Report to: Development Services Committee                                 Report Date:  June 17, 2008

 

 

SUBJECT:                          RECOMMENDATION REPORT

                                            Markham Stouffville Hospital

                                            Site Plan Endorsement in Principle for the Hospital Expansion

                                            File No. SC 08 111320

 

PREPARED BY:               Doris Cheng, Senior Planner, ext. 2331

 

 

RECOMMENDATION:

That the report dated June 17, 2008 entitled “RECOMMENDATION REPORT, Markham Stouffville Hospital.  Site Plan Endorsement in Principle for the Hospital Expansion” be received. 

 

That the conceptual Master Site Plan be endorsed in principle as the basis to permit Markham Stouffville Hospital (MSH) to proceed with a request for funding from Infrastructure Ontario as well as the Request for Proposals and tendering process;

 

That the detailed design of the Markham Stouffville Hospital expansion be subject to a further Site Plan application;

 

That the Markham Stouffville Hospital Request for Proposals have regard for the Principles of Development and the Urban Design Guidelines outlined in this report, to be finalized in consultation with Town Staff;

 

That the alignment of Street ‘A’ with Rose Way at 9th Line be endorsed subject to the traffic mitigation measures as outlined in this report;

 

That staff continue to work with the Markham Stouffville Hospital Staff and their consortium of consultants to ensure a unified vision for the Cornell Community, Markham Stouffville Hospital institutional campus, and the future East Markham Community Centre and Library (EMCC & L).

 

That staff prepare regular status updates, as appropriate, to Development Services Committee on the progress of the Markham Stouffville Hospital;

 

And that Staff be authorized and directed to do all things necessary to give effect to this resolution.

 

EXECUTIVE SUMMARY:

The MSH has been working with Town staff to expand the existing services on the hospital lands.  This site plan application is the first step in the process required to proceed with the new hospital wing.  The application is for the endorsement of the conceptual Master Site Plan (Figure 4) in principle only, which will provide general guidelines (it is not intended to be prescriptive) and will provide the necessary assurance and Council direction allowing MSH, in conjunction with Infrastructure Ontario, to proceed with a Request for Proposal for detailed design.   The final Site Plan for the Hospital expansion will be prepared by the successful design consortium in conformity with the Principles of Development and Urban Design Guidelines which will also be responsible for securing final Site Plan Approval, anticipated in the second half of 2009.

 

The proposed expansion includes a new emergency facility, critical care, diagnostic and ambulatory care, all together increasing the hospital’s size from approximately 30,194 m² to 77,890 m² (325,000 ft² to 838,400 ft²) in various additions/buildings ranging up to approximately 10 storeys in height.  The expanded Hospital is intended to be physically linked to the proposed East Markham Community Centre & Library (EMCC & L) and is expected to be served by Markham District Energy (MDE).  While the number of ‘Pay and Display’ parking spaces to accommodate the needs of this new facility is proposed to be 2,100 spaces, located in a number of parking lots, and exceeds the Town’s parking by-law requirement by more than 300 spaces, the spaces are considered necessary to satisfy the requirements of the proposed health care facilities.  These parking lots will primarily function based on the anticipated demands in the short term and provide revenues for maintenance and operations of the hospital.  The parking layouts will also accommodate future development opportunities in accordance with the long-term campus plan. 

 

While the formal visual and vehicular access to the campus will continue to be focused along Church Street, access to the hospital will also be gained from the new Street ‘A’ to the south.  The Region has indicated that it has no issues with the proposed Street ‘A’ provided that it is aligned with Rose Way on the west side of 9th Line in accordance with the revised Cornell Secondary Plan that is anticipated to be approved by Regional Council in June 2008. 

 

It is noted that the conceptual site plan presented in this report may be modified significantly by the time the final site plan application is submitted.  It is also noted that when the final Site Plan Application is submitted in 2009 the MSH expansion Team’s goal will be to minimize any changes in order to limit cost increases.   In light of this, Town staff has and will continue to work with MSH staff in advance of release of the Request for Proposals to try and address the Town’s requirements and concerns.  Together, MSH staff and Town staff have formulated 10 Principles of Development and a set of Urban Design Guidelines to be included within the RFP package.  It is anticipated that these documents, together with further Town input anticipated during the tendering process will provide guidelines to bidders that will lead to the achievement of the Town’s objectives for this landmark site.

 

FINANCIAL CONSIDERATIONS:

Not applicable


1. Purpose          2. Background    3. Discussion        4. Financial     5. Environmental

 

6. Accessibility   7. Engage 21st      8. Affected Units  9. Attachment(s)

 

PURPOSE:

The purpose of this report is to recommend that Development Services Committee endorse in principle, the application for conceptual Site Plan Approval of the Master Plan for the Markham Stouffville Hospital expansion at the lands municipally known as 381 Church Street (Figure 1).  This endorsement in principle will provide the MSH Board with the necessary municipal direction in order to obtain funding from Infrastructure Ontario (IO) and the Ministry of Public Infrastructure and Renewal (PIR) and proceed to develop the Request for Proposal for the detailed architectural design of the expansion.  Future detailed plans will be subject to a further Site Plan Approval Application.   

