Both basic transports (conveyors, pipes, molten channels) and buildings are fairly forgiving as far as the height of terrain they can be placed on. It will be flattened for free to a certain extent.
Items in the Transports tab other than the transports themselves give zero such leeway. Here's an instance where the terrain is flat enough to show the grid (so you wouldn't even think that it wasn't perfectly flat) but you can't place a lift (or balancer or sorter). (I made a loop of belt around it to further illustrate the point.)
