HomeMy WebLinkAbout2012-12-18 Appointment15a
NOTICE
THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD:
BOARD OF APPEALS
One Vacancy — Five -Year Term
January 1, 2013 - December 31, 2017
One (1) Home Builders Association Representative
Or
A qualified trade representative,
(if after 3 months no professional applies or is appointed)
It is the duty of members of the Board of Appeals to hold appeal hearings on matters concerning the
International Building Code, International Residential Code, Uniform Plumbing Code, National Electric
Code, International Mechanical Code, International Fire Code, and the Iowa City Housing Code. Members
must be qualified by experience and training to pass upon matters pertaining to building construction.
Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa
City. The Board meets the first Monday of each month at 4:00 p.m. or at the call of the Building Official.
Applications must be received by 5:00 p.m., Wednesday, December 12, 2012. The City of Iowa City
encourages diversity in the appointment of citizens to boards and commissions. Persons interested in
being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms
are available from the Clerk's office upon request or on the City website at www.icgov.org.
Questions regarding the Board of Appeals should be directed to Tim Hennes, Sr Building Inspector at
356 -5122.
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Spouses and relatives of City Council Members and members of comparable County
Boards and Commissions are not eligible for appointment to City Boards and
Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in-
law, brother, sister, brother- in- law, sister- in- law, step- father, step- mother, step - child,
aunt, or uncle. (Resolution 85 -354)
Males: 3
Females:
Council Announcement Date: September 18, 2012; November 13, 2012
Application Deadline: Wednesday, 5:OOp.m., December 12, 2012
Council Appointment Date: December 18, 2012
After 12/17/2012 (3 mo from the announcement date) Council may appoint any qualified
applicant without regard to gender.
BOARD OF APPEALS
One vacancy — Five -Year Term
January 1, 2013 — December 31, 2017
Term expires for John Roffman
One (1) Home Builders Association Representative
Or a qualified trade representative, if after 3 months no professional applies or is appointed
Gender Balance Requirement: 1 Female
(M) John Roffman El (Currently serving 5th full term)
1314 Burry Dr
(M) Ben Anderson I]
445 Garden St
0 Denotes applicant completed the Confidential page of the application.
City of Iowa City 1 r 1
1t h
Advisory Board /Commission /Committee N -III'
P nplication Form -^�.•_
CITY OF IOWA CITY
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC
WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED
FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME.
Advisory Board /Commission /Committee Name John Roffman Term 5 Years
Youth Advisory Commission (shall not be more than 18 years of age at the time of application)
Name of Iowa City High School or high school equivalent:
Signature of parent/guardian:
NAME John Roffman HOME ADDRESS r., Iowa Cit I iA zi2m
Is your home address (listed above) within the corporate limits of Iowa City? 0✓ Yes No
How long have you been a resident of Iowa City? 46 years Gender: Male Female
OCCUPATION General Contractor EMPLOYER John Roffman Construction, Inc.
PHONE NUMBER: HOME 319 - 351 -3141 BUSINESS _-jig
- R31_1RnR !rte)
hAF1=KIENCE ANpwR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
20 years previous expenenc on the board ,,
- �
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■ ■v ■ vv■� ■ ■ ■ r%■w V.LVVVG V( 1 "!%-J MLJ V %J%JF%I L2V/1i[1J 1 } ��
Present board member' r-- r
E
WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)?
Representative of the Iowa City Homebuilders Association
LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest
None
IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? r✓ Yes ❑ No
DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes F,/ No
(It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail
answer all the questions, Council may not consider your application.
General Application
June 2012 Page 2 of 7
BOARD, COMMISSION AND COMMITTEES
BUSINESS LISTING
Name of City
Board /Commission /Committee John Roffman
Name John Roffman
CITY OF IOWA CITY
Date 10/26/2012
Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of
a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached
(see page 7).
List all businesses in which you, your spouse /domestic partner, or parent if Youth Advisory Commission
applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more,of corporation's
stockholdings). Please indicate if there are none.
BUSINESS NAME
BUSINESS ADDRESS
John Roffman Construction, Inc.
