SCTM#: 473889 Sec/Block/Lot: 145.-3-10 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 45875 dated 1/9/2025 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: Non-habitable,wood frame structure and accessory garage; both in disrepair. Violation: The main structure contains additions and alterations which were completed over the years without permits or required zoning approvals. It has since been gutted to a non-habitable shell(no kitchen). All approvals required for new construction will be needed for any work to take place. The certificate is issued to Dicandia,Frank (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Aut rize ignature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 405 S Oakwood Dr,Laurel SUFF.CO.TAX MAP NO.: 145.-3-10 SUBDIVISION: NAME OF OWNER(S): Dicandia,Frank OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Dicandia,Frank DATE: 1/9/2025 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: block CELLAR: partial CRAWL SPACE: partial BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: enclosed DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: TYPE HEATER: center air AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: #BEDROOMS: 2 #KITCHENS: removed BASEMENT TYPE: OTHER: non-habitable ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: Violation of Southold Town Code 144-8 A(1):The main structure contains additions and alterations which were completed over the year without permits or required zoning approvals.It has since been gutted to a non-habitable shell(no kitchen). REMARKS: INSPECTED BY: NANCYD DATE OF INSPECTION: 1/9/2025 TIME START: END: I�( ►Oaf TOWN OF SOUTHOLD—BUILDING DEPARTMENT Plq Icy apsusFnik�s a Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 f�� Telephone (631) 765-1802 Fax(631) 765-9502 hLtps://www.southoldtomLno.jzo ` {� AFRLIC�T�011f` FAR PR;E� �X�5TING�C�RT��EGATE �F�OCCtJFANCY i t F 4WNER(Sj -.',PROP N:R-1(' Name:Matthew Bruno, Pres. 8 Woods, LLC. Date:12/05/2024 Physical Address:405 South Oakwood Drive, Laurel SCTM#1000-145.00-03.00-010.000 Phone#:631-655-2920 ail:matt@palermoflooringinc.com Mailing Address:22 Marshall Street, Patchogue, New York Name: Michael Albert Mailing Address:PO Box 266, Port Jefferson, New York 11777 Phone#:516-523-5271 Email:MalbertFRD@aol.com E E U L d[JIi: To apply for a Pre C.O.for an existing building(prior to April 9, 1957) provide the followAccurate Survey Floor Plan DEC — 6 2024 • $200 Fee CONSENT TO INSPECTION Rv, lding a Apartment That the undersigned does hereby give consent to the Building Inspector of the Town of Southold to enter upon the above described property, including any and all buildings located thereon,to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws,ordinances, rules and regulations of the Town of Southold. Marka saw 1 12/5/2024 Date Owner's Signature PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) ,,Matthew Palermo residing at the above address, do hereby authorize Michael Albert to apply on my behalf to the Town of Southold Building Department for approval as described herein. / WWOW SON* 12/5/2024 Owner's Signature Date 7/ ,agj )0)8 0 o �, _ �,�,� 3_ TOWN OF SOUTHOLD PROPERTY ��.......r ..r...J - , OWNER STREET —I Df VILLAGE DISTRICT SUB. LOT FORMER OWNER N E ACREAGE r �d Ca k�Y{UPr N) S W TYPE OF BUILDING (RES. �a SEAS. VL. FARM COMM. I IND. I CB. MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS � s -- L-©v � I � � o u 3 /� �� , S- � `1►� - ►� u�r � �;� -�-�. I�� �U r�l�a =�iCrs���c� i AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House Plot Totat— i O 14 ' -10 NINE a - I — — ' -- T—� --i-sue ------- - - -- , - -- - - t 145.