 

BACKGROUND:

Markham Stouffville Hospital (MSH) has provided healthcare to Markham and the surrounding communities for over 18 years.  Originally built in 1990 to service a much smaller population, the surrounding communities have grown significantly since that time.  As a result, in 2005 the Ministry of Health and Long Term Care approved plans for Markham Stouffville Hospital to expand its facility.  Plans are well underway for a campus that will connect community members with access to healthcare, recreation, fitness, education and library services – an overall vision for health and wellness. 

 

Together with Town Staff, MSH has committed to adhering to a set of guiding principles intended to reflect the values and design of the established community.  The focus will be on creating a healthy environment that will allow for the delivery of quality healthcare throughout construction, while recognizing the importance of future development and enabling growth opportunities.  

 

Property and Area Context

The MSH lands are located east of Ninth Line, west of Bur Oak Avenue, south of Church Street, and north of Highway 7 East (Figure 1).  The land includes 20.15 hectares (approximately 50 acres) of Hospital lands (including the lands recently acquired south of the proposed laneway) and 2.18 hectares (approximately 5.38 acres) of lands intended to be acquired by the Town for the EMCC & L.   At the northwest corner of the Hospital lands is Participation House, which is not part of this application, and to the west across 9th Line is a low-density residential community.  To the north, across Church Street, and under the ownership of the MSH, are some vacant lands, ambulance station, a parking lot that is intended to be expanded and which forms part of this application, as well as the existing Woodhaven Senior’s Residence.  Further north are Cornell residential developments.  To the south the lands are primarily vacant and in multiple ownerships (Figure 3).  To the east, across Bur Oak Avenue, are lands primarily intended to accommodate a future Catholic Secondary School as well as some existing mixed-use developments along Bur Oak Avenue.

 

The role of Infrastructure Ontario and the Ministry of Public Infrastructure Renewal

Infrastructure Ontario (IO) is an agency created in 2005 to deliver Alternative Financing Procurement (AFP) projects under the Renew Ontario program.  This initiative was created as a five-year infrastructure investment plan to outline different strategies for the financing and construction of infrastructure projects across Ontario, with priority given to healthcare, education and economic prosperity.

 

IO leads the initiative to implement infrastructure projects on behalf of the Ministry of Public Infrastructure Renewal (PIR).  PIR is responsible for individual infrastructure projects.  Renewal of the hospital is one of their mandates, and PIR intends to deliver this large complex infrastructure project while achieving the best value for the investment, while maintaining appropriate public control and ownership.

 

The MSH expansion is a Design, Build, Finance and Maintain (DBFM) project.  The Ministry of Health funds 90% of the infrastructure, while MSH in collaboration with their Foundation, has developed a Local Share Plan which includes the funding for the remaining 10% of the infrastructure and 100% of the costs for equipment, parking and retail spaces.

 

The Markham Stouffville Hospital expansion proposal

The MSH is located in the Cornell community, planned on the principles of New Urbanism.  The proposal involves extensive internal renovations to update the existing hospital facilities and a major expansion increasing the hospital’s size from approximately 30,194 m² to 77,890 m² (325,000 ft² to 838,400 ft²) (Figure 4).  Staff is working closely with the MSH Staff to create an institutional ‘campus’ which includes the expanded hospital, future EMCC&L as well as a future fire station.  The Hospital is intended to be physically linked to the EMCC&L and is expected to be served by Markham District Energy (MDE).  The proposal by MDE to serve the needs of the Hospital is currently being reviewed by MSH, and Hospital staff has indicated that it will likely be accepted although it still requires approval by the Ministry of Health and IO.  The MSH and the Town expect to capitalize on the potential synergies between the two facilities, and ensure that the timelines for the design and construction of the hospital expansion and the Town facilities remain on schedule.  Working together will also ensure that the coordinated vision for the hospital and Town facilities are in keeping with the character of the Cornell community. 

 

The current MSH proposal is a conceptual master plan for the institutional campus in the short term.  An actual site plan application for the current proposal is expected in the fall of 2009.  The immediate plans for MSH includes the demolition of the existing Annex Buildings, the construction of a MDE building (details with regard to the location and built form have yet to be determined) and the expansion of the hospital (Figure 5).  The expansion subject to this endorsement in principle is anticipated to be comprised of a new emergency facility, critical care, diagnostic and ambulatory care, as well as the provision of additional parking required to accommodate the demand for these new facilities. 

 

The overall character of the site will include an integrated network of roads and driveways geared to the circulation of pedestrian, bicycle and vehicular traffic, both to the hospital and throughout the institutional campus and these will be connected by green-space and strategic building placement. The expansion of the MSH is intended to occur both horizontally as well as vertically to create higher densities leaving more of the site open for future development opportunities, and near term surface parking to serve the expanded facility.  It is intended that the campus may consider medically related office buildings and parking structures in the future.  While the formal visual and vehicular access to the campus will continue to be focused along Church Street, access to the hospital will also be gained from the new Street ‘A’ to the south intended to be aligned with existing Rose Way on the west side of 9th Line (see discussion below). 