1314 Burry Dr., Iowa City, IA 52246
J &J Real Estate
1015 Oakcrest, Iowa City, IA 52246
Linn Street Place, LLC
1015 Oakcrest, Iowa City, IA 52246
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NOTE: A new form must be completed if the above information changes or an ownership interest is
acquired in an additional business., I
Applicant Signature
Signature of parent/gua
Address 1314 Burry Dr/,
n (Youthbdvisory Commission only):
a City. IA 52246
Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail
to answer all the questions, Council may not consider your application.
General Application
June 2012 Page 3 of 7
City of Iowa City r 1
Advisory Board /Commission /Committee �; �II� h
/I nplication Form -�-�-
CITY OF IOWA CITY
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC,
WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED
FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME.
Advisory Board /Commission /Committee Name Board of Appeals Term 01/01/2013
Youth Advisory Commission (shall not be more than 18 years of age at the time of application)
Name of Iowa City High School or high school equivalent:
Signature of parent/guardian:
NAME Ben Anderson HOME ADDRESS 445 garden st
Is your home address (listed above) within the corporate limits of Iowa City? ❑✓ Yes No
How long have you been a resident of Iowa City? 8 months Gender: Male Female
OCCUPATION [general contractor EMPLOYER Anderson Construction LLC
PHONE NUMBER: HOME 319- 214 -3444 BUSINESS camp
XPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
l `nve been in the construction business for nearly 10 years, active in the redevelopment of infill properties in
,ver, CO prior to relocating here in February 2012 for my wife, an Iowa City native, to attend graduate school and
for us to be closer to her parents. I am a member of the Iowa City HBA. I build using modern technologies and green
building techniques; Energy Star, etc.
WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD?
The board holds meetings to hear appeals to allowing alternative materials and methods 19tR usTA in accordance
with all relevant building codes.
-= C
WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FO LYING
I believe that my knowledge and experience would make me a good fit for this position. I i new to the community
but hope to be here for a long time and wish to help the community to reach its goals and objectiegs without
sacrificing a quality and desierable end product.
LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest
NA
IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? V Yes ❑ No
DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? F]Yes QNo
(It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail
o answer all the questions, Council may not consider your application.
General Application
June 2012 Page 2 of 7
BOARD, COMMISSION AND COMMITTEES
BUSINESS LISTING
Name of City
Board /Commission /Committee Board of Appeals
Name Ben Anderson
k
CITY OF IOWA CITY
Date
Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of
a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached
(see page 7).
List all businesses in which you, your spouse /domestic partner, or parent if Youth Advisory Commission
applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's
stockholdings). Please indicate if there are none.
BUSINESS NAME
BUSINESS ADDRESS
Anderson Construction LLC
445 Garden St. Iowa City IA 52245
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" C.J
NOTE: A new form must be completed if the above information changes or an ownership interest is
acquired in an add it usi9es9X-'`,\
Applicant Signature
Signature of parent/gua outh ry Commission only):
Address 445 Garden St.
Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail
to answer all the questions, Council may not consider your application.
General Application
June 2012
Page 3 of 7
75b
NOTICE
THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD:
BOARD OF ADJUSTMENT
One vacancy — Five -Year Term
January 1, 2013 — Ending January 1, 2018
Duties: In appropriate cases and subject to appropriate conditions and safeguards, the Board
may make special exceptions to the terms of the Zoning Chapter in harmony with the general purpose and
intent of the ordinance and in accordance with general or specific rules contained therein. The Board may
grant variances to the Zoning Chapter only in the case of "unnecessary hardship." The hardship must be
substantial, serious, real, and of compelling force, as distinguished from reasons of convenience,
maximization of profit or caprice. The Board may also hear and decide appeals where it is alleged there is
an error in any order, requirement, decision, or determination made by a City official in the enforcement of
the Zoning Chapter.
Iowa City appointed members of boards and commissions must be eligible electors of the City of
Iowa City. The Board meets the second Wednesday of each month at 5:00 p.m.
