This article describes the construction of a building with four aboveground floors and one underground floor as part of the ongoing development of Warsaw’s city center. A 3D numerical model was developed to reflect the spatial and structural solutions of the new building based on the design documentation with regard to the outcomes of geotechnical tests, the actual phases of work completed, the results of the geodetic measurements carried out in individual phases of the building implementation, and the characteristics of the existing adjacent buildings. The 3D numerical model was calibrated taking into account the results of the geodetic measurements of the benchmarks stabilized on the adjacent buildings. The numerical models of the building were used to analyze a number of multiple-step variants, taking into account the increase in the number of aboveground floors (from 1 to 4) and underground floors (by 1), as well as the increase in the projected area of the underground part compared to the area of the site designated for development. The paper presents the conclusions of our analyses, which may be helpful to others designing buildings in intensively urbanized areas and guide them in selecting the best solution.