Markham Stouffville Hospital expansion will be phased over time

This application for the expansion of the MSH will be the first phase in a series of phased developments for the institutional campus.  Phase one is intended to support the projected immediate clinical facility needs, while the additional pay parking provided is intended to not only serve the needs of the expanded facility but also provide the financial resources, through visitor parking fees, to fund existing maintenance requirements and future development phases. 

 

The long-term plans for this site include the demolition of Participation House (the series of buildings located at the south east corner of 9th Line and Church Street and which is on MSH lands under a long term lease) and the construction of various other campus buildings.  Future phases are expected to also include parking structures to accommodate opportunities for the incremental expansion of the community hospital to a regional medical centre (Figure 6).  The proposed layout of surface parking areas provides opportunities for additional health and wellness related facilities and services in the future without major site re-design.

 

Hospital and Town facilities will result in a major institutional campus

The EMCC&L is proposed to be located between the Hospital and Bur Oak Avenue and the Fire Hall is to be located to the south of the Community Centre.  All these facilities will together create a major institutional campus.  Construction of the proposed Hospital expansion is intended to commence in the summer of 2010 with completion anticipated by 2013 / 2014.  Construction of the EMCC&L is expected to commence by the end of 2009 or by early 2010 with completion anticipated by 2012.  The time frame for the construction of the Fire Hall remains to be finalized.

 

As noted above, MSH is expected to be served by MDE and due to critical mass considerations MDE will only locate in the vicinity if the Hospital is available as a client to anchor the facility.  If MDE is located in the area it will also serve EMCC &L as well as other future Cornell developments.  Once the decision regarding MDE is finalized, its construction will have to commence well ahead of the Hospital construction in order to serve the EMCC &L, which will be operational ahead of the Hospital.

 

Matters such as the timing and construction of access roads (streets A & B), location of construction accesses for the individual projects and servicing of the campus will all have to be reviewed.  All in all, the construction program within this institutional campus will have to be carefully coordinated.

 

OPTIONS/ DISCUSSION:

The Official Plan designation

The MSH lands are designated “Institutional” in the Town’s Official Plan.  The Cornell Secondary Plan (PD 29-1) also designates the lands as “Institutional” which provides for the existing uses.   The original Cornell Secondary Plan was approved by the Region of York in July 1995.  In January 2008, the Town of Markham adopted an amendment to the Cornell Secondary Plan, which is expected to receive Regional approval in June, 2008.  Until the Region approves the amendment, the original 1995 document remains in effect. 

 The amended Cornell Secondary Plan did not change the institutional designation of the MSH lands, but does provide height provisions in the order of 10 storeys for limited components of the hospital building.  The current hospital expansion plans propose a built form which is expected to comply with the height provided for in the Council adopted revised Secondary Plan.

 

The MSH lands are subject to a Zoning By-law Amendment application

The MSH lands are currently the subject of a Zoning By-law amendment application.  The preliminary report to request Council authorization to schedule a statutory public meeting was brought forward to the Development Services Committee on May 20, 2008.  A public meeting is anticipated to be held in early fall to consider the proposed amendments required to facilitate the hospital expansion. 

 

The Zoning By-law Amendment involves several parcels of land.  When the amendments are complete, the lands will form a unified institutional campus for the hospital as well as Town facilities.  The land the hospital currently owns is predominantly zoned “Institutional - Special” [I (S)] in By-law 1229, and a portion of the property (being a strip of land along the east side of the property) is zoned Agricultural (A1) in By-law 304-87, as amended (Figure 2).  The hospital owned lands currently zoned Institutional (INST) in By-law 304-87 as amended, and the lands recently acquired by the hospital zoned Rural Residential 4 (RR4) (Figure 2), will be rezoned and placed into By-law 1229 as amended, to form an institutional campus with consistent zoning.  The Institutional zone within By-law 1229, as amended, currently contains development standards, including height and lot coverage provisions which will have to be amended to permit the expansion of the hospital.  Height provisions within the existing by-law restrict the built form to a maximum of 16.0 metres (approximately 5 storeys), and the maximum lot coverage for the property is restricted to 30%.  The proposed amendment will permit a maximum height in the order of 10 storeys and increase the lot coverage from 30% to approximately 50% and will be in conformity with the Council adopted Secondary Plan Amendment. 

 

The Hospital has also requested that the remaining hospital lands which are currently zoned Agricultural (A1) in By-law 304-87, as amended, be re-zoned as Institutional [I(S)] in By-law 1229 as amended.  A portion of these lands will eventually form part of the EMCC & L site. 

 

This application is for Site Plan Endorsement in Principle only

This MSH site plan application is for the endorsement of the proposal in principle only, as the plans have not been developed to the standard the Town requires for Site Plan Approval.  This endorsement is intended to provide general guidelines (it is not intended to be prescriptive) and will provide the necessary assurance and Council direction allowing MSH, in conjunction with Infrastructure Ontario, to proceed with a Request for Proposal for detailed design.  The final Site Plan for the Hospital expansion will be prepared by the successful consortium which will also be responsible for securing final Site Plan Approval, anticipated in the second half of 2009.