Applications must be received by 5:00 p.m., Wednesday, December 12, 2012. The City of Iowa
City encourages diversity in the appointment of citizens to boards and commissions. Persons interested
in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application
forms are available from the Clerk's office upon request or on the City website at www.icgov.org.
Questions about the Iowa City Board of Adjustment Commission should be directed to Sarah
Walz, Associate Planner at 356 -5239.
Spouses and relatives of City Council Members and members of comparable
County Boards and Commissions are not eligible for appointment to City Boards
and Commissions. This includes: spouse, child, mother, father, mother- in- law,
father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step-
mother, step - child, aunt, or uncle. (Resolution 85 -354)
Males: 4
Females:
Council Announcement Date: September 18, 2012; November 13, 2012
Application Deadline: Wednesday, 5:OOp.m., December 12, 2012
Council Appointment Date: December 18, 2012
After 12/17/2012 (3 mo from the announcement date) Council may appoint any qualified
applicant without regard to gender.
BOARD OF ADJUSTMENT
One vacancy — Five -Year Term
January 1, 2013 — January 1, 2018
Term expires for Caroline Sheerin
Gender Balance Requirement: 1 Female
No applications as of Wednesday, 5:OOp.m., December 12, 2012
El Denotes applicant completed the Confidential page of the application.
Spouses and relatives of City Council Members and members of comparable
County Boards and Commissions are not eligible for appointment to City Boards
and Commissions. This includes: spouse, child, mother, father, mother- in- law,
father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, st P_
mother, step - child, aunt, or uncle. (Resolution 85 -354)
Males: 4
Females: 2
Council Announce ent Date: September 18, 2012; Novembe 3, 2012
Application Deadline. Wednesday, 5:OOp.m., December 12, 12
Council Appointment %te: December 18, 2012
After 12/17/2012 (3 mo he announcement date) Co cil may appoint any qualified
applicant without regard nder.
SENIOR CENTER COMMI
One vacancy — Three -Year Term
January 1, 2013 — December 31,
Term expires for Sarah Maiers
Gender Balance Requirement: 1
No applications as of Wednesday, 5:OOp.m., December 12, 2012
Denotes applicant completed the Confidential page of the
15c
NOTICE
THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMITTEE:
PUBLIC ART ADVISORY COMMITTEE
One Vacancy — Three -Year Term
January 1, 2013 — January 1, 2016
Duties of the Public Art Advisory Committee include developing by -laws and procedures for the Iowa
City Public Art Program; administering the Public Art Program by determining the placement of public art,
the type of art to be used in a specific project, and the artist to be engaged; overseeing the acceptance of
gifts of art; overseeing the maintenance and disposition of public art; and overseeing expenditures of the
Public Art Program budget.
Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa
City. The Public Art Advisory Committee meets the first Thursday of each month at 3:30 p.m.
Applications must be received by 5:00 p.m., Wednesday, December 12, 2012. The City of Iowa City
encourages diversity in the appointment of citizens to boards and commissions. Persons interested in
being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms
are available from the Clerk's office upon request or on the City website at www.icgov.org.
Questions about the Iowa City Public Art Advisory Committee should be directed to Marcia Klingaman,
Neighborhood Services Planner at 356 -5237.
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Spouses and relatives of City Council Members and members of comparable
County Boards and Commissions are not eligible for appointment to City Boards
and Commissions. This includes: spouse, child, mother, father, mother- in- law,
father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step-
mother, step - child, aunt, or uncle. (Resolution 85 -354)
Males: 1
Females: 3
Council Announcement Date: September 18, 2012; November 13, 2012
Application Deadline: Wednesday, 5:OOp.m., December 12, 2012
Council Appointment Date: December 18, 2012
After 12/17/2012 (3 mo from the announcement date) Council may appoint any qualified
applicant without regard to gender.
PUBLIC ART ADVISORY COMMITTEE
One vacancy — Three -Year Term
January 1, 2013 — January 1, 2016
Term expires for Mark Seabold
Gender Balance Requirement: 1 Male
(F) Tam Bodkin Bryk O
351 Magowan Ave
[H] Denotes applicant completed the Confidential page of the application.
