Fillable Builder's Energy Efficiency Disclosure Statement

Fill Online, Printable, Fillable, Blank Builder's Energy Efficiency Disclosure Statement Form

Use Fill to complete blank online SOUTH DAKOTA DLR pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Builder's energy efficiency disclosure statement

On average this form takes 5 minutes to complete

The Builder's Energy Efficiency Disclosure Statement form is 2 pages long and contains:

  • 0 signatures
  • 10 check-boxes
  • 14 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your DLR forms online.

South Dakota Department of Labor & Regulation (DLRA) aim to promote economic opportunity and financial security in the South Dakota. They support individuals and businesses through expert services, employment solutions and business practices.

BROWSE SOUTH DAKOTA DLR FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Builder’s Energy Efficiency Disclosure Statement Information
Senate Bill No. 64 was passed during the 2009 Legislative Session, signed into law by
Governor Rounds and took effect July 1, 2009. It established certain energy efficiency
disclosure requirements for new residential buildings.
11-10-8. Disclosure of information regarding energy efficiency of residential building to
buyer or prospective buyer--Time for providing form. Except as provided by § 11-10-9,
any person building or selling a previously unoccupied new residential building which is a
single-family or multifamily unit of four units or less shall disclose to the buyer or
prospective buyer information regarding the energy efficiency of the residential building.
The completed disclosure form shall be provided prior to the signing of the contract to
purchase and prior to closing if changes have occurred or are requested, and at any
other time upon request. For new residential buildings that are completed and suitable
for occupancy but unsold, the completed disclosure form shall be made available to the
buyer or prospective buyer by the builder or seller when the residence is shown and at
any other time upon request. The disclosure shall be made on a form prepared and
disseminated by the South Dakota Real Estate Commission.
Source: SL 2009, ch 63, § 2.
11-10-9. Alternative disclosure of information required by federal law. If the new
residential building is subject to both the National Manufactured Housing Construction
and the Safety Standards Act pursuant to the United States Code, title 42 section 5403
and the Federal Trade Commission regulation on labeling and advertising of home
insulation pursuant to 16 C.F.R. section 460.16, both as in effect on January 1, 2009,
the builder or seller may disclose, instead of the information required by § 11-10-8, the
information regarding the new residential building that is required to be disclosed
pursuant to the federal act and regulation.
Source: SL 2009, ch 63, § 3.
11-10-10. Builder's energy efficiency disclosure statement. The disclosure form
required in § 11-10-8 shall read as follows: (disclosure form on next page)
BUILDER'S ENERGY EFFICIENCY DISCLOSURE STATEMENT
Builder_______________________________________________________________________________
Property Address ______________________________________________________________________
This Disclosure Statement concerns the real property identified above situated in the City of
__________________________ County of ______________________________, State of South Dakota.
Part 1. Builder shall provide the following information about the new residential building:
1. Has this new residential building been built or will it be built to meet the energy efficiency
standards of the International Energy Conservation Code of 2006 (IECC 2006)?
Yes ______ No ______
2. Has this new residential building received or will it receive any other energy efficient
certification?
Yes ______ No ______
If yes, which certification(s): __________________________________________________
Part 2. Builder shall describe the following energy efficiency elements of the new residential building:
Actual 2006 IECC* 2006 IECC*
Value Zone 5 Zone 6
Wall Insulation R-Value ________
R-19 (or R-13 R-19
cavity + R-5 insulated
sheathing)
Attic Insulation R-Value ________
R-38 R-49
Foundation Insulation R-Value
Basement Walls ________
R-10/13** R-10/ 13**
Crawlspace Walls ________
R-10/13** R-10/13**
Slab-on-Grade ________
R-10, 2 ft. depth R-10, 4 ft. depth
Floors over Unheated Spaces ________
R-30 R-30
Window U-Value ________
0.35 0.35
Door U-Value ________
0.35*** 0.35***
Part 3. Builder shall provide the following information about equipment:
1. Does the new residential building contain an Energy Star certified:
a. Water heater? Yes ______ No ______
b. Heating system (furnace, heat pump, or other)? Yes ______ No ______
c. Cooling system (air conditioner, heat pump, or other)? Yes ______ No ______
Part 4. Builder's Notes and Comments:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
*IECC stands for International Energy Conservation Code.
**The first R-Value applies to continuous insulation; the second to framing cavity insulation.
***One opaque door per building is exempt from this requirement.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Builder's Energy Efficiency Disclosure Statement

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 12 March 2019

Message

View Audit Log
Print With Audit Log
Duplicate Document