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                |   Building Name:Location and Site:Butler Memorial   Hospital: The New Inpatient Tower
 One Hospital Way, Butler,   PA
 Building Occupant  Name:Butler Health Care Providers
 Occupancy/Function  Types:Hospital: Surgery, Recovery, and  Critical Care Units
 |  |  Size:209,678 sqft
 Stories:Above Grade – 6 (Including  Penthouse); Below Grade – 2
 Owner:Butler Healthcare Providers (http://www.butlerhealthsystem.org/Pages/Home.aspx)
 General  Contractor/Construction Manager:Turner Construction Company (www.turnerconstruction.com)
 Owners  Representative:Ritter Construction Management (www.ritterpm.com)
 Architect:Design Group  (www.dgcolumbus.com)
 Design  Architect/Engineer:Hammel, Green, and Abrahamson,  Inc. (www.hga.com)
 Civil Engineer:Pedersen & Pedersen (www.pedersenx2.com)
 
 Technology Engineer:
 KJWW Consulting Engineers (www.kjww.com)
 Equipment Planner:Korbel Associates (www.korbel.net)
 Elevator Consultant:VDA (www.vdassoc.com)
 
 
                
                  | Dates of  Construction:September 2008 – July 2010
 Costs:93 Million (GMP)
 Project Delivery  Method:Design Bid Build
 |  |  Architecture:The overall architecture of the New Inpatient   Tower of the Butler Memorial   Hospital is integrated  very nicely into the existing portions of the hospital,l as well as surrounding  buildings scattered about downtown Butler.  Red brick veneer, and tinted curtainwalls  with aluminum trim comprise the majority of the exterior; which also happens to  blend nicely with the existing red brick of the original hospital.  The North elevation is curved and also steps  down with contour of the existing hillside as it wraps around towards the west  side of the building.  After making the  turn west, the ground continues to slope which is highlighted by aluminum  cladded columns which dot the North and West perimeter of the building.  Upon entering the inpatient tower through the  main entry of the north façade on the second floor, a grand atrium 2 stories high  is capped off by a full length triangular skylight in order to greet visitors  with open arms.  The remainder of the second  floor is filled with public retail, convenience, and waiting areas, an  auditorium, a chapel, several offices and conference rooms, as well as employee  locker rooms.  The third floor is mainly  dedicated to surgery, equipped with operating rooms, an anesthesia  administration area, and immediate recovery rooms.  In order to match the existing hospital, the  floor above the third floor is not the fourth, but instead the fifth floor  which is primarily composed of critical care units.  The upper floors, six and seven, are  identical and devoted to long term surgery recovery rooms.  Above the seventh floor is the penthouse,  which houses the elevator machine room and is adjacent to the rooftop air  handlers.  A second entrance at a lower  elevation on the west façade allows maintenance personnel to enter directly on  the ground floor with immediate access to the emergency generators and storage  areas.  Between the ground floor and second  floor, the first floor is home to the mechanical and electrical rooms.  The overall architecture of the hospital has  a contemporary vibe equipped with flat screen televisions in every patient’s  room, vibrant and lively color schemes, and architectural sculptures which help  to create a positive feeling within the tower.
   Codes:2006 International Building  Code
 2006  Guidelines for Design and Construction of Health Care Facilities
 1998  Pennsylvania Department of Health Rules and Regulations for Hospitals
 2000  National Fire Protection Agency 101
 Zoning:City of Butler Zoning Regulations
 1-2 Hospital  (Non-separated mixed use)
 1B - NFPA Type 2 (222)
 Building Enclosure:Façade: The majority of the exterior  façade is deep red face brick veneer with a 1” air cavity, followed by 2” rigid  insulation, and 5/8” gypsum wall board attached to 6” steel studs which are  filled with batt insulation between studs.    The exterior glazing is primarily 1” tinted insulating glass comprised  of ¼” tinted exterior light equal to PPG Gray with low “E” coating matching  Viracon VE3-2M with a ½” air space and then ¼” clear interior light; and 1”  insulating spandrel glass comprised of ¼” clear exterior light, ½” air space,  and ¼” spandrel interior light with ceramic frit equal to Viracon Subdued  Gray.  These two window types are used  exclusively with 1/8” Aluminum panels to create a glazed aluminum curtainwall  system.  Wire cloth screening, clear  glass, laminate glass, and fretted glass are also used sparingly in order to  make the façade more interesting.
 Roofing: The roof of the new tower is  comprised mainly of a mechanically fastened membrane system.  The system uses a white 60 mil thermoplastic  polyolefin (TPO) membrane formed into flexible, uniform sheets and then  mechanically fastened together.  Fully  adhered EPDM single ply membrane is to be used to top of canopy roofs.
 Sustainability  Features:The use of radiant heat ceiling  panels line the perimeter of building, giving patients more thermal comfort  control and reducing heating costs.  Low  “E” tinted glass will help reduce solar gain and therefore reduce the cooling  load and energy consumption.  Motion activated  sensors controlling illumination will allow for lights to be engaged only when  occupants are in the room, thereby conserving electricity.   Natural daylighting is used extensively  throughout patient’s rooms as well as in the atrium area, where magnificent  skylights illuminate the main entry way and public areas on the second  floor.
 MechanicalThe system is a variable air volume  system with terminal boxes located near diffusers for flow control.   100% outside air economizer cooling is  installed on all air handlers to save on cooling costs during temperate weather.  The system configuration has redundancy in  the chiller water system, with the ability to lose the chiller, pump, or  cooling tower and remain functional.   Radiant heat is used extensively in patient rooms along the perimeter of  the building to provide individual thermal comfort control. There are a total  of 8 air handling units with the 5 main units being VAV and the remaining 3  smaller units being constant volume.
 The primary heating, air  conditioning, and ventilation is performed by (3) 62,000 CFM rooftop air  handlers.  These three air handlers  comprise a loop system which serves every area of the hospital except for  operating rooms and a few mechanical rooms.   Due to the nature of the loop system, all 3 air handlers are coupled  feeding every diffuser, there is natural redundancy built into the mechanical  system.  (2) 400 ton centrifugal chillers  with variable speed drives provide AHU 1, 2, & 3 with cold water used for  dehumidification and cooling.  A central  rooftop cooling tower serves as the primary means of cooling the condenser  water which exits the two centrifugal chillers.
 Rooftop air handling units 4 and 5  are located on a lower level roof and provide the necessary heating,  ventilating, and air-conditioning to the 8 operating rooms which are located on  the 3rd floor. The operating room air handlers are serviced by an  adjacent 119 ton air-cooled scroll chiller supplying 34°F water.  The lower temperature system is backed up by  the primary chillers in case of emergency; 45°F primary water can still be supplied.
 Air Handling Units 6, 7, & 8  are all smaller units which serve specific rooms with an extra need for  cooling.  AHU-6 and AHU-7 service the  chiller and electrical room respectively.   Both of these components utilize the 2 main chillers and boilers as  there thermal source.  AHU-8 serves the  elevator machine room.
 On the heating side, (2) 215 BHP  combustion gas/oil-fired hot water boilers supply all of the heating water for  the entire building:  this includes  heating water to the air handling unit heating coils, unit heaters used for  reheat within terminal boxes, duct heating coils, radiant ceiling panels around  the perimeter of patient rooms, and finned tube radiation in the soffit/plenum  area above the second floor to keep the cantilevered floor warm.
   Structural
 The hospital is supported by steel  wide flange beams and columns which are carried by poured concrete caissons, ranging  in diameter from 30” – 80”, and grade beams. The majority of the columns are W  14 with weights ranging from 43 – 176 lbs/ft. Although various wide flange beam  sizes are used, the majority of the hospital is supported by either W16x26 or  W18x40.  Resting on top of the wide  flange beams is  a composite metal deck  system with 5” shear studs and 3-1/2” of concrete topping for a total floor  height of 6-1/2”.  Columns are laterally  braced using K frame braces in both directions.   10” K frames are used on levels 1 – 3, and 8” K frames are used on the  upper levels.   Typical exterior wall  construction is face brick with 2” rigid insulation mounted on 6” steel studs  with gypsum wall board on both sides.
 