-3-10 9/08 — I �I I 145:3-10 2008 I __ I M. Bldg. �d �• -- -7 y td Foundation --- --�Ci�cF. Both /f — Extension jf yp� I ya Basement _ Floors -- —_ Extension i Ext. Walls i�.,C,f• � '- Interior Finish __- _. - — Extension i Fire Place Heat f l ox t 3 13 0-----1 z.SQ : 3 Z S � & s'j �' Di]���x 3oPorch-to Roof Type I i ! Porch Rooms 1st Floor is ° — --_- Patio Rooms 2nd Floor Garage ( /O - 3;. Af _3 }-y Driveway Dormer O. B. A�A- 3 26 5 *O-F BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 405 S Oakwood Dr,Laurel SUFF.CO.TAX MAP NO.: 145.-3-10 SUBDIVISION: NAME OF OWNER(S): Dicandia,Frank OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Dicandia,Frank DATE: 1/9/2025 DWELLING: #STORIES: #EXITS: 02 FOUNDATION: (pG(-- CELLAR: ap ,e f CRAWL SPACE: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: I - GARAGE: DOMESTIC HOTWATER: TYPE HEATER: C a 2 AIR CONDITIONING: TYPE HEAT: 6711 WARM AIR: HOT WATER: #BEDROOMS: a #KITCHENS: a0mc4ed BASEMENT TYPE: OTHER: non.- h Gt h l A W e- ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: (N p�� STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: SC L p u-- G U REMARKS: INSPECTED BY: NANCYD DATE OF INSPECTION: 1/9/2025 TIME START: END: at , Town Hall Annex Town of Southold 54375 Main Road Ze Pre COn PO Box 1179 O Inspection Survey Southold, NY 11971-1179 , +` Tel: 631-765-1802 . Propertyanfo " SCTM # 5- - o Date 1p. Address ®�+ p �� Hamlet �L Property Type a/0 Occupied Prior Permits Inspector Strucfure Type of Construction: p Number of Stories: Foundation Type: Exterior Access: Full Basement: -� Crawl Space: Finished: Garage: Breezeway: Entry Porch: FOAL) Exterior Deck: Patio: Mudroom: Building Systems /r;o, Fvit77 u Heat Source: jWkCA 1& -C Fuel Type: L9l Hot Water: Electric Panel: AC Fireplace: Condition of'Property Building Interior: Building Exterior: Op(L Property clean, maintained &safe: 00 Fencing: Interior Components, . Rooms'/!:Floof. et vets Sub: 1 2. 3: Safety Itern's:.. Kitchen Number of Exits: Living Rooms Smoke Detectors: Bedrooms Carbon Monoxide: Bathrooms Guards& Handrails: Toilet Rooms Egress within Bedrooms: Utility Rooms Fire Extinguishers: Entry Areas OTHER ..Accessory Structures Garage: Wp Construction: R-D Foundation: k4.00,0-, Barn: Construction: Foundation: Shed: Construction: Foundation: Sleep Quarters: Kitchen Facilities: Plumbing: Swimming Pool: - Comments 54-avOm, 1 5 kA 1 te- -10 90AU, �� [�,t&VL AoNctW -Wa aAA, w to p U vl' ti ,r�ll�lo� Violations:` LOT Li AU, ° L lfs ' f vay�-rib y �!♦e � � - _ .nwM_!� _ .-....�.."�+..— 4d{.AM+.� EU ko •i �;.y�, .!: 1 mom` _ C�"`�-�t....y {yr a'=/ - Yi•.� s OH ` OH 0.9s ON .. ON �;jar, • . �• �. �Z - � ,�.3 `� �� ATM ` �'`�M1w j c .• •� � a dFra � - mil'\ - - .:S � � 7 �� PIAT ;z WOOD y ry.i. S J!i'^ V iI � A.��} `■{J[p}[9■! �Ap[ � (■gyp.+,. l��y�5 �4 imps VT ■�O®9 `p tl' PLAT ''GS�TJ 1.t f;/� -O f I :• ELEV. h { , 0 16.07 r PLA o 7y� �rP aa.7 i. 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'g.�s�Jlt5�41+C E.1� rFNi F� q y � ✓:" � :�.. � ¢w �W+ T�51.-'� �, ,� � � It • • • � R y i k i �•'• Y rY � � � J� _y� .Qp� it I 5Y� -^$ .w.; `N � �.�9,y b �.,.. j^+d�iL/il"!T �•m 'T• .. � � �. C\ t�� 'W d ���HT9 � s �P� y r f. /7 -,,.w+•.. .., '.fie ,k.. a • No $ e t» i �:'� -annw•• YIM1Y+ F ' L t r. A7k. Th 6`s 1 N• .