 

To ensure that the Cornell community vision is reflected in the tendering process for MSH, staff will continue to work with the MSH staff and consultants to finalize a set of Principles of Development and Urban Design Guidelines which the consortium will have regard for.  The RFP is anticipated to be completed in December 2008 for distribution.  When a design team has been selected, the winning design team will be responsible for submitting an additional Site Plan Application to secure final Site Plan Approval, anticipated in the second half of 2009.

 

MSH continue to collaborate with Town Staff to guide the vision and design of the Hospital expansion

Staff continue to work with the MSH to coordinate the design and construction of the Town facilities with the hospital expansion.  In June 2006, Council directed staff to finalize the Memorandum of Understanding (MOU) with MSH regarding land, design, construction, parking and operating arrangement.  The MOU was executed August 29, 2007.  In November 2007, staff began working with MSH’s architect, Bregmann + Hamann (B+H), with regards to the location of the EMCC & L. 

 

In an effort to be proactive and streamline the future detailed site plan approval process, Town staff has worked with MSH and their consultants to draft the Principles of Development and the Urban Design Guidelines. The Town will have further opportunities to provide input to the Evaluation Committee for the final consortium selection and will also have input into the development of the Request for Proposals.

 

Markham Stouffville Hospital Draft Principles of Development

The following Draft Principles of Development will guide the MSH expansion project:

 

1.      The Markham Stouffville Hospital campus shall recognize its role as a landmark in the Cornell Community.

2.      The campus of buildings in the MSH site constitutes a health and wellness community.  This community shall be designed in accordance with the urban design and new urbanism planning principles embodied within the Cornell Community.

3.      The buildings and the landscape shall work in harmony to promote an overall character of wellness and pedestrian amenity.

4.      The height, massing, positioning, materials and general built form of the buildings should have regard for the Cornell Community.

5.      The campus of buildings shall have an appropriate relationship to the surrounding streets and between buildings to create and strengthen pedestrian linkages within the campus and to the surrounding community.

6.       Markham Stouffville Hospital will commit to sustainable design practices with regards to both operational and built environment and will incorporate such appropriate elements within the development to fulfill those commitments while having regard for its financial sustainability.

7.      The east-west ‘Street B’ at the southern end of the Phase 1 hospital buildings, between Bur Oak Avenue and 9th Line, and north of Street ‘A’, shall be designed to reflect the Cornell road standards and to be consistent with the look of the Cornell community.

8.      The landscape and streetscape shall be designed to complement the built form, and enhance the pedestrian realm with particular reference to linkages between streets and parking lots to building entrances as well as the streetscapes along Church Street, 9th Line, and Street ‘A’.

9.      Markham Stouffville Hospital will provide health care accessibility to all users by incorporating accessible design principles in all aspects of the project.

10.  Markham Stouffville Hospital will continue to collaborate with the Town of Markham to ensure that the Town is an active participant throughout each phase and major decision of the design and development process.

 

Draft Urban Design Guidelines

The Markham Stouffville Hospital consulting team has worked together with staff to compile and submit a set of Urban Design Guidelines (UDG) to guide the vision of the evolving Markham Stouffville Hospital Campus.  The future Request for Proposal packages will include this comprehensive visioning document.  

 

It should be noted that the Urban Design Guidelines is an evolving document through the cooperative efforts of the MSH, their consortium of consultants and Town Staff.  It is intended to address design issues for the building and the site.  It is anticipated the document will be completed to the satisfaction of Town Staff and will be a supplementary document to the RFP.  The following are the subsections of the UDG: 

 

  • Architecture and site design
  • Streetscape
  • Site grading and drainage
  • Circulation and Parking
  • Landscape
  • Signage
  • Sustainability and LEED compliance

 

A full working copy of the Urban Design Guidelines is available from staff, however a synopsis of the UDG has been provided in Appendix A attached to this report.

 

The MSH expansion Team’s goal will be to minimize changes at the final site plan approval stage

The conceptual site plan presented in this report may be modified significantly by the time the final site plan application is submitted.  The Town input and involvement in the Hospital expansion project is to occur primarily at the front end, during the RFP stage. MSH’s expectation is that once the submission of the final Site Plan Application, anticipated in 2009, occurs changes to the final design will be kept to a minimum in order to limit cost increases.  Therefore, as discussed above, in order to achieve the Town’s objectives for this landmark site Town staff have worked in consultation with MSH and its consultants to formulate Draft Principles of Development and Draft Urban Design Guidelines (discussed above) to be included as reference within the RFP.

