Hello again,
After disabling my mods and testing it in a new save in sandbox Ive noticed I may have been too unspecific. My Bad.
When Pipetting a Rail Ramp you select the Rail Ramp.
You can then left click with the Rail Ramp on the Cursor to start laying Rail at the clicked Rail Ramp.
This functionality doesnt work with the Neodyium Rail Ramps.
You can pipette it, then left click, wont let you build. Instead you get some Red Cross.
Should be reproduceable now.