City of Iowa City r 1
Advisory Board /Commission /Committee �; - "'' h
,���
Application Form -^-�-
CITY OF IOWA CITY
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLI
WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED
FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME.
Advisory Board /Commission /Committee Name Public Art Advisory Committee Term /-/-/§ ffe 1-1- 44P
NAME Tam Bodkin Bryk HOME ADDRESS 351 Magowan Ave Iowa City 52246
Is your home address (listed above) within the corporate limits of Iowa City? 0 Yes F_J No
How long have you been a resident of Iowa City? 22 Years Gender: Male El Female[Z]
OCCUPATION Artist EMPLOYER Self - 13o /W' /3.P /�✓f
/y a.
PHONE NUMBER: HOME 319 354 7318
BUSINESS same
EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
a full time artist operating a fine arts studio in Iowa City I believe I am uniquely qualified to see both the business
>ects of art as well as the aesthetics. Also, having chosen Iowa City as my home and the place I raised my family I
public art as a vital component to the enrichment of our community and its environment.
AIL_ .T IC Vnl lD DD=Q=MT WMnWl =n[.G n= TI41C AnVICARv RnARn9
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WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)?
I have been a professional Fine Artisffor over 30 years and an active volunteer and member of the Iowa City
community for over 20. 1 would love to combine these two "talents" and help contribute further as a member of the
Public Art Advisory Committee
LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest
none
IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? 0 Yes F-] No
DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? - Q Yes WINO
(It has been Council policy not to permit an- individual-to serve- on. two Boards -or Commissions at the same time.) .....
Isrepresentations on this application will constitute just cause for removal of an appointee. If you fail
to answer all the questions, Council may not consider your application.
General Application
BOARD, COMMISSION AND COMMITTEES
BUSINESS LISTING
Name of City
Board /Commission /Committee Public Art Advisory Committee
Name Tam Bodkin Bryk
�Imw ®��
CITY OF IOWA CITY
Date 11/07/2012
Section 362.5 of the Code of Iowa generally prohibits, with. certain important exceptions, a member of
a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached
(see page 7).
List all businesses in which you, or your spouse /domestic partner, have an ownership interest
(for example, sole proprietor, partner, 5% or more of corporation's stockholdings).
Please indicate if there are none.
BUSINESS NAME
BUSINESS ADDRESS
Bodkin Bryk Fine Art
351 Magowan Ave - Iowa City, Iowa 52246
S2
w
=t
NOTE: A new form must be completed if the above information changes or an ownership interest is
acquired in an additional business.
Applicant Signature,
Address 351 Magowan Ave, Iowa City, IA 52246
Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail
answer all the questions, Council may not consider your application.
General Application
M
NOTICE
THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION:
PARKS AND RECREATION COMMISSION
Two Vacancies — Four -Year Terms
January 1, 2013 - January 1, 2017
The duties of the members of the Parks and Recreation Commission are to recommend and review
policies, rules, regulations, ordinances, and budgets relating to parks, playgrounds, recreation centers,
and cultural functions of the City and make such reports to the City Council as the Commission deems in
the public interest; to exercise broad responsibility for the development of parks, recreation centers,
playgrounds, and cultural facilities to serve the City-- including the creation and appointment of advisory
groups to make studies.
Iowa City- appointed members of boards and commissions must be eligible electors of the City of Iowa
City. The Parks and Recreation Commission meets the second Wednesday of each month at 5:00 p.m.
Applications must be received by 5:00 p.m., Wednesday, December 12, 2012. The City of Iowa City
encourages diversity in the appointment of citizens to boards and commissions. Persons interested in
being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms
are available from the Clerk's office upon request or on the City website at www.icgov.org.
Questions about the Iowa City Parks and Recreation Commission should be directed to Mike Moran,
Parks & Recreation Director at 356 -5110.
PARKS AND RECREATION COMMISSION
November 14, 2012
Page 6 of 6
Moved by Westefeld, seconded by Bourgeois, to adiourn the meeting at
6:45 p.m. Motion passed 8 -0 with 1 absence.