 

Aside from final site plan approval, additional opportunities for input into the final design may be available to the Town.  Together with MSH staff, and mediated by a representative from IO, a limited number of Town staff (estimated at 2 to ensure confidentiality, consistency and fairness in the tender process) will be able to meet with the three qualifying bidders in a controlled environment to address the project.  It is staff’s understanding that there will be three meetings with each bidder for a total of nine meetings but that IO may limit the Town’s input to ‘yes’ or ‘no’ responses.  It is also staff’s understanding that for a similar project elsewhere a municipal subcommittee was able to meet with the winning bidder to discuss additional matters through a series of meetings.  Staff is currently trying to determine if similar opportunities may be available for the Town to have further input into the final design, once a winning consultant team has been selected and prior to final site plan application being submitted. 

 

MSH’s commitment to sustainability

LEED (Leadership in Energy and Environmental Design) is a system of green building design that can be applied to new and renovated buildings.  The intent of LEED is to quantify the performance of the buildings in terms of impact on the environment, use of natural resources, occupant comfort, and the cost of operation.  The MSH has committed to achieving many of the measures of LEED design; however, the opportunities to apply the LEED initiatives are limited.  This is because hospital design is governed by various codes and regulatory bodies that mandate the minimum building systems performance levels for life safety, infection control and clinical functionality.  Nevertheless, MSH has made a commitment to the long-term sustainability of the MSH campus and intends to satisfy LEED initiatives which they believe could qualify the new addition for a LEED Silver classification, although formal LEED certification will not be sought. 

 

MSH is also providing additional sustainability initiatives within its campus design (see Appendix B), including a comprehensive Transportation Demand Management Plan (TDM).  This TDM will outline strategies, including the number and location of carpool and bicycle spaces, change areas, public transit amenity, and other alternative travel demand management elements, including car pooling opportunities.  It is anticipated that a TDM plan may be able to result in a 5-10% reduction in the anticipated parking requirements.  There will be a transition period between completion of the building and full occupancy which will permit potential staging and/or indefinite deferral of some of the surface parking proposed in the most remote lots dependant upon the success of the TDM program.

 

Finally, if MDE is selected to service the Hospital it will be a key sustainability initiative.  MDE has the potential to significantly reduce greenhouse gas and smog producing emissions in the short term and the option to add, in the future, renewable energy sources including solar, geothermal, micro-wind and biomass. 

 

The proposal will expand upon the local road network

Where possible, the design standards for street and parking facilities would be expected to conform to the urban design guidelines as proposed in the Cornell Centre Community Design Plan which is currently being finalized.  It is proposed that future internal roads on the hospital site will be private roads with pedestrian sidewalks, consistent with the Cornell road standard, exclusive of widened areas for drop-offs, loading areas and turning lanes. 

 

The primary access to 9th Line is proposed to remain through Church Street, and an additional access is proposed to be located at the intersection of Rose Way and 9th Line (Figure 4).  This new “Street A” is identified in the Council adopted Cornell Secondary Plan as a minor collector road extending from 9th Line to Donald Cousens Parkway.  The Region has indicated that it has no issues with the proposed southern access to 9th Line from Street ‘A’ provided that it is aligned with Rose Way on the west side of 9th Line.  The westerly portion of future Street ‘A’ is intended to be dedicated to the Town by MSH and developed as an east-west municipal road which will have full traffic movement, regulated by traffic signals.  Construction requirements for this portion of Street ‘A’ will be addressed through a Development Agreement which was included as a condition of approval for the recent severance which accommodated a land exchange between MSH and a landowner to the south.

 

Street ‘A’ will intersect with Street ‘B’ (intended to be a private hospital road) which will provide access to the new hospital entrance and emergency department, the new District Energy Plant, and additional access to the proposed EMCC & L as it intersects with Bur Oak Avenue.  This private “Street B” is also anticipated to be constructed to meet municipal standards, with the option of providing on-street parking, to be regulated by the hospital.  Existing Butternut Lane is also proposed to be extended from its current location south of Church Street to intersect with Street ‘A’ and Street ‘B’, providing an internal north-south connection and adding to the local campus road network (Figure 4). 

 

The existing access to Church Street will continue to serve as an integral street to the local road network.  It provides access to the medical building, the hospital, emergency and parking, however, lands are required to widen the right-of-way on the easterly portion of the street as it intersects with Bur Oak Avenue.  The land requirements for the final right-of-way are currently under review by Town staff and will be required as a condition of final site plan approval.

 

Infiltration of traffic into the existing Rose Way west of 9th Line has been reviewed by Transportation Staff

Street ‘A’ is proposed in accordance with the revised Cornell Secondary Plan, anticipated to be approved by Regional Council in June 2008.  It is expected that this access road will become the collector road that extends from 9th Line east to Donald Cousens Parkway.  A concern from area residents to the west has been expressed regarding the alignment of Street ‘A’ with Rose Way on the west side of 9th Line, and the signalization of that intersection.  The concern relates to the potential for traffic infiltration from the east side of 9th Line into the existing neighbourhood on the west side through Rose Way.

 

Town Engineering and Regional staff have reviewed the alignment options and recommend that alignment of the new street with Rose Way be continued and not physically offset.  Reasons cited include:

 

1.      Offsetting with Rose Way east and west of 9th Line would result in traffic control issues, increasing delays for motorists exiting Rose Way to 9th Line from both sides, and result in unnecessary and unsafe conflicts in the centre median of 9th Line.

