The City of Buffalo wanted a parking ramp designed that would serve both the hospital and the retail shopping area of Elmwood Avenue.

The solution was to build a four-level parking structure comprised of pre-cast concrete structure and walls as well as masonry stair and elevator towers. The ramp holds 597 cars with space for an additional 101 cars to be parked at grade and has multi-entrances/exits. The structure was designed to be compatible with the surrounding neighborhood as well as a new high-rise apartment for the elderly.