News From...
White Plains Hospital
Dickstein Cancer Center
Infusion Floor



The renovated 10,000-square-foot floor space includes communal chemotherapy areas as well as nine private infusion bays, each complete with individual television, temperature control and Wi-Fi access.  The new infusion center satisfies  a need for increased capacity due to the Hospital's growing patient volume in its award-winning cancer program. Posen is also in the process of renovating the other two floors of the Dickstein Cancer Center and constructing a new 40,000-square-foot Doctors Office Building that will connect to Dickstein and contain patient amenities, exam rooms, physician offices, and consultation space. 


Bill's Bullets



William Hamilton, AIA, LEED AP


Bill has been with Posen Architects for ten years and specializes in healthcare and code compliance.





It's time for another code update. NYC has already adopted the 2009 ICC/ANSI.11 as a reference standard and NYS and NJ are soon to follow.  In addition, the individual ICC Building Code editions for each jurisdiction, usually "Chapter 11-Accessibility", will contain additional regulations and modifications to the ANSI A117.1-2009 document.


The biggest news is in NJ, when the state adopts the 2015 codes (which is estimated to be in August 2015) New Jersey's Barrier Free Code - in use for over 20 years - will be eliminated.  Chapter 11, which has been blank in previous NJ editions, will be activated.

Here is a list of some of the revisions and clarifications from the 2009 document:

  • Space for knee and toe clearance under objects are still permitted but can no longer be considered for clear floor space or for turning space
  • Elevators shall provide a clear floor width of 42" and the clear floor space shall not be less than 15.75 sq.ft.
  • Toilet and bathrooms:  a turning space complying with Section 304 shall be provided within a toilet compartment
  • Toilet dispenser location is now measured from the back wall and not the front of the toilet seat
  • All roll-in showers are now required to provide seating
  • Clear floor space at benches in locker, fitting and dressing rooms is no longer required to be at the end of the bench, a parallel approach to the front of the bench is now permitted.  An exception has also been provided for bench height requirements when they are specifically designed for children
  • A new chapter has been added to align with the 2010 ADA Standards, for recreational facilities and includes swimming pools, miniature golf, fishing piers, exercise equipment, boating facilities, playground equipment and amusement rides


This is just a sampling, there are many  more revisions with regards to multiple dwellings and residential uses as well as exterior access to a building.  Check with your Architect to make sure they are familiar with the new regulations.


New Clients


Bravo Group Services, Inc.

Job Haines Home

Fresenius Medical Care

Jura, Inc.

New York Hospital Queens

Westchester Medical Center

Navillus Contracting

Millennium Healthcare of Clifton

Zufall Health Center

Keystone Property Group


Escalating Construction Costs Hit NY Metro Area
Adapted from letter by Edward Hiney, CCP, VP/Chief Estimator at Nasco Construction Services, Inc.

Construction costs in the New York Metropolitan Area have rapidly escalated over the past six months, particularly in New York City.


This is especially seen in the public works sector: bid prices received are 20%-30% higher than budgets. For example, NYC Housing Authority (NYCHA) and NYC Department of Design and Construction (NYCDDC) have experienced numerous instances of this.

Several forces are at play creating this volatile cost climate.

First, Labor and Material costs have increased 5% during the past year (as reported by ENR Building and Construction Index) but this is just the tip, of the cost escalation, iceberg. When the construction market almost disappeared, after the economic bubble burst of late 2008, a slow increase in projects began and has increased dramatically in the last 6-9 months.

During this time, there has been a huge increase in mega projects: the new Tappan Zee Bridge; NYC Residential Towers, and hotel construction. In addition, many moderate-to-large size projects planned prior to 2008 and then shelved, have come back to life.

Also, the disaster of Hurricane Sandy proves the adage that: "An ill wind blows good for someone." Here, the construction industry continues to benefit from the glut of work produced by "Sandy" projects.

Obviously, the effect of all these new projects has dramatically escalated prices. The largest components of the escalation are subcontractor, contractor and GC mark-ups. These are not reflected in ENR reported labor and material increases.