PARKS AND RECREATION COMMISSION
ATTENDANCE RECORD
YEAR 2012
NAME
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TERM
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EXPIRES
David
111/15
X
X
O/E
X
X
X
X
LQ
X
LQ
X
Bourgeois
Clay
1/1/14
X
X
X
X
X
X
X
LQ
X
LQ
X
Claussen
Maggie
111/13
X
O/E
X
X
X
X
01E
LQ
X
LQ
X
Elilott
Allison
1/1/14
X
X
X
01E
X
X
X
LQ
X
LQ
X
Gnade
Cara
1/1/16
X
X
X
X
X
X
X
LQ
X
LQ
X
Hamann
Aaron
1/1/13
O
O
O
O
O
O **
X
LQ
X
LQ
O
Krohmer
Lucie
1/1/15
X
X
X
X
X
X
O/E
LQ
X
LQ
X
Laurian
John
111/14
X
X
X
X
O/E
X
X
LQ
X
LQ
X
Westefeld
Joe
1/1/16
X
X
X
X
O/E
X
X
LQ
X
LQ
X
Younker
KEY: X = Present O = Absent O/E = Absent/Excused
NM = No meeting LO = No meeting due to Pack of quorum
* = Not a member at this time
* *= Member was listed as absentlexcused status January through May. These
have been changed to absent status.
Spouses and relatives of City Council Members and members of comparable
County Boards and Commissions are not eligible for appointment to City Boards
and Commissions. This includes: spouse, child, mother, father, mother- in- law,
father- in- law, brother, sister, brother- in- law, sister- in- law, step- father, step-
mother, step - child, aunt, or uncle. (Resolution 85 -354)
Males: 4
Females: 3
Council Announcement Date: November 13, 2012
Application Deadline: Wednesday, 5:OOp.m., December 12, 2012
Council Appointment Date: December 18, 2012
After 02/11/2013 (3 mo from the announcement date) Council may appoint any qualified
applicant without regard to gender.
PARKS & RECREATION COMMISSION
Two vacancies — Four -Year Terms
January 1, 2013 — January 1, 2017
Term expires for Maggie Elliott, Aaron Krohmer
Gender Balance Requirement: 1 Female, 1 None
(F) Maggie Elliott D (Currently serving 1ST full term)
1316 Center Ave
(M) Alex Taylor rX_1
1309 Goldenrod Dr
(M) Michael Brock 0
1289 Langenberg Ave
(M) Patrick Cannon ❑
1630 Mornongside Dr
El Denotes applicant completed the Confidential page of the application.
City of Iowa City r
Advisory Board /Commission /Committee =" �"��
Application Form
CITY OF IOWA CITY
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC,
WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED
FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME.
Advisory BoA,a��rd /Commission /Committee NameVik ca s d- ZeAe4 o/t ?M15S+olt. Term 2013- ,zo /c�
NAME Ae/
ael Reod HOMEADDRESS /2,9q 4tal Aerq 14vc S22yo
Is your home address (listed above) within the corporate limits of Iowa City? ZYes r-] No
How long have you been a resident of Iowa City? G weeks Gender: Male r FemaleFl
OCCUPATION �4- ✓spec -lo /' EMPLOYER
PHONE NUMBER: HOME ItI- &3/ 16, 9 4 BUSINESS 51,o3- 24y- ZS1 b"
EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
AS a p yn� of $ Gh,'lkeit lit/ T h4,l e-
tt4notJ or, AP -61C C 4► fo fL pose' - "Oet. /+ 1 Alfa Rove an 44v;oos
9.lr.Sone i p4.SS:orL tot' Ma �n f�;/i�nq $eft �aa A. "/y pw.c(LS 4not
/^LC/'P4/ "&.,L o ypor 44i i {S �r C �► fc�n�t o� 4't*� 4 5.
WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? h-;
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WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYINGP
Pe CQrt Go✓1�r-iA.4 et/t oca4Si�G �t,rSpc e'��� ✓G as 4 iut..l
re side 1-/ o; .rot-IA C; -Ay.
