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AIA Type Document
<br />Application and Certification for Payment
<br />Page 2 of 3
<br />TO (OWNER): City of Elk River
<br />PROJECT: Elk River Ice Arena & Lions Pk
<br />APPLICATION NO: 5
<br />DISTRIBUTION
<br />13065 Orono Parkway NW
<br />1000 School Street NW
<br />TO:
<br />Elk River, MN 55330
<br />Elk River, MN 55330
<br />PERIOD TO: 12/31/2019
<br />_ OWNER
<br />_ CONSTRUCTION
<br />MANAGER
<br />FROM (CONTRACTOR): Crosstown Masonry, Incorporated
<br />ARCHITECT'S
<br />_ARCHITECT
<br />1322 159th Ave NE
<br />PROJECT NO:
<br />-CONTRACTOR
<br />Ham Lake, MN 55304
<br />VIA CONSTRUCTION MANAGER: RJM Construction
<br />CONTRACT FOR: Concrete & Masonry
<br />VIA ARCHITECT:
<br />CONTRACT DATE:
<br />SCHEDULE
<br />PREVIOUS
<br />COMPLETED
<br />STORED
<br />COMPLETED
<br />ITEM
<br />DESCRIPTION
<br />VALUE
<br />APPLICATIONS
<br />THIS PERIOD
<br />MATERIAL
<br />STORED
<br />o
<br />BALANCE
<br />RETAINAGE
<br />LIONS PARK
<br />LIONS PARK
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />1
<br />Footings & Foundation Labor
<br />30,000.00
<br />30,000.00
<br />0.00
<br />0.00
<br />30,000.00
<br />100.00
<br />0.00
<br />1,500.00
<br />2
<br />Footings & Foundation Material
<br />8,000.00
<br />8,000.00
<br />0.00
<br />0.00
<br />8,000.00
<br />100.00
<br />0.00
<br />400.00
<br />3
<br />Above Grade CMU Labor
<br />84,000.00
<br />74,000.00
<br />0.00
<br />0.00
<br />74,000.00
<br />88.10
<br />10,000.00
<br />3,700.00
<br />4
<br />Above Grade CMU Material
<br />26,000.00
<br />26,000.00
<br />0.00
<br />0.00
<br />26,000.00
<br />100.00
<br />0.00
<br />1,300.00
<br />5
<br />Slab on Grade Labor
<br />5,300.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />5,300.00
<br />0.00
<br />6
<br />Slab on Grade Material
<br />4,200.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />4,200.00
<br />0.00
<br />7
<br />Stone Piers Labor
<br />17,000.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />17,000.00
<br />0.00
<br />8
<br />Stone Piers Material
<br />10,000.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />10,000.00
<br />0.00
<br />g
<br />Dug Outs / Batting Cage Labor
<br />41,000.00
<br />15,000.00
<br />0.00
<br />0.00
<br />15,000.00
<br />36.59
<br />26,000.00
<br />750.00
<br />10
<br />Dug Outs / Batting Cage Material
<br />28,000.00
<br />10,000.00
<br />0.00
<br />0.00
<br />10,000.00
<br />35.71
<br />18,000.00
<br />500.00
<br />RINK
<br />RINK
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />12
<br />Footings & Foundation Labor
<br />415,000.00
<br />410,000.00
<br />0.00
<br />0.00
<br />410,000.00
<br />98.80
<br />5,000.00
<br />20,500.00
<br />13
<br />Footings & Foundation Material
<br />210,000.00
<br />205,000.00
<br />0.00
<br />0.00
<br />205,000.00
<br />97.62
<br />5,000.00
<br />10,250.00
<br />14
<br />Above Grade CMU Labor
<br />812,000.00
<br />195,000.00
<br />160,000.00
<br />0.00
<br />355,000.00
<br />43.72
<br />457,000.00
<br />17,750.00
<br />15
<br />Above Grade CMU Material
<br />348,000.00
<br />105,000.00
<br />140,000.00
<br />0.00
<br />245,000.00
<br />70.40
<br />103,000.00
<br />12,250.00
<br />16
<br />Slab on Grade Labor
<br />236,000.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />236,000.00
<br />0.00
<br />17
<br />Slab on Grade Material
<br />210,000.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />210,000.00
<br />0.00
<br />18
<br />Slab on Deck Labor
<br />140,000.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />140,000.00
<br />0.00
<br />19
<br />Slab on Deck Material
<br />69,000.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />69,000.00
<br />0.00
<br />20
<br />Stoops Labor
<br />8,000.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />0.00
<br />8,000.00
<br />0.00
<br />
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