�... a t 2 i L � !..ia I � � Y! 10 ti yr• �-�,� �, JOSHUAR. WICKS P ® L. S . P7-1C0 ]� T T� B A T T SURVEYED BY:J.R.W. DRAWN BY:J.R.W. JOB NO.:JRW24-0305 �7 1 V 1 A 1y P.O. BOX 593 Center Moriches, N.Y. 11934 BOULEVARD JoshnaRlWicks®gmail.com _ zlc'/VP #631-405-8108 v e �g%z� GRAPHIC SCALE Ro-3 o i 2 I (ao) (20) (40) (6o) (2 o 5UpvfY OF PPOPEPTY 0 Got 5 -Map or M Laurel Park Property of the pauatone pealty Corp, i N 69°08 '40" E >30.00 ' ��led' October 5, 1925 -Map No, 2l2 LOT 6 t SITU�11� �qr — o.F1 N I FE. tAUPet, TOWN OF 50WHOW ON — — — — — — 0.3E Su'FObK COUNTY, NSW Y02K O O oy °H 1 0 0 9 S 6 PVC FE 1 j 5j'' O O DN off — —_ Ems. Q Suffolk County fax Map No,: LO 20.3' // o i/��� //�//, ,ss2' 0 1000-145,00-03,00-010,000 WATER APPROXIMATE O 0 METERI 1 STY. j MAs. OF SEPTIC LOMON q PAt 5UPVff[9: II/0912024 M FR. RES. PER HOMEOWNER 5CAL�: I"-20' PLAT o r, � #905 % POLAOT N C3 w =18.05 OCONC, 3.0'do' LOT 5 �ELEV.,16.06 R O 23:6'///////d Cd PLAT F—_=� CAE ELEV ELEV. w Oi - ,6.D7' ,6.60' �, /,2o: �,,,, Q o TEST HOLE o Gam•FR's.so:o ° NOT TO SCALE L`I \92 PLAT N °D GAR. W � :IELEV. DIRT DRIVEWAY % (15 HIGH) � o, GRADE ELEV. 16.00' 81' BROWN SILTY SAND ROW O _ FE1.5 2.5' LOT AREA ❑--;1—a ❑—v—❑ o ❑ —� ELEV.� 0.5E 5. FE. 4' WOOD FE. FE. 2.3 16.65 8,449.06 S.F. 2.6'S 2.2'S 0.19 ACRE(S) >2' RIGHT OF WAY AS PER FILED MAP ° '; . a. ® Y• PALE BROWN FINE SAND a . S 69008 '40" W 130.00 �a` a ��oF NElti y I LOT 2 I LOT 1 117• FWATER INE SAND IN PALEBROWN ( O�`Z��P R. (SP) lP II WATER ENCOUNTERED 15.4' BELOW SURFACE McDONALD GEOSCIENCE 11-06-24 *ALL ELEVATIONS REFER TO NAVD88'DATUM s,yo 05102`�Ji�� yF� LAND CHECKED BY: (1) UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY MAP BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209. SUB-DIVISION 2, OF NEW YORK STATE EDUCATION LAW. (2) ONLY BOUNDARY SURVEY MAPS WITH THE SURVEYOR'S EMBOSSED SEAL ARE GENUINE TRUE AND CORRECT COPIES OF THE SURVEYOR'S ORIGINAL WORK AND OPINION. (3) CERTIFICATIONS ON THIS BOUNDARY SURVEY MAP U.J SIGNIFY THAT THE MAP WAS PREPARED IN ACCORDANCE WITH THE CURRENT EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS, INC.THE CERTIFICATION IS LIMITED TO PERSONS FOR WHOM THE BOUNDARY SURVEY MAP IS PREPARED.TO THE TITLE COMPANY, TO THE GOVERNMENTAL AGENCY,AND TO THE LENDING INSTRUTION LISTED ON THIS F- BOUNDARY SURVEY MAP. (4)THE CERTIFICATIONS HEREIN ARE NOT TRANSFERABLE. (5) THE LOCATION OF UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS ARE NOT ALWAYS KNOWN AND OFTEN MUST BE ESTIMATED. IF ANY UNDERGROUND IMPROVEMENTS OR ENCROACHMENTS EXIST OR ARE SHOWN, THE IMPROVEMENTS OR ENCROACHMENTS ARE NOT COVERED BY THIS SURVEY. (6) THE OFFSET(OR DIMENSIONS) SHOWN HEREON C) FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT INTENDED TO GUIDE THE ERECTION OF FENCES, RETAINING WALLS, POOLS, PATIOS PLANTING AREAS,ADDITIONS TO BUILDINGS,AND ANY OTHER TYPE OF CONSTRUCTION. (7) PROPERTY CORNER MONUMENTS WERE NOT SET AS PART OF THIS SURVEY. (6) THIS SURVEY WAS PERFORMED WITH A TRIMBLE S5 ROBOTIC Z TOTAL STATION. (9)THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD IF ANY, NOT SHOWN ARE NOT GUARANTEED. Referee's Deeds In Foreclosure THIS IS A LEGAL INSTRUMENT AND SHOULD BE EXECUTED UNDER SUPERVISION OF AN ATTORNEY THIS DEED,made L Foreclosure Sale Held September 4,2024 BETWEEN I Ralph T.Gazzilio Esq.,Referee i duly appointed in the action hereinafter mentioned,grantor,and 8 Woods,LLC,grantee 35 Howard Drive,Coram,NY 11727 WITNESSETH,that the grantor,the referee appointed in the action between BANK OF NEW YORK MELLON TRUST COMPANY,N.A.AS TRUSTEE plaintiff, FOR MORTGAGE ASSETS MANAGEMENT SERIES I