Nitsch Engineering provided civil engineering and permitting services for development of the state-of-the-art South End Community Health Center, a non-profit primary and managed-care facility that provides health care and social services. The main building, located on Washington Street, consolidates clinical services and support space into the first three floors of the new six-story building, and contains 39 ADA-accessible condominiums on the upper three floors.  The building also includes separate ambulatory facilities, 118 underground parking spaces, street-level retail space, and community gardens.  The project also included 17 residential condominiums at the rear of the site along Cumston Street.  By working closely with the owners to meet their changing needs, Nitsch Engineering helped keep the project on schedule.  We designed the site grading and utilities to fit within a narrow right-of-way and redesigned Cumston Street.  We prepared City of Boston Public Improvement Commission plans for street widening, relocation, and vertical discontinuance; a Boston Water and Sewer Commission Site Plan; and a Massachusetts Department of Environmental Protection Sewer Connection Permit.  Nitsch Engineering also provided construction administration services.