It suffices to give two models of Lean's type theory, one in which $\mathbb{Z} = \mathbb{N}$ and another in which $\mathbb{Z} \ne \mathbb{N}$.
We shall use the interpretation of Lean type theory in set theory: types are sets, type families are families of sets.
Importantly, all that is required for the interpretation of an inductive type is for it to be the initial algebra for the signature given by the definition of the inductive type. Specifically, the interpretation of
inductive Nat where
| zero : Nat
| succ (n : Nat) : Nat
should be a set a set $N$ with an element $\mathtt{zero} \in N$ and a map $\mathtt{succ} : N \to N$, such that $(N, \mathtt{zero}, \mathtt{succ})$ is an initial algebra for structures with one constant and one unary operation. A customary choice is to take $\mathtt{zero} = \emptyset$, $\mathtt{succ}(x) = x \cup \{x\}$, and $N$ the least set containing $\emptyset$ and closed under $x \mapsto x \cup \{x\}$, let us write $\mathbb{N}$ for this particular set.
The interpretation of
inductive Int : Type where
| ofNat : Nat → Int
| negSucc : Nat → Int
amounts to exhibiting a set $\mathbb{Z}$ that is the disjoint union of two copies of $\mathbb{N}$, i.e., $\mathbb{Z}$ must be of the form
$$\{\mathtt{ofNat}(k) \mid k \in \mathbb{N}\} \cup
\{\mathtt{negSucc}(m) \mid m \in \mathbb{N}\}
$$
where $\mathbb{N}$ is the above interpretation of Nat
, and $\mathtt{ofNat}$ and $\mathtt{negSucc}$ are injective maps with disjoint images.
With these constraints it is easy to arrange either option.
To arrange $\mathbb{N} = \mathbb{Z}$, take
\begin{align*}
&\mathtt{ofNat} : \mathbb{N} \to \mathsf{Set} &
&\mathtt{negSucc} : \mathbb{N} \to \mathsf{Set}
\\
&\mathtt{ofNat}(k) = 2 k &
&\mathtt{negSucc}(k) = 2 k + 1
\end{align*}
And to arrange $\mathbb{N} \ne \mathbb{Z}$, take
\begin{align*}
&\mathtt{ofNat} : \mathbb{N} \to \mathsf{Set} &
&\mathtt{negSucc} : \mathbb{N} \to \mathsf{Set}
\\
&\mathtt{ofNat}(k) = (\emptyset, k) &
&\mathtt{negSucc}(k) = (\{\emptyset\}, k)
\end{align*}
where we used Kuratowski's pairing $\{x, y\} = \{\{x\}, \{x,y\}\}$. Because $\emptyset = \mathtt{zero} \in \mathbb{N}$ and $(x,y) \neq \emptyset$, we indeed have $\mathbb{N} \ne \mathbb{Z}$.