LIST POTENTIAL CONFLICTS OF INTEREST: See pace 1 for information reaardina Conflict of Interest
IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ✓Yes FJ No
DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes No
(It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail
to answer all the questions, Council may not consider your application.
4
.neral Application
October 2012 ' Page 2 of 7
BOARD, COMMISSION AND COMMITTEES
BUSINESS LISTING
Name of City
Board /Commission /Committee ?Q -45 �- ereti� %dam (.ornmr55;""-
2MIita
CITY OF IOWA CITY
Date 11 au 2
Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of
a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached
(see page 7).
List all businesses in which you, or your spouse /domestic partner, have an ownership interest
(for example, sole proprietor, partner, 5% or more of corporation's stockholdings).
Please indicate if there are none.
BUSINESS NAME
BUSINESS ADDRESS
v yl 2.
; -F
CD
NOTE: A new form must be completed if the above information changes or an ownership interest is
acquired in an additional business.
Applicant Signature
Address 12�1 L4aa�n 'ra �ve �Lowa (', �y "4 SZZ�t
Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail
to answer all the questions, Council may not consider your application.
.neral Application
October 2012 Page 3 of 7
City of Iowa City r 1
Advisory Board /Commission /Committee- -- - -- left
,pplication Form -�-� --
�0
CITY OF IOWA CITY
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC,
WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED
FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME.
Advisory Board /Commission /Committee Name Parks and Recreation Term Four Years
Youth Advisory Commission (shall not be more than 18 years of age at the time of application)
Name of Iowa City High School or high school equivalent:
Signature of parent/guardian:
NAME Alex Taylor HOME ADDRESS 1309 Goldenrod Dr., Iowa City, [A 5224fl_
Is your home address (listed above) within the corporate limits of Iowa City? ✓❑ Yes [g No
How long have you been a resident of Iowa City? wears (current )33 total Genderl�lAe FemaW
OCCUPATION Ad'unct Faculty/Staff- Sm Bus Owner EMPLOYER University ot4owa - Oloofabrdlr
PHONE NUMBER: HOME 319 - 321 -7616 BUSINESS 3�a_s3s_so�c r
EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSIT("--
' -m an active citizen with four children and a range of pets. We take full advnage of the ma'`fty parksend recreation
,orlunities in Iowa City and surrounding areas (Kent Park, Lake McBride etc...). Biking, Hiking, Mmming,
(Running, Dog Park etc.. I have worked on a variety of boards and have a particular interest in the Blue Zones
efforts. I am an experienced and active, solutions driven board participant (listening, discussing, helping).
WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD?
My existing knowledge is limited to the use of our community facilities. I am aware of many of these facilities and the
finaincing issues to support and maintain them. I did work with the City Manager's office in Cedar Rapids during the
first year of flood recovery, so am aware of the role that commissions and boards serve in the community.
WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)?
I offer a wealth of board experience, and have a positive record working well with others to discern issues and
identify sollutions. I am a strategic thinker who likes to proceed in a pragmatic way. I respect differing views as a
healthy part of evaluation and resolution. I'm also an advocate for an actilve lifestyle for all ages and demographics
and this commission can help make such a lifestyle accessible for a range of our citizens and activities.
LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest
Currently on the Board of Directors for the Iowa City Chamber of Commerce. An employee at the University (but
have no P &L responsibilities). Our family business is located in Coralville, with a retail store in IC next Spring.
IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Z✓ Yes ❑ No
DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? F] Yes QNo
(It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail
to answer all the questions, Council may not consider your application.
General Application
June 2012 Page 2 of 7
BOARDS COMMISSION AND- OOMMITTEES - --
BUSINESS LISTING
Name of City
Board /Commission /Committee Parks and Recreation
Name Alex Taylor
CITY OF IOWA CITY
Date
Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of
a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached
(see page 7).
List all businesses in which you, your spouse /domestic partner, or parent if Youth Advisory Commission
applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's
stockholdings). Please indicate if there are none.