TRUST, and DEBRA INGHINGOLO A/K/A DEBRA DICANDIA, AS HEIR AND defendants, DISTRIBUTEE OF THE ESTATE OF FRANK G.DICANDIA; GREGORY DICANDIA, AS HEIR AND DISTRIBUTEE OF THE ESTATE OF FRANK G. DICANDIA; PETER DECANDIA, AS HEIR AND DISTRIBUTEE OF THE ESTATE OF FRANK G.DICANDIA;FRANK DICANDIA,JR.A/K/A FRANK DICANDIA 111, AS HEIR AND DISTR]!BUTEE OF THE ESTATE OF FRANK G. DICANDIA; CHRISTOPHER DICANDIA, AS HEIR AND DISTRIBUTEE OF THE ESTATE OF FRANK G. DICANDIA;NICHOLAS DICANDIA A/K/A NICK DICANDIA, AS HEIR AND DISTRIBUTEE OF THE ESTATE OF FRANK G. DICANDIA; RACHEL DICANDIA A/K/A RACHEL G.DICANDIA,AS HEIR AND DISTRIBUTEE OF THE ESTATE OF FRANK G. DICANDIA; ROBERT DICANDIA, JR. A/K/A ROBERT J. DICANDIA, JR., AS HEIR AND DISTRIBUTEE OF THE ESTATE OF FRANK G. DICANDIA; THOMAS DICANDIA A/IC/A THOMAS R. DICANDIA, AS HEIR AND DISTRIBUTEE OF THE ESTATE OF FRANK G. DICANDIA; UNKNOWN HEIRS OF THE'ESTATE OF FRANK 0. DICANDIA; any and all persons unknown to plaintiff, claiming, or who may claim to have an interest in, or general or specific Iien upon the real property described in this action;such unknown persons being herein generally described and intended to be included in the following designation,-namely: the wife, widow, husband, widower, heirs at law, next of kin, descendants, executors, administrators, devisees, legatees, creditors, trustees, committees, lienors, and - assignees of such deceased,any and all persons deriving interest in or lien upon, or title to said real property by, through or under them,or either of them, and their respective wives, widows, husbands,widowers, heirs at law,next of kin, descendants, executors, administrators, devisees, legatees, creditors, trustees, committees,Iienors and assigns,all of whom and whose names,except as stated, are unknown to plaintiff; SECRETARY OF DOUSING AND URBAN DEVELOPIVIENT; SOUTHOLD TOWN JUSTICE COURT; NEW YORK STATE DEPARTMENT OF TAXATION AND FINANCE; UNITED STATES OF AMERICA—INTERNAL REVENUE SERVICE;THE PEOPLE OF THE STATE OF NEW YORK, foreclosing a mortgage recorded on February 11,201,0 in the office of the CLERK ofthe County of SUFFOLK Liber M00021916,Page 780 in pursuance of a judgment entered February 15,2024;under Index Number 608775/2018 Six Hundred Seventy Four Thousand($674,000 0b)Dollars paid by the grantee,being the highest sum bid at the sale under said judgment does hereby grant and convey unto the grantee, I • SEE SCHEDULE "A"LEGAL DESCRIPTION ATTACHED HERETO TO HAVE AND TO HOLD the premises herein granted unto the grantee,and assigns forever, I - • QIII�IIIII�iD���I1(����II�I1lI�IiII • IllII�I�iiIQ�I���III�I�II�II�I<IIII�III�� �IIIIII�I�IfII111IliSII111Illlslli� 18-167305-ArK i i IN WITNESS WHEREOF,the grantor has hereunto set his hand and seal,the date first above written. In presence of L.S. Ral T. tllo ESQ.Referee ACKNOWLEDGMENT TAKEN IN NEW YOR/K STATE State of New York,County of C ss:_ On the Ad day of in the year d before me.,the un'd�errsi ed,persogally appeared rsonally own me or proved to me on the basis of satisfactory evidence to be the individual(s)whose names)is(are)subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(i ),and that by his/her/the' signatures(s)on the instrument;the individuals(s),or the person upon behalf of which the individu ()acted execuN the in ent. CAREN Rio GOUSKOS Notary Public,State of NowYark (signature and office of individu ce acknowledgment) ' No.GIRISOII023 Qualified to Suffolk County File No. 18-167305-ArK l SECTION 145.00 BLOCK 03.00 Ralph T.GarzilIo,Esq.,Referee