on this post i will show you how to create an inventor addIn solution/project via templates.
Visual Studio Templates
If you want to use the visual studio Templates you need to have the SDK installed.
The SDK : developertools.msi only supports Visualstudio 2017. If you want to use the template syou need to install a basic version of the VS2017 and then you can install the needed msi package.
The installer will copy some Templates in the folder
C:\Users\<User>\Documents\Visual Studio 2017\Templates\ProjectTemplates
you need to copy the templates to your VS Folder. In my case : C:\Users\<User>\Documents\Visual Studio 2019\Templates\ProjectTemplates. Now the templates will be avaiable in the template screen
With this template you should be able to create following project structure