BUSINESS NAME
BUSINESS ADDRESS
Woofables Gourmet Dog Biscuit Bakery
100 Oakdale Blvd, Coralville, IA 52241
C N
N)
-C r"
4
NOTE: A new form must be corn
acquired in an additional busirri;
Applicant Signature
cc
e above information changes or an ownership interest is
llv--� la- Z,Z - "Z
Signature of parent/guardian (Youth Advisory Commission only):
Address 1309 Goldenrod Dr., Iowa City, IA 52246
Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail
to answer all the questions, Council may not consider your application.
General Application
June 2012 Page 3 of 7
City of Iowa City 1
-- Advisory Board /Com MUM sion /Committee
5k %
,0
..pplication Form --�-
CITY OF IOWA CITY
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC,
WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED
FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME.
Advisory Board /Commission /Committee Name - fatie.:'iec- Gooiniissi&r\ Term
Youth Advisory Commission (shall not be more than 18 years of age at the time of application)
Name of Iowa City High School or high school equivalent:
Signature of parent/guardian:
NAME M"ie U1.00 HOME ADDRESS 131& Cet'h(Pr A� i !C SZZVo
Qu
Is your home address (listed above) within the corporate limits of Iowa City? 'Yes F� No
How long have you been a resident of Iowa City?
OCCUPATION Piled &-
zf0; years Gender: Male F-1 Female
EMPLOYER 1OW4 C,r fifasp /c_c _
PHONE NUMBER: HOME ,35Y 'X13 BUSINESS (Ar- *ZI Z
EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITIQN: `
�m comp lefinGj mJ first tkm #A Du Ark: Qc COW& -5iOV � w
WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD?
i I w at(rndeA- aztA prfiapa&a v, lNP*//M0,Si Of VV ar.NI of 0 ()ThX-
0tyVMi5Sf0yA grffi� PW10US4T*S .
WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)?
i hope l represent eomrfiu i� nvoian woo JpRuate and wa& to Gook e --
OPPOduvIl f tes f0 lrm prove ana ePal)qt � our moilsfri
LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest
IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? UYes F-1 No
DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? nYes QNo
(It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail
to answer all the questions, Council may not consider your application.
General Application
June 2012 Page 2 of 7
BOARD, COMMISSION AND COMMITTEES
BUSINESS LISTING
Name of City C
Board /Commission /Committee a��Gt ir�Gc � l')'1iSSi6yl
Name
:E7Aidtr
� r
CITY OF IOWA CITY
Date -7 / 2-
Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of
a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached
(see page 7).
List all businesses in which you, your spouse /domestic partner, or parent if Youth Advisory Commission
applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's
stockholdings). Please indicate if there are none.
NOTE: A new form must be completed if the above information changes or an ownership interest is
acquired in an additional business.
Applicant Signature V '
Signature of parent/guard
PF
Advisory Commission only):
o , l ,fIa
Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail
to answer all the questions, Council may not consider your application.
General Application
June 2012 Page 3 of 7
Med i Rew
A N,W r,, ai ?,,t Plan For Ynur Ravenuq , -oe
December 3, 2012
Marian Karr
City Clerk
410 East Washington St.
Iowa City, Iowa 52240
Re: Parks and Recreation Commission Vacancy
Dear Ms. Karr:
My name is Patrick Cannon and I am pleased to submit my application to join the City of Iowa
City Parks and Recreation Commission for the term January 1, 2013 to January 1, 2017.
Please find enclosed a completed City of Iowa City Advisory Board /Commission /Committee
Application form. If you require additional materials, please contact me.
Thank you in advance for your consideration of my application. I look forward to hearing from
you.
Best regards,
Patrick Cannon
General Counsel
2600 University Parkway Coralville, Iowa 52241 Tel: 319.665.2920 Fax: 315.693.2920 www.medirevv.com
��
w1
71
�= 1
2600 University Parkway Coralville, Iowa 52241 Tel: 319.665.2920 Fax: 315.693.2920 www.medirevv.com
City of Iowa City r 1
Or
Advisory Board /Commission /Committee ;�-- "'�,
t - lication Form - -
CITY OF IOWA CITY
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC,
WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED
FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME.
