In recent decades, social development and demographic changes have led to a significant decline of the number of new building constructions and an increase of refurbishments and building activities in projects in the built environment. Those changes force building companies and construction site managers to adapt their site management concepts due to inner city influences. Especially emissions like noise and dust, transports, and construction site waste should be limited to a minimum to prevent inhabitants and neighbors from surpassing inconveniences. To compare theory and practice in terms of efficient and environmental friendly construction site management in inner cities, qualitative interviews were taken, to figure out what actions are applicable to keep emissions on a minimum level and where the construction processes and logistic can be improved. The results show, that possibilities - like shifting the transports to railway - could be a proper approach, but are seldom applied. Due to cost and logistical reasons, most efforts are put into neighbor involvement, rather than changing the process of building itself.