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AIA Type Document
<br />Application and Certification for Payment Page 2 of 3
<br />TO (OWNER): City of Elk River PROJECT: Elk River Ice Arena & Lions Pk APPLICATION NO: 7 DISTRIBUTION
<br />13065 Orono Parkway NW 1000 School Street NW TO:
<br />Elk River, MN 55330 Elk River, MN 55330 PERIOD T0:2/29/2020 _ OWNER
<br />_ ARCHITECT
<br />CONTRACTOR
<br />FROM (CONTRACTOR): Crosstown Masonry, Incorporated VIA (ARCHITECT): ARCHITECT'S
<br />1322 159th Ave NE PROJECT NO:
<br />Ham Lake, MN 55304
<br />CONTRACT FOR: Concrete &Masonry CONTRACT DATE:
<br />SCHEDULE PREVIOUS COMPLETED STORED COMPLETED
<br />ITEM DESCRIPTION VALUE APPLICATIONS THIS PERIOD MATERIAL STORED % BALANCE RETAINAGE
<br />LIONS PARK LIONS PARK 0.00 0,00 0.00 0.00 0,00 0.00 0.00 0.00
<br />1 Footings & Foundation Labor 30,000.00 30,000,00 0.00 0.00 30,000.00 100.00 0.00 11500,00
<br />2 Footings & Foundation Material 81000.00 8,000.00 0.00 0.00 81000.00 100.00 0.00 400,00
<br />3 Above Grade CMU Labor 847000.00 743000.00 0.00 0,00 74,000.00 88.10 10,000.00 3,700.00
<br />4 Above Grade CMU Material 26,000.00 261000.00 0,00 0.00 26,000.00 100.00 0.00 1,300.00
<br />5 Slab on Grade Labor 51300,00 0.00 0.00 0.00 0.00 0,00 5,300.00 0,00
<br />6 Slab on Grade Material 4200.00 0.00 0,00 0.00 0.00 0.00 4,200.00 0.00
<br />7 Stone Piers Labor 17,000.00 0.00 0.00 0.00 0.00 0.00 17,000.00 0.00
<br />8 Stone Piers Material 10,000.00 0,00 0.00 0.00 0.00 0.00 107000.00 0.00
<br />g Dug Outs / Batting Cage Labor 41,000.00 15,000.00 20,000.00 0.00 35,000.00 85,37 6,000.00 11750,00
<br />10 Dug Outs / Batting Cage Material 28,000.00 101000,00 14,000.00 0.00 243000.00 85,71 41000.00 19200.00
<br />RINK RINK 0.00 0,00 0.00 0.00 0.00 0,00 0.00 0.00
<br />12 Footings & Foundation Labor 4152000,00 415,000.00 0.00 0.00 415,000.00 100.00 0.00 201750.00
<br />13 Footings & Foundation Material 2101000.00 210,000.00 0.00 0.00 2102000.00 100.00 0.00 10,500.00
<br />14 Above Grade CMU Labor 812,000.00 605,000.00 160,000.00 0.00 765,000.00 94,21 47,000,00 381250.00
<br />15 Above Grade CMU Material 3485000.00 3101000,00 31,000.00 0.00 3413000,00 97,99 71000.00 173050,00
<br />16 Slab on Grade Labor 236,000.00 121,000.00 60,000.00 0,00 181,000.00 76.69 551000,00 91050,00
<br />17 Slab on Grade Material 210,000.00 64,000.00 100,000.00 0.00 1641000.00 78,10 46,000,00 8,200.00
<br />18 Slab on Deck Labor 140,000.00 79,000.00 30,000.00 0,00 109,000.00 77.86 31,000.00 51450.00
<br />19 Slab on Deck Material 69,000.00 48,000.00 10,000.00 0.00 58,000.00 84.06 11,000.00 21900.00
<br />20 Stoops Labor 85000.00 0.00 0.00 0.00 0,00 0,00 81000.00 0,00
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