Debian package
Even though I am also providing the source code, the program runs only on debian systems, so it is suggested to install the deb package. GtkOrphan is currently in Debian unstable/testing repositories. These users can just apt-get it.
apt-get install gtkorphan
Other users of debian-derivative distro's can just download the .deb package and type, from a terminal:
sudo dpkg -i gtkorphan_0.4.3-1_all.deb
After package installation, GtkOrphan is placed into Gnome System->Administration menu.
Tarball
Unpack your tarball and build the program:
tar -xvzf gtkorphan-0.4.3.tar.gz
cd gtkorphan-0.4.3
./configure --prefix=/usr
make
make install