LOT 010.000 DISTRICT 1000 TO ' COUNTY Suffolk STREET ADDRESS 405 SOUTH OAKWOOD 8 Woods,LLC DRIVE,LAUREL,NY 11948 RETURN BY MAIL TO: XWX I I - i i - I 18-167305-ArK FILED: SUFFOLK COUNTY CLERK 02 15 2024 0 4 -P-R INDEX NO. 608775/2018 NYSCEF DOC. NO. 150 RECEIVED NYSCEF: 03/05/2024 SCHEDULE N—LEGAL DESCRIE ION ALL THAT CERTAIN PLOT,PIECE OR PARCEL OF LAND,WITH THE BUILDINGS AND IMPROVEMENTS THEREON ERECTED,SITUATE,LYING AND BEING LAUREL,NEW YORK KNOWN AND DESIGNATED AS AND BY THE LOT NUMBER FIVE(S)ON A CERTAIN MAP ENTITLED MAP OF LAUREL PARK,PROPERTY OF RAVSTONE REALTY CORPORATION, LAUREL,LI,NY",SURVEYED AND SUBDIVIDED BY DANIEL R.YOUNG,ENGINEER AND SURVEYOR.RIVERHEAD,NY AUGUST I7, 1925,AND FILED IN THE OFFICE OF THE CLERK OF THE COUNTY OF SUFFOLK ON OCTOBER 5, I925 AS MAP NUMBER 212,.TOGETHER WILL ALL THE RIGHT,TITLE AND INTEREST IN AND TO THAT PORTION OF THE ROAD SHOWN ON SAID MAP IN FRONT OF AN ADJACENT TO SAID PREMISES TO THE CENTER LINE THEREOF,THE RIGHT TO THE US5 OF THE STREETS,AVENUES OR ROADS SHOWN ON SAID MAP FOR THE PURPOSE OF LAYING AND MAINTAINING GAS AND ELECTRIC LIGHTS AND WATER MAINS,STRINGING ELECTRIC LIGHT,TELEGRAPH WIRES OR TO MAKE ANY IMPROVEMENTS ON SAID STREETS,AVENUES OR ROADS. TOGETHER WITH A RIGHT OF WAY TO PASS UPON AND OVER A STRIP OF LAND ALONG THE SHORE FRONT BEYOND LOTS NUMBERS ONE TO FOUR(I TO 4)BOTH INCLUSIVE FOR THE PURPOSE OF BOATING,$ATH1NG AD OUT-DOOR SPORTS AND FOR INGRESS TO AND EGRESS FROM THE WATERS OF PECONIC BAY. i 18-167305-NiG Drafter. Nicole Gerber 15 of 21 Addendum to Forms TP-584,TP-5844-NYC and NYC-RPr FORM RESIDENTIAL,PROPERTY2 CONDO UNIT OTHER PROPERTY NYS TP 58 Complete both Sections 1 and of required' Not required' Section 2 NYC RPT Complete both Sections 1 Complete Section 1 Only omplete Section 1 Only with TIN Column)and Section 2 XWith TiN Column) (with TIN Column) S Woods LLC ,the ❑ Grantor Grantee is a limited liability company(the"LLi List the names, business addresses, and tax Identification number4 (TIN Required NYC Only)' of all members, managers and other authorized persons of the LLC.The term "authorized person"Includes any person,whether or not a member,who is authorized by the operating agreement,or otherwise,to act an beha If of the LLC. s z ROBERT POTTER 50% 35 HOWARD DRIVE CORAM NEW YORK f If any member of the LLC listed above is itself an LLC or other business entity(the"Member Entity"),enter the names,business addresses of any shareholders,directors, officers, members, managers and/or partners of the Member Entity. Continue disclosing each level of ownership until 100%of the ultimate ownership by natural persons'is disclosed. USEADOMO1lNAL SHEETS/F NECESSARY 1. Pursuant to Section 1409(a)of the New York Tax Law and Section 11-2105 h of the Administrative Code of the Gty of New York. 2. Residential Property includes a building containing 1 to 4 family dwelling units or mixed-use building containing 1 to 4 dwelling units. S. if the LLC is a single member LLC,then member name and TiN must be listed on Schedule A of TP-584. 4. Tax identification Number or11M includes a Social Security number(SS)or Employer Identification Number.(EIN). S. The term natural person means a human being,as opposed to an artificial person,who is the beneficial owner of the real property.A natural person does not include a corporation or partnership,natural person(s)operating a business under a d/b/a(doing business as),an estate(such as the estate of a bankrupt or deceased person),or a trust. East revised 1112612019