Another factor, not reflected in the ENR escalation, is labor productivity. The labor pool is becoming stretched. Typically the most productive workers are first to be hired (in many cases they are "company men" with incentives to produce). As labor demand increases, less productive workers join the team. In construction, a crew quickly assumes the pace of the least productive member. The effect: decreasing labor productivity and increasing labor costs.

Also, many owners are signing Project Labor Agreements.  A lower-than-usual union rate is agreed upon.  While cost-effective, in theory, union workers will often "slow down" to prolong their jobs, thus increasing labor costs.

Finally, many contractors and subcontractors went out of business during the lean years and now there is less competition for more work.

Therefore, based on all the above, an additional 15%-25% increase (above ENR's 5% projection) in construction costs should be anticipated for the next 6-9 months.  It would be wise to adjust upward any estimated costs on projects not yet bid.



Staff Profiles



Sayra Rubiano


Sayra attended Kean University and obtained a BFA in Interior Design.  She has been with Posen since 2011.


Tell me what strengths you bring to the firm - and to our clients?

I have a background in graphic design.  I am able to bring this broader understanding of aesthetics and put visuals together for client presentations; implementing elements from their graphics into the interior design.

Have you been inspired along the way? Whose work do you admire?
There are many artists I admire, such as Patricia Urquiola and Kazuyo Sejima - their work is clean and modern - those are qualities that I strive for in my work. My one true inspiration; Sheila Sri Prakash. She is a pioneer in the architectural/design community and an outstanding leader in sustainable design.

Was there a moment you knew that you wanted to be an Interior Designer?

I went through a rough time in my family, being in the hospital with my ill mother.  I discovered what the details of a room could do to a person's spirit.  I thought up all the ways I would change the color scheme, the textures, the furniture...

If you could work on any project anywhere, what would it be?

I would love to work, along with local architects, in my home country, Colombia, on creating public health environments as well as housing for low-income communities.

What is your favorite way to spend free time?

Making jewelry while watching a movie.

What kind of jewelry do you make?

Pieces made of natural dried seeds and metals from artisans in Colombia.

Any advice to women seeking to become an Interior Designer?

Do it and find a purpose in your career so that it becomes your passion and not just a job.


Natalie Holmes-Mitchell,
Natalie holds a BS in Economics and a BFA in Interior Design.  She has been with Posen for five years.

What is your role at Posen Architects? 

I am an interior designer and I work on small to medium-sized healthcare, corporate and institutional projects.

Before working here, what was the most unusual or interesting job you've ever had? 

After I graduated with my first degree, I house-sat for an entire summer in England at a beautiful 18th-century mansion on the south coast.  I baked bread every morning, I walked the dog and I had a very rural existence that I never thought I would like, but I loved it.

Who or what inspired you to become an Interior Designer? 

I was always interested in design from a tiny child building Lego houses....then model building in children's TV shows....just always fascinated with construction and design.


Who do you admire in the industry? 

Maggie's Centres projects in the UK sparked my interest in healthcare design.  They are very design-oriented cancer centers offering complimentary therapy and family support.  Many famous architects have been involved including Norman Foster, Frank Gehry and Snohetta.

What have you gained from working at Posen? 

Countless benefits!  The team here is unparalleled and I truly appreciate the dynamic quality of leadership.  It would be hard to replicate.

What project or accomplishment are you most proud of? 

I'd have to say the DASNY therapeutic facilities to treat substance abuse....the importance of that work within the community benefits everyone.


What are your hopes for our industry?

I'd like to see the trend for quality to continue, and for sustainable initiatives.  I'm an advocate for evidence-based design and hope that continues to build in importance.

Who would you like to be for a day? 

I have two -- Wes Anderson or Bear Grylls.  They are so incredible and so different from me.  Wes has exceptional creativity and Bear has no fear - and is so confident in his physical ability.  I admire them both.

What three words best describe you? 

Perceptive.  Dedicated.  Polite (because I'm British, after all).




Posen Architects, LLC

25 Columbia Street

West Orange, NJ 07052 


222 Mamaroneck Avenue

White Plains, NY 10605


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Phone: (973) 325-3250

Fax: (973) 325-3251