2.      An offset intersection may affect and render the development block on the east side less usable.

3.      An offset intersection will affect the alignment and design of the road, which will affect the safe vehicle operating conditions.

4.      An offset would not stop infiltration. Vehicles would still be able to make their intended movements.  If turn prohibitions were retrofitted to try and stop the infiltration, this would be an inconvenience for local residents, as many harmless turns would be prohibited.

5.      An aligned intersection will permit a signalized intersection at Rose Way and 9th Line.  This will reduce conflicts, maintain development blocks, pose little or no geometric design issues, and improve infiltration control through proper signage, signal control and/or physical barriers.

 

Based on the above, Town Engineering and Regional staff recommend maintaining a roadway configuration of Rose Way east of 9th Line that aligns with the same road on the west side.  Staff will monitor the traffic infiltration issues on Rose Way between east and west of 9th Line upon its operations commencement and incorporate gradual implementation of any required traffic infiltration control measures, ranging from signed peak period restrictions, signed all day restrictions, signal control, to physical through movement barriers using islands.  It is noted that a recent survey in the GTA by BA Group, Transportation Consultants, of through movements restriction implemented with signage, have shown near 100% compliance.

 

The proposed parking exceeds the Town Parking By-law 28-97 requirements

While the long term plans for parking involve structured parking facilities, the current proposal illustrates a series of expanded surface parking lots throughout the institutional campus.  The number of parking spaces existing and proposed on site exceeds the Town of Markham Parking By-law 28-97 requirements but is intended to meet the MSH projected requirements for the proposed health care facilities.  The parking lot size and configuration are primarily a function of the anticipated demands in the short term but its layout will also accommodate future development opportunities in accordance with the long term campus plan. 

 

Currently, the Town of Markham Parking By-law requires a minimum of 1 parking space for every 37m² of net floor area.  With the existing hospital and medical building, the total requirement is only 766 spaces while the hospital currently provides 1,200 spaces (434 extra spaces).   The MSH traffic consultants have indicated that the current parking demand is related to both demand generated by the Medical Office Building and the Hospital. 

 

The Town Parking By-law would require a total of 1,779 parking spaces to serve the medical building and the proposed hospital expansion.  The proposed number of spaces shown on the conceptual plan is approximately 2,100 spaces (321 extra spaces).  This is based upon the projected need, based on the services that the facilities will provide.  Approximately 500 spaces are to be located north of Church Street and the remaining 1,600 spaces will be located within the main campus.  As noted previously, the funds received from the parking revenues are utilized for the operation of the Hospital and in part pays for the expansion plans.  However, it is anticipated that the transition period between completion of the building and full occupancy may permit the staging and/or deferral of some of the surface parking proposed in the most remote lots, but this will depend upon the success of the TDM program.   

 

Heliport location

There is currently a Heliport serving the hospital located on the north-east portion of the existing MSH lands, generally north of the proposed EMCC & L.  As part of the RFP, the MSH intends to include a Heliport Siting Options Analysis to consider the potential relocation of the heliport to a roof-top site located within the new expanded hospital facility.   

 

However, the roof-top facility has not been approved nor has a timeline for its construction been finalized.  Funding available for the MSH expansion from Infrastructure Ontario and the Ministry Health and Long Term Care currently does not include some of the site works, including some road construction, parking, or the relocation of the heliport.  The relocation of the heliport may be considered further if funding becomes available, however at this time the existing heliport will remain at its current location.

 

Region of York

The Region of York has been circulated the conceptual site plan for review, particularly pertaining to the location of the future road access from 9th Line.  Town staff has also been in discussions with the Region of York with regard to the proposed location of the future access to 9th Line.  The Region of York has indicated that it has no issues related to the general location of the access in principle provided that it is aligned with Rose Way on the west side of 9th Line. 

 

The details pertaining to the final road location, width and alignment will be determined once a detailed site plan application has been submitted for review, at which time, the Region of York will be circulated for review and comment.

 

Toronto and Region Conservation Authority

The Toronto and Region Conservation Authority has informed staff that the site is not Regulated by the TRCA as the drainage channel along the east portion of the site, which leads to existing storm water management ponds, is not considered a natural feature.  The SWM ponds are to be decommissioned as part of the campus development. 

 

However, because of the size of the site, the TRCA has indicated that they would review the master storm water management design for this proposal.  With the understanding that the current application is only an endorsement in principle, TRCA staff has no concerns at this time.  However, the TRCA staff has circulated the application to their engineering department under the assumption that further detailed comments will be provided upon submission of the future site plan application. 

 

HUMAN RESOURCES CONSIDERATIONS

Not applicable.

 

ALIGNMENT WITH STRATEGIC PRIORITIES:

The proposed site plan application will assist with the implementation of the following Town of Markham Strategic Priorities:

 

  • Growth Management

The MSH proposal aligns with the strategic priority of Growth Management by managing and directing opportunities for growth for the surrounding communities; by integrating and delivering a transportation network and municipal infrastructure; and continuing inter-governmental coordination between various levels of government together and external agencies to achieve the goal of expanding health care facilities.