Advisory Board /Commission /Committee Name Parks and Recreation Commission Term 1/1/13-1/1/17
NAME Patrick Cannon HOME ADDRESS 1630 Morningside Drive, Iowa City, Iowa
Is your home address (listed above) within the corporate limits of Iowa City? ✓❑ Yes ❑ No
How long have you been a resident of Iowa City? - 2 and 1/2 years Gender: Male Q Female
OCCUPATION General Counsel
PHONE NUMBER: HOME 262- 391 -6208
EMPLOYER MediRew, Inc.
BUSINESS 319 - 665 -2920
EXPERIENCE AND /OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
My professional and personal experience qualify me to serve Iowa City as a member of the Parks and Recreation
Commission. I am a business attorney who understands the need to economically assess and manage risk, think
creatively to solve complex issues, and embrace teamwork and interdisciplinary collaboration to help an organization
achieve success and accomplish strategic plans. I am also a husband, brother, son, and soon -to -be father in a family
that embraces the opportunities for growth, bonding, reflection, relief, and enjoyment that abound in a community's
parks and recreational facilities and events. My experience qualifies me to serve Iowa City.
Vv HAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD?
The Iowa City Parks and Recreation Commission's overall responsibility is to help make Iowa City a place that offers
a high quality standard of living for its residents and an enjoyable and memorable experience for visitors. The
Commission's nine unelected members fulfill that responsbility by serving as a liason between citizens and elected
officials regarding the review and recommendation of municipal policies, rules, regulations, ordinances, and budgets
relating to parks and recreational outlets including, but not limited to, playgrounds, recreational centers, and cultural
functions. The Commission has the important duty of making Iowa City a better place to live.
WHAT CONTRIBUTIONS CAN YOU.
I am applying to join the Iowa City Parks and Recreation Commission because I have a passion to work to make the
city that is my home, and, in which my friends and family live, a better community. I offer a fresh, independent, and
financially responsible perspective that leverages my educational, professional, and personal purswi,t sto help Iowa
City provide creative, robust public recreational opportunities for its citizens. -
r, ry
LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of`+lnteFest —2
None
c. i
IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ❑✓ Yes F- N�-
DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes QNo
(It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.)
'Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail
,o answer all the questions, Council may not consider your application.
General Application
October 2012 Page 2 of 7
BOARD, COMMISSION AND COMMITTEES
BUSINESS LISTING
Name of City
Board /Commission /Committee Parks and Recreation Commission
Name Patrick Cannon
-W14L -AWL-
CITY OF IOWA CITY
Date 12/03/2012
Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of
a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached
(see page 7).
List all businesses in which you, or your spouse /domestic partner, have an ownership interest
(for example, sole proprietor, partner, 5% or more of corporation's stockholdings).
Please indicate if there are none.
BUSINESS NAME
BUSINESS ADDRESS
None
N
C7
6
r
r�
NOTE: A new form must be completed if the above information changes or an ownership interest is
acquired in an additional business.
Applicant Signature,
Address 1630 Morningside Drive, Iowa City, Iowa
Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail
+o answer all the questions, Council may not consider your application.
General Application
October 2012 Page 3 of 7
Marian Karr
From: Clay Claussen <clayclaussen @aol.com>
Sent: Friday, December 14, 2012 5:01 PM
To: Council
Cc: Mike Moran
Subject: Parks & Recreation Commission appointment
Council Members,
As the Chairperson, I am urging Council to please reappoint Maggie Elliott to the Parks & Recreation Commission. She
has been a key member of the commission and is always informed and engaged. She is respected by fellow commission
members having twice been elected Vice Chairperson. Please contact me if you want further details. Thank you for your
consideration.
Best regards,
Clay
Clay Claussen, ABR, SFR, REALTOR
RE /MAX Affiliates
2140 Norcor Ave, Suite 102
Coralville, IA 52241
Cell: 319- 331 -9911
Home Office: 319 - 351 -4295
Office: 319- 333 -1213
clavclaussenO- g mail. corn
Licensed to sell real estate in the State of Iowa
"Doing all the little things that make a big difference!"