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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. XI zOOXT moms -D- u u�mii n���'�°?, fD y Z a fl1 y m y cD O n a) 0 p �i � CL v Z 3 m " .3. 3 . @ 'O 0 m 3 w CD s 0 y o m =r CCD CO 2 s O :3 y (D CD a m NNNNN X WW ,,, CA) CA) -A W — m N O N O N O N O N O X T Ul W NN m y Zd L J N Z A N Z 0 z ' N z J N Z C N Z C- C � L N C Z m N N Z m N z N Z OXXXX J N J N W �D G CL fl, V fl. M. 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 ,, - � WUAT IC Vnl 10 DOCCCAIT VK1f%1A 11 Cr%^ -C AC Tulc+ A r%xl Ll 11w e^ A r%r,^ ■ ■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 �a r.,> t 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 �-t C-) �. " 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. X00 �m X N y H cp 7 = = = (D C N ID CD CL N CD 7 rt a" Qa N� < 0 X no 03 �3 c� c� z c N d d n 00 N O r N V a C 0 O m m -j CO) 3 ID 000 3� 0 EL- 0 = Q V 0 m n CD �y0) N y C- 0 C) L C) —L Cl —L C) C) m 00000 CD .shk w Ul b. cn xQxxx0x m a" Qa N� < 0 X no 03 �3 c� c� z c N d d n 00 N O r N V a C 0 O m m 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 none Q 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 r r N N r N r O M O W) r �a cm TERM N M O m i oo Im ° r 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-; U1�y P rar i"" l :o , Y ✓ p 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!"