 

  • Transportation and Transit

The MSH continues to work with the Region of York to provide improved public transit accessibility and improvements to the local road network.  Also, to encourage alternative modes of transportation, MSH has implemented a pay for parking program.  This program provides a funding strategy which helps to offset the operating budget requirements of the Hospital.  MSH is also committed to alternative modes of transportation by providing TDM opportunities, integrated pedestrian network of walkways, bicycle paths and secure storage facilities. 

 

  • Environment

MSH has stated their commitment to long-term sustainability through the integration of environmental practices into their site and building design, including LEED initiatives.  As noted previously, MDE may also be incorporated into the campus development.

 

  • Parks, Recreation, Culture and Library Master Plan/Public Safety

MSH is coordinating with the Town to deliver the EMCC & L within the institutional campus.  The will result in an integrated community service with a focus on health, wellness and lifelong learning, ensuring that the needs of the community are embedded within the programs, policies and facility development.

 

BUSINESS UNITS CONSULTED AND AFFECTED:

The application has been circulated to various Town departments and external agencies. Requirements of the Town and external agencies will be reflected in the final detailed site plan.

 

CONCLUSIONS:

Staff are satisfied with the proposal and recommend that it be endorsed in principle, subject to the conditions outlined in this report.

RECOMMENDED BY:  

  

 

 

______________________________                        ______________________________

Valerie Shuttleworth, M.C.I.P, R.P.P                            Jim Baird, M.C.I.P, R.P.P

Director, Planning & Urban Design                               Commissioner, Development Services

 

ATTACHMENTS:

Figure 1 – Location Map

Figure 2 – Area Context/Zoning

Figure 3 – Air Photo 2007

Figure 4 – Concept Master Site Plan

Figure 5 – Concept Massing Perspective

Figure 6 – Concept Long Term Plan

 

Appendix A – Draft Urban Design Guidelines Synopsis

Appendix B - Draft Sustainable Design Initiatives 

 

AGENT:     Mr. Jim Kirk

                     Malone Given Parsons Ltd.

                     140 Renfrew Drive, Suite 201

                     Markham ON  L3R 6B3

                     Tel: 905-513-0170  Fax: 905-513-0177  Email: jkirk@mgp.ca

 

File Path:  Amanda\File 08 111320\Documents\Recommendation Report

 


Figure 1 – Location Map


Appendix A –Draft Urban Design Guidelines Synopsis

 

1.      Introduction – This section provides a summary of issues that are relevant to the Markham Stouffville Hospital. Beginning with an introduction by the Hospital and followed by descriptive sections on the history, vision, objectives, proposed block development, site requirements, accessibility, and security. This section sets the tone to describe the development context and the functional and site driven priorities of Markham Stouffville Hospital. The hospital is at the beginning of an important step in the continued delivery of quality health care to the region. All of the challenges can be seen as advantages where the community, the long term vision, and delivery of quality services will result in a quality facility that adds to the context of the Town of Markham.

 

2.      Urban Design – Set within the Cornell Secondary Plan, this section describes the nature of the urban environment with a focus on architecture, site planning, future development, building placement and form. The narrative is supplemented by diagrams, graphics and summary charts of the proposed hospital functional program. The design language is evaluated in the context of program and functional delivery, sustainable design, and a complimentary language to that of the surrounding community. The outcome is the setting out of defined principles and a conceptual design of how to implement them within the context of a defined health care program.

 

3.      Streetscape – All things that make up the public environment are addressed in this section. Starting with the major streets (Ninth Line, Church Street, Bur Oak Avenue), internal roads and R.O.W, including materials (paving) and street lighting. The street character is one of the best opportunities for the Markham Stouffville Hospital to be seen as integrated in to the Cornell planning and context. All of the proposed levels from the larger street organizational elements to the materiality of the environment are important factors in the final character of the built environment.

 

4.      Site Grading and Drainage – A review of the site as it exists today and in the future, within the site specific context as well as within the larger context of Markham’s infrastructure is presented. The summary outlines how the proposed Markham Stouffville Hospital site development is in keeping with the long term plan for the area while working to develop sustainable designs strategies that are in keeping with the mandate of the hospital.

 

5.      Circulation and Parking – Seen as a key element to the success of any development. The proposed site circulation and its relationship to the long term infrastructure plan of this area is key. Long term effective movement, access of regional public transit and accommodation of potential growth in the area are all considered. In addition to the big picture, details addressing specific components of the site (car, emergency vehicle, bicycle and pedestrian) are identified and discussed. Supporting information addressing site lighting, security and service delivery are presented. The intended outcome is a comprehensive approach to creating an effective circulation and parking strategy for now and into the future.