                
                  |  |  |    ElectricalThe hospital is serviced with 3  phase, 4 wire incoming service at 480/277V.   The main feed is from the existing hospital and enters the addition vie  the first floor mechanical room.  Within  the mechanical room a 2,500 kVA transformer reduces the voltage to that which  is suitable for building distribution.   There are electrical rooms on every level capable of supplying 480/277V  and 208/120V.  The high voltage is used  primarily for running heavy equipment, motors, and fans as well as fluorescent  lights.  The lower voltage is for general  use throughout the hospital including incandescent lights, receptacles, and  office equipment. There are also (2) emergency generators located on the ground  floor directly under the main electrical room.   These will provide back-up power in case of power outage.
 LightingWithin a hospital there is  obviously a need for various kinds of light fixtures.  The Butler Memorial Hospital New Inpatient Tower  is no exception.  There are over 85  different types of light bulbs which are all serving a specific function.  The lighting is all served by either 277V,  which is used for all fluorescents, or 120V which is used for  incandescent.  These lights serve various  functions from wall washing, to accent lighting in the chapel, to providing the  highest quality of light for operating rooms.
 Fire ProtectionThe hospital is equipped with  state of the art fire protection.  When  designing the building, engineers took special care to install smoke partitions  and dividers so that smoke cannot travel freely throughout the building.  A spray on fire-proofing has been applied to  all steel structural members to ensure the integrity of the steel under fire  conditions.  Lastly, there is an  integrated sprinkler system which supplies every room within the hospital with  a Siamese connection at ground level for fire department hook-up.
 Pneumatic Tube  DeliveryThe hospital is equipped with a  compressed air driven tube delivery system which allows nurses to transport  tangible objects in a more expedient manner.   Hospital personnel are able to send documents, files, and even  medications through the system.  The  system was designed and developed by Swisslog, which uses a compressor  manufactured by Amico.  By using the  pneumatic system, it allows for less corridor traffic and busy work for staff,  thereby increasing efficiency and the standard of care for patients.
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