 

6.      Landscape – Complimenting the sustainability mandate, the natural environment is one of the areas that is seen to both complement the goals of health and well being as well providing a connection of the site within the larger context of Markham and the Cornell Community. While respecting the Golden Jubilee Greenway, the vision stresses innovation, park character, creation of shade and creation of screening for both patient privacy and reduction of scale of parking facility. The section presents specific landscape strategies, site furnishings and pedestrian specific lighting to demonstrate the proposed approach.  Signage is also presented to ensure that the scale and language of the landscape at the experiential level is comfortable and efficient.

 

7.      SustainabilityMarkham Stouffville Hospital will be working to develop both operational and infrastructure improvements to demonstrate the commitment to sustainable design. Integrated with other components of the design (parking and circulation, landscape, urban design, site services) while addressing specific elements of the campus (building systems, materiality, conservation and air quality). Markham Stouffville Hospital will be using the LEED system (Leadership in Energy and Environmental Design) to analyze the effectiveness of the proposed measures. Markham Stouffville Hospital is working to effectively respond to key issues like Heat Island Effect, Rainwater harvesting, Water Conservation, overall site energy efficiency, and quality air and environmental inputs. The overall effect resulting in a long term model of effective sustainable design within the context of a health care environment.


Appendix B – Draft Sustainable Design Initiatives

 

Recommended Operational Sustainable Design Initiatives:

·        Train Building Occupants, Facilities Managers, and Maintenance Staff in Sustainability Principles and Methods

§         Implement a comprehensive, preventive maintenance program to keep all building systems functioning as designed. See WBDG Reliability-Centered Maintenance (RCM).

§         Provide operations support to facilities managers and maintenance crews to answer questions and offer additional information.

·        Employ Environmentally Preferable Landscaping Practices

§         Landscape with native, or indigenous, drought tolerant plants.

§         Develop a Pest Control Plan, which includes information about: materials and equipment for service; method for monitoring and detection; service schedule for each building or site; any structural or operational changes that would facilitate the pest control effort; and commercial pesticide applicator certificates or licenses in conformity with the Town of Markham Pesticide By-law.

§         Where unavoidable, use non-toxic outdoor fertilizers and pesticides.

§         Consider composting/recycling yard waste.

§         Minimize site disturbance. See also WBDG Sustainable—Optimize Site Potential.

§         Use landscaping products with recycled content as required by EPA's Comprehensive Procurement Guidelines (CPG) for landscaping products.

§         See also WBDG Sustainable O&M Practices.

·        Purchase Cleaning Products and Supplies that are Resource-Efficient and Non-Toxic

§         Use cleaners that biodegrade rapidly.

§         Look for products that are concentrated, using less packaging for more power.

§         Use integrated pest management (IPM) practices in facilities and landscaping to reduce the use of pesticides and herbicides. IPM has been mandated on federal property since 1996 by Section 136r-1 of Title 7, United States Code, and is cited in Title 41 of the Code of Federal Regulations (102-74.35) as a required service for agencies subject to the authority of the General Services Administration (GSA) and in conformity with the Town of Markham Pesticide By-law.

§         Use non-toxic pest control for indoor spaces and plants. See also WBDG Evaluating and Selecting Green Products.

§         Keep air ducts clean and free of microorganisms through a structured program of preventive maintenance.

·        Use Automated Monitors and Controls for Energy, Water, Waste, Temperature, Moisture, and Ventilation Monitors and Controls

§         Use schedule, occupancy, or luminance sensors to control lighting and other functions.

§         Use timers for heating/ventilation/air conditioning (HVAC) equipment.

§         Turn off the lights, computers, and equipment when not in use.

§         Enable power-down features on office equipment (e.g., Energy Star® computers).

§         Turn off computer monitors when not in use.

·        Reduce Waste Through Source Reduction and Recycling

§         Start a comprehensive recycling program with source separation and occupant incentives.

§         Use on-site composting of organic materials.

§         Adopt green meeting practices.

·        Support Practices that Encourage Sustainable Transportation or Minimize Travel

§         Install sufficient bike racks to meet demand.

§         Designate shuttle/bus stops in safe and accessible areas close to the facility.

§         Provide sufficient parking spaces for carpools/vanpools.

§         Support teleconferencing and videoconferencing through proper operations and maintenance of communication systems.

§         Support telework (aka telecommuting) programs by providing hoteling spaces (flexible and well-equipped office spaces that teleworkers can use when they come into the office) and properly operating and maintaining telework centers.

 

Infrastructure will follow the guidelines set out by the LEED standards and include:

  • Urban Heat Effect

§         Roof materiality and reflectivity

§         Paving materiality and reflectivity

§         Natural landscape

§         Minimal alteration of existing land forms

  • Stormwater management

§         Rainwater Harvesting

§         Stormwater Infiltration

§         Grey Water Re-use

§         Permeable surfaces

  • Water Conservation

§         Low flow fixtures

§         Irrigation

  • Energy Efficiency

§         25% reduction of MNECB

§         Methodology

o       Fixture selection

o       Equipment controls

o       Total building system – heat capture

  • Architecture

§         Daylighting

§         Building envelope

§         Heat Recovery